Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants

Background. Infant holding position may reduce vaccination pain. However, the optimal position for young infants remains controversial. Objectives. To compare the effectiveness of holding infants in the supine position and the effectiveness of holding infants in upright position for relieving acute...

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Main Authors: Hui-Chu Yin, Shao-Wen Cheng, Chun-Yuh Yang, Ya-Wen Chiu, Yi-Hao Weng
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2017/3273171
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author Hui-Chu Yin
Shao-Wen Cheng
Chun-Yuh Yang
Ya-Wen Chiu
Yi-Hao Weng
author_facet Hui-Chu Yin
Shao-Wen Cheng
Chun-Yuh Yang
Ya-Wen Chiu
Yi-Hao Weng
author_sort Hui-Chu Yin
collection DOAJ
description Background. Infant holding position may reduce vaccination pain. However, the optimal position for young infants remains controversial. Objectives. To compare the effectiveness of holding infants in the supine position and the effectiveness of holding infants in upright position for relieving acute pain from vaccine injection. Methods. This prospective cohort study enrolled 6–12-week-old healthy infants. We examined infant pain responses by evaluating the following three categories: (1) crying, (2) irritability, and (3) facial expression. Results. In total, 282 infants were enrolled, with 103 and 179 held in the supine and upright positions, respectively. At 30 s after vaccination, the infants in the supine position showed a larger decrease in crying (p<0.001), irritability (p=0.002), and pained facial expression (p=0.001) than did those in the upright position. However, there was no significant difference in pain response between two groups at 180 s after intervention. Conclusion. In 2-month-old infants, the supine position may reduce acute pain more effectively than does the upright position. Our findings provide a clinical strategy for relieving vaccination pain in young infants.
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series Pain Research and Management
spelling doaj-art-3b570e94a0184f95b9be7742856efcd02025-08-20T02:39:07ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/32731713273171Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young InfantsHui-Chu Yin0Shao-Wen Cheng1Chun-Yuh Yang2Ya-Wen Chiu3Yi-Hao Weng4Department of Nursing, Chang Gung Memorial Hospital, College of Nursing, Chang Gung University, Taipei 105, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei 105, TaiwanDepartment of Public Health, Kaohsiung Medical University, Kaohsiung 807, TaiwanMaster Program in Global Health and Development, College of Public Health, Taipei Medical University, Taipei 11031, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei 105, TaiwanBackground. Infant holding position may reduce vaccination pain. However, the optimal position for young infants remains controversial. Objectives. To compare the effectiveness of holding infants in the supine position and the effectiveness of holding infants in upright position for relieving acute pain from vaccine injection. Methods. This prospective cohort study enrolled 6–12-week-old healthy infants. We examined infant pain responses by evaluating the following three categories: (1) crying, (2) irritability, and (3) facial expression. Results. In total, 282 infants were enrolled, with 103 and 179 held in the supine and upright positions, respectively. At 30 s after vaccination, the infants in the supine position showed a larger decrease in crying (p<0.001), irritability (p=0.002), and pained facial expression (p=0.001) than did those in the upright position. However, there was no significant difference in pain response between two groups at 180 s after intervention. Conclusion. In 2-month-old infants, the supine position may reduce acute pain more effectively than does the upright position. Our findings provide a clinical strategy for relieving vaccination pain in young infants.http://dx.doi.org/10.1155/2017/3273171
spellingShingle Hui-Chu Yin
Shao-Wen Cheng
Chun-Yuh Yang
Ya-Wen Chiu
Yi-Hao Weng
Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants
Pain Research and Management
title Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants
title_full Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants
title_fullStr Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants
title_full_unstemmed Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants
title_short Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants
title_sort comparative survey of holding positions for reducing vaccination pain in young infants
url http://dx.doi.org/10.1155/2017/3273171
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