Kaur Harwinder, Charan Gopal Singh, Kaur Ravneet, Narang Gursharn Singh, Khurana Mandeep Singh
Department of Pediatric Nursing, SGRD College of Nursing, SGRD University of Health Sciences, Amritsar, Punjab, India.
Department of Pediatric, SGRD Institute of Medical Science and Research, SGRD University of Health Sciences, Amritsar, Punjab, India.
J Educ Health Promot. 2024 Feb 26;13:49. doi: 10.4103/jehp.jehp_860_23. eCollection 2024.
Vaccination is a quick, safe, and effective way to avoid contracting hazardous diseases, but it often causes pain and discomfort. Various pharmacological and non-pharmacological pain management techniques are used to treat pain. This study aimed to compare the effectiveness of breastfeeding, musical therapy, and oral sucrose in infant's pain relief during pentavalent vaccination.
A quasi-experimental posttest-only research design was used. A total of 150 infants were enrolled using the purposive sampling technique (50 in the breastfeeding, 50 in the musical therapy, and 50 in the oral sucrose groups) coming for the first, second, and third doses of pentavalent vaccination. The data were collected using observation and the Neonatal Infant Pain Scale (NIPS). The results were calculated by descriptive and inferential statistics.
The study revealed that half of the infants in the breastfeeding group felt severe pain, whereas the majority of infants in the musical therapy and oral sucrose groups felt severe pain during pentavalent vaccination. The median pain score in breastfeeding, musical therapy, and oral sucrose was 4.50, 6, and 7, respectively. Breastfeeding was significantly different from both musical therapy and oral sucrose in terms of pain scores. However, no significant difference was observed between musical therapy and oral sucrose. Overall, the results indicate that breastfeeding had a distinct impact on pain relief during pentavalent vaccination compared with the other interventions, while musical therapy and oral sucrose did not differ significantly in their effectiveness.
The study concluded that breastfeeding is a safe, reliable, cost-effective, and easily accessible method to relieve an infant's pain during pentavalent vaccination. It is a simple method to alleviate pain among infants during vaccination.
接种疫苗是预防感染危险疾病的快速、安全且有效的方法，但它常常会引起疼痛和不适。人们采用各种药理学和非药理学疼痛管理技术来治疗疼痛。本研究旨在比较母乳喂养、音乐疗法和口服蔗糖在婴儿五价疫苗接种过程中缓解疼痛的效果。
采用仅后测的准实验研究设计。使用目的抽样技术共纳入150名婴儿（母乳喂养组50名、音乐疗法组50名、口服蔗糖组50名），他们前来接种第一剂、第二剂和第三剂五价疫苗。通过观察和新生儿婴儿疼痛量表（NIPS）收集数据。结果采用描述性和推断性统计进行计算。
研究显示，母乳喂养组中有一半的婴儿感到剧痛，而在五价疫苗接种过程中，音乐疗法组和口服蔗糖组的大多数婴儿感到剧痛。母乳喂养、音乐疗法和口服蔗糖组的疼痛中位数评分分别为4.50、6和7。母乳喂养在疼痛评分方面与音乐疗法和口服蔗糖均有显著差异。然而，音乐疗法和口服蔗糖之间未观察到显著差异。总体而言，结果表明与其他干预措施相比，母乳喂养在五价疫苗接种过程中对缓解疼痛有明显影响，而音乐疗法和口服蔗糖在效果上没有显著差异。
该研究得出结论，母乳喂养是一种安全、可靠、经济高效且易于实施的方法，可在婴儿五价疫苗接种过程中缓解其疼痛。它是一种在疫苗接种期间减轻婴儿疼痛的简单方法。
