Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study

Introduction: The routine vaccine injections are one of the most common and painful procedures during childhood specifically in infancy. In order to improve the effectivity of pain reduction during routine vaccination OPD this study was done to analyse the effectiveness of audio-visual gadgets as a...

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Main Authors: Harsshika Bajaj, Akaash Tandel, Uday Rajput, Naresh Sonkawade, Rahul Dawre, Sameer Pawar, Sangeeta Chivale, Pragati Kamath, Kanchan Sakharkar, Poonam Sancheti, Murlidhar Tambe, Aarti Kinikar
Format: Article
Language:English
Published: Nepal Medical Association 2024-12-01
Series:Journal of Nepal Medical Association
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Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8856
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author Harsshika Bajaj
Akaash Tandel
Uday Rajput
Naresh Sonkawade
Rahul Dawre
Sameer Pawar
Sangeeta Chivale
Pragati Kamath
Kanchan Sakharkar
Poonam Sancheti
Murlidhar Tambe
Aarti Kinikar
author_facet Harsshika Bajaj
Akaash Tandel
Uday Rajput
Naresh Sonkawade
Rahul Dawre
Sameer Pawar
Sangeeta Chivale
Pragati Kamath
Kanchan Sakharkar
Poonam Sancheti
Murlidhar Tambe
Aarti Kinikar
author_sort Harsshika Bajaj
collection DOAJ
description Introduction: The routine vaccine injections are one of the most common and painful procedures during childhood specifically in infancy. In order to improve the effectivity of pain reduction during routine vaccination OPD this study was done to analyse the effectiveness of audio-visual gadgets as a distraction tool for pain reduction in infants during the vaccination procedure. Methods: A comparative observational study conducted at a tertiary healthcare center vaccination out patient department. Children aged 1 month to 2 years receiving the vaccine were included in the study. The study group was exposed to audio-visual clip while the control group received the vaccine as per routine vaccination protocol. The Face, Legs, Activity, Cry, Controllability Scale score was used to assess the behavioural reactions to pain which assesses five behavioural areas. The study protocol was approved by the Institute Ethics Committee (Reference number: BJGMC/IEC/1122238-238). Results: The Face, Legs, Activity, Cry, Controllability Scale score were studied among two groups, it was observed that the pain score and every component of the score had a statistically significant lower mean score in audio-visual group as compared to the control group. Mean pain score in the audio-visual group was 6.31±0.79 as compared to 9.57±0.65 in the control group with the p value of 0.001. Conclusions: A lower pain score in response to vaccination with an audio-visual distraction indicates that it can be regularly used to reduce pain during the vaccination procedure and can be used during different painful procedures.
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institution Kabale University
issn 0028-2715
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language English
publishDate 2024-12-01
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spelling doaj-art-dd2d526f3e674065bc5e72019a71d1782025-01-03T09:12:34ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2024-12-016328110.31729/jnma.8856Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational StudyHarsshika Bajaj0Akaash Tandel 1Uday Rajput2Naresh Sonkawade3Rahul Dawre4Sameer Pawar5Sangeeta Chivale6Pragati Kamath7Kanchan Sakharkar8Poonam Sancheti9Murlidhar Tambe10Aarti Kinikar11Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaByramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Community Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Community Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, IndiaDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India Introduction: The routine vaccine injections are one of the most common and painful procedures during childhood specifically in infancy. In order to improve the effectivity of pain reduction during routine vaccination OPD this study was done to analyse the effectiveness of audio-visual gadgets as a distraction tool for pain reduction in infants during the vaccination procedure. Methods: A comparative observational study conducted at a tertiary healthcare center vaccination out patient department. Children aged 1 month to 2 years receiving the vaccine were included in the study. The study group was exposed to audio-visual clip while the control group received the vaccine as per routine vaccination protocol. The Face, Legs, Activity, Cry, Controllability Scale score was used to assess the behavioural reactions to pain which assesses five behavioural areas. The study protocol was approved by the Institute Ethics Committee (Reference number: BJGMC/IEC/1122238-238). Results: The Face, Legs, Activity, Cry, Controllability Scale score were studied among two groups, it was observed that the pain score and every component of the score had a statistically significant lower mean score in audio-visual group as compared to the control group. Mean pain score in the audio-visual group was 6.31±0.79 as compared to 9.57±0.65 in the control group with the p value of 0.001. Conclusions: A lower pain score in response to vaccination with an audio-visual distraction indicates that it can be regularly used to reduce pain during the vaccination procedure and can be used during different painful procedures. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8856audio-visualchildrenFLACCpainvaccination
spellingShingle Harsshika Bajaj
Akaash Tandel
Uday Rajput
Naresh Sonkawade
Rahul Dawre
Sameer Pawar
Sangeeta Chivale
Pragati Kamath
Kanchan Sakharkar
Poonam Sancheti
Murlidhar Tambe
Aarti Kinikar
Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
Journal of Nepal Medical Association
audio-visual
children
FLACC
pain
vaccination
title Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
title_full Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
title_fullStr Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
title_full_unstemmed Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
title_short Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
title_sort audio visual distraction a non pharmacological approach to alleviate pain in pediatric vaccine administration an observational study
topic audio-visual
children
FLACC
pain
vaccination
url https://www.jnma.com.np/jnma/index.php/jnma/article/view/8856
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