Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants

BackgroundThe absence of pain relief in infants can lead to harmful effects; so, this study aimed to investigate the effect of local heat on the pain of vitamin K injection in the infants.Materials and MethodsThis randomized clinical trial was conducted on 80 healthy infants. For the control group,...

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Main Authors: Yadollah Zahed Pasha, Shekoufeh Gholami, Parvin Aziznejad Roshan, Manuchehr Ashrafpoor, Zahra Akbariyan Rad, Mousa Ahmadpoor kachu, Mohsen Haghshenas mojaveri, Mahmud Hajiahmadi
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2016-12-01
Series:International Journal of Pediatrics
Subjects:
Online Access:http://ijp.mums.ac.ir/article_7238_d14f3f2b8edbedf56f3bad972561db8b.pdf
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author Yadollah Zahed Pasha
Shekoufeh Gholami
Parvin Aziznejad Roshan
Manuchehr Ashrafpoor
Zahra Akbariyan Rad
Mousa Ahmadpoor kachu
Mohsen Haghshenas mojaveri
Mahmud Hajiahmadi
author_facet Yadollah Zahed Pasha
Shekoufeh Gholami
Parvin Aziznejad Roshan
Manuchehr Ashrafpoor
Zahra Akbariyan Rad
Mousa Ahmadpoor kachu
Mohsen Haghshenas mojaveri
Mahmud Hajiahmadi
author_sort Yadollah Zahed Pasha
collection DOAJ
description BackgroundThe absence of pain relief in infants can lead to harmful effects; so, this study aimed to investigate the effect of local heat on the pain of vitamin K injection in the infants.Materials and MethodsThis randomized clinical trial was conducted on 80 healthy infants. For the control group, 1 mg vitamin K was injected into the vastus lateralis muscle by a nurse. In the 3 intervention groups, respectively 5, 10 and 15 minutes before the injection, hot-water bag at 37 °C was placed on the quadriceps muscle and then injection was done with the same condition as in the control group. Immediately after the injection, the Neonatal Infant Pain Scale (NIPS) was completed. Data analysis was done using SPSS version 21.0 software.Results41(51.25%) girls and 39 (48.75%) boys were participated. First-minute Apgar of all samples were 8.64±0.557. Birth weight was 3335.37±339.51 grams and the minimum gestational age 36.37±1.01 weeks. The mean pain score in the first minute in the control group was 3.6± 2.136, which was 3.3± 1.976 in the 5-minute warm-up group, and this amount was reached to 1.6± 1.569 in 10-minute warm up group, and 0.6± 0.821 in 15 minute warm-up group (P=0.008). The mean pain scores in the control group for the second minute was 1.0±1.835, which was reduced to 0.25± 0.716 in the 10-minute and 15-minute warm-up group (P=0.023).ConclusionLocal heating before the injection procedure can be effective in reducing pain in infants and the pain will reduce by increasing the local heating time (15 minutes).
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spelling doaj.art-a2dd0e7b583e4c8c970645091adebeb22022-12-22T03:59:34ZengMashhad University of Medical SciencesInternational Journal of Pediatrics2345-50472345-50552016-12-014124081408810.22038/ijp.2016.72387238Effect of the Local Heat on the Pain of Vitamin K Injection in the InfantsYadollah Zahed Pasha0Shekoufeh Gholami1Parvin Aziznejad Roshan2Manuchehr Ashrafpoor3Zahra Akbariyan Rad4Mousa Ahmadpoor kachu5Mohsen Haghshenas mojaveri6Mahmud Hajiahmadi7Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR IranGraduate Student of Neonatal intensive care nursing, Babol University of Medical Sciences, Babol, IR IranDepartment of Nursing, Faculty of Babol University of Medical Sciences, Babol, IR IranCellular and Molecular Research Center, Babol University of Medical Sciences, Babol, IR IranNon-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran.Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR IranNon-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR IranNon-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran.BackgroundThe absence of pain relief in infants can lead to harmful effects; so, this study aimed to investigate the effect of local heat on the pain of vitamin K injection in the infants.Materials and MethodsThis randomized clinical trial was conducted on 80 healthy infants. For the control group, 1 mg vitamin K was injected into the vastus lateralis muscle by a nurse. In the 3 intervention groups, respectively 5, 10 and 15 minutes before the injection, hot-water bag at 37 °C was placed on the quadriceps muscle and then injection was done with the same condition as in the control group. Immediately after the injection, the Neonatal Infant Pain Scale (NIPS) was completed. Data analysis was done using SPSS version 21.0 software.Results41(51.25%) girls and 39 (48.75%) boys were participated. First-minute Apgar of all samples were 8.64±0.557. Birth weight was 3335.37±339.51 grams and the minimum gestational age 36.37±1.01 weeks. The mean pain score in the first minute in the control group was 3.6± 2.136, which was 3.3± 1.976 in the 5-minute warm-up group, and this amount was reached to 1.6± 1.569 in 10-minute warm up group, and 0.6± 0.821 in 15 minute warm-up group (P=0.008). The mean pain scores in the control group for the second minute was 1.0±1.835, which was reduced to 0.25± 0.716 in the 10-minute and 15-minute warm-up group (P=0.023).ConclusionLocal heating before the injection procedure can be effective in reducing pain in infants and the pain will reduce by increasing the local heating time (15 minutes).http://ijp.mums.ac.ir/article_7238_d14f3f2b8edbedf56f3bad972561db8b.pdfHot TemperatureInfantInjectionsPain
spellingShingle Yadollah Zahed Pasha
Shekoufeh Gholami
Parvin Aziznejad Roshan
Manuchehr Ashrafpoor
Zahra Akbariyan Rad
Mousa Ahmadpoor kachu
Mohsen Haghshenas mojaveri
Mahmud Hajiahmadi
Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants
International Journal of Pediatrics
Hot Temperature
Infant
Injections
Pain
title Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants
title_full Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants
title_fullStr Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants
title_full_unstemmed Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants
title_short Effect of the Local Heat on the Pain of Vitamin K Injection in the Infants
title_sort effect of the local heat on the pain of vitamin k injection in the infants
topic Hot Temperature
Infant
Injections
Pain
url http://ijp.mums.ac.ir/article_7238_d14f3f2b8edbedf56f3bad972561db8b.pdf
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