Evaluation of pain in children of 2, 4 and 6 months after the application of non-pharmacological analgesia methods during vaccination

Autor: A. Nieto García, O. Berbel Tornero, J. Monleón Sancho, J. Alberola-Rubio, M.E. López Rubio, L. Picó Sirvent
Jazyk: Spanish; Castilian
Rok vydání: 2019
Předmět:
Zdroj: Anales de Pediatría (English Edition), Vol 91, Iss 2, Pp 73-79 (2019)
Druh dokumentu: article
ISSN: 2341-2879
DOI: 10.1016/j.anpede.2018.10.006
Popis: Introduction: Young children perceive pain as much, or even more than adults, and the pain may have short- and long-term consequences. The literature describes the use of non-pharmacological interventions to alleviate pain during vaccination. The aim of this study was to assess 3 such interventions for analgesia during vaccination: non-nutritive sucking (NNS), breastfeeding (BF), and administration of a 50% dextrose solution (D50W). Materials and methods: A prospective, non-randomised cohort study was carried out on infants aged 2, 4 and 6 months that received 1, 2, or 3 vaccines, respectively, according to the routine immunisation schedule. There were 3 treatments: NNS, BF, and 2 mL of D50W combined with NNS. Pain was assessed using the LLANTO scale, and the duration of crying. Results: The study included 387 infants. The mean scores in the LLANTO scale at ages 2 and 6 months were significantly lower in breastfed infants compared to infants managed with NNS (P = .025 and P
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