Objectives: This study was performed to investigate the efficiency of local heat and cold application to decrease vaccineassociated pain among infants 2–6 months of age. Methods: This was a randomized controlled trial. The study universe comprised infants aged 2–6 months who were brought to 4 family health centers in the Safranbolu district of Karabuk Province, Turkey, for a pneumococcal vaccination June 1-November 30, 2016. A total of 96 infants (heat application: 31, cold application: 32, and control group: 33) were enrolled in the the study. The data were collected using an infant ınformation form and the Face, Legs, Activity, Cry, Consolability (FLACC) pain scale. Results: The mean FLACC score of the infants was 5.531±1.934 in the cold application group, 8.710±1.346 in the heat application group, and 9.152±1.661 in the control group. The difference between the mean scores of the groups was statistically significant (KW=49.043; p=0.000). Conclusion: Local cold and heat application methods applied to the vaccination area before a pneumoccal vaccine reduced vaccine-associated pain in the infants, and the application of cold was more effective than heat.
Amaç: Bu çalışma 2–6 aylık bebeklerde aşıya bağlı gelişen ağrıyı azaltmada lokal sıcak ve soğuk uygulamanın etkinliğini araştırmak için yapıldı. Gereç ve Yöntem: Randomize kontrollü bir çalışmadır. Çalışmanın evrenini, pnömokok aşısı olmak için 1 Haziran–30 Kasım 2016 tarihleri arasında Karabük’ün Safranbolu ilçesinde bulunan dört aile sağlığı merkezine getirilen 2–6 aylık bebekler oluşturdu. Çalışmanın örneklemine toplam 96 bebek (sıcak uygulama: 31; soğuk uygulama: 32; kontrol grubu: 33) alındı. Veriler “Bebek Bigi Formu” ve FLACC Ağrı Ölçeği ile toplandı. Bulgular: Çalışmada, bebeklerin ortalama FLACC Ağrı Ölçeği skoru soğuk uygulama grubunda 5.531±1.934, sıcak uygulama grubunda 8.710±1.346 ve kontrol grubunda 9.152±1.661 idi. Grupların ortalama puanları arasındaki farkın istatistiksel olarak anlamlı olduğu bulundu (KW=49.043; p =0.000
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