Elaine Aparecida da Cunha Lima M.Sc. , Luana Vieira Toledo Ph.D. , Marisa Dibbern Lopes Correia Ph.D. , Daniela de Almeida Pereira Ph.D. , Renata Oliveira Caetano , Thaís Bitencourt Faria , Caroline de Castro Moura Ph.D. , Paula Krempser Ph.D. , Luciene Muniz Braga Ph.D.
{"title":"Effect of a Non-pharmacological Intervention on Vaccine-related Pain: Randomized Clinical Trial","authors":"Elaine Aparecida da Cunha Lima M.Sc. , Luana Vieira Toledo Ph.D. , Marisa Dibbern Lopes Correia Ph.D. , Daniela de Almeida Pereira Ph.D. , Renata Oliveira Caetano , Thaís Bitencourt Faria , Caroline de Castro Moura Ph.D. , Paula Krempser Ph.D. , Luciene Muniz Braga Ph.D.","doi":"10.1016/j.pmn.2024.04.013","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Acute pain during vaccine administration is an expected event; however, some strategies, such as the use of high frequency vibration devices associated with cryotherapy, may minimize it.</div></div><div><h3>Aim</h3><div>Evaluate the effect of high frequency vibration associated with cryotherapy on the level of pain related to the administration of influenza vaccine by intramuscular route in adults.</div></div><div><h3>Method</h3><div>A randomized clinical trial was conducted with 350 adults who received the influenza vaccine. Participants allocated to the intervention group used a high-frequency vibration device associated with cryotherapy during vaccination, and those in the control group administered the vaccine according to the service routine.</div></div><div><h3>Results</h3><div>Mean self-reported pain after vaccination of participants who used the device was lower (1.5 ±1.7) when compared to those who did not use it (1.9 ±1.9) (<em>p</em> = .041). There was an association of higher levels of pain after vaccination with participants in the control group (<em>p</em> = .011), females (<em>p</em> = .042), with higher level of pain expected with vaccination (<em>p</em> < .001) and higher level of anxiety before (<em>p</em> < .001) and after vaccination (<em>p</em> = .001).</div></div><div><h3>Conclusions</h3><div>The use of high frequency vibration associated with cryotherapy has been shown to be a viable non-pharmacological intervention for the reduction of pain associated with influenza vaccination in adults.</div></div>","PeriodicalId":19959,"journal":{"name":"Pain Management Nursing","volume":"26 1","pages":"Pages e18-e23"},"PeriodicalIF":1.6000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain Management Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1524904224001541","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
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Abstract
Background
Acute pain during vaccine administration is an expected event; however, some strategies, such as the use of high frequency vibration devices associated with cryotherapy, may minimize it.
Aim
Evaluate the effect of high frequency vibration associated with cryotherapy on the level of pain related to the administration of influenza vaccine by intramuscular route in adults.
Method
A randomized clinical trial was conducted with 350 adults who received the influenza vaccine. Participants allocated to the intervention group used a high-frequency vibration device associated with cryotherapy during vaccination, and those in the control group administered the vaccine according to the service routine.
Results
Mean self-reported pain after vaccination of participants who used the device was lower (1.5 ±1.7) when compared to those who did not use it (1.9 ±1.9) (p = .041). There was an association of higher levels of pain after vaccination with participants in the control group (p = .011), females (p = .042), with higher level of pain expected with vaccination (p < .001) and higher level of anxiety before (p < .001) and after vaccination (p = .001).
Conclusions
The use of high frequency vibration associated with cryotherapy has been shown to be a viable non-pharmacological intervention for the reduction of pain associated with influenza vaccination in adults.
期刊介绍：
This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.
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