Pain Clinical Trial
This is a randomized double-blind controlled study and was performed to compare effects of
rapid injection without aspiration and 10-second manual pressure before injection on pain
severity and crying time in 4-6-month-old infants given the vaccine DTaP/IPV/Hib.
The study population included all the infants presenting for DTaP/IPV/Hib to two family
health centers between April and August in 2015. The study sample included 128 infants based
on confidence interval of 95% and statistical power of 80%. The sample was divided into four
groups; i.e. manual pressure, rapid injection without aspiration, manual pressure combined
with rapid injection without aspiration and control groups. There were 32 infants in each
group. Gender was adjusted in all groups. Stratified and block randomizations were used.
Study design: this is an experimental, double-blind, randomized controlled trial.
Study population and study sample: The study was conducted in two family health centers of
Cankiri Public Health Directorate, Turkey, between April and August in 2015. The study
population included infants aged 4-6 months and presenting to the family health centers for
the second and third doses of DTaP/IPV/Hib. The study sample comprised of 128 infants based
on confidence interval of 95% and statistical power of 80%. Analysis made at the end of the
study showed a statistical power of 0.83 based on confidence interval of 95%.
Outcome Measures
Pain severity: Video recordings obtained were evaluated by two pain specialists separately
by using Neonatal Infant Pain Scale. The specialists were blinded to the groups to eliminate
possible mistakes in observations and the possibility of taking sides and to avoid bias. The
scores assigned by the specialists were used to determine pain scores before, during and
after vaccine injections.
Crying time: Video recordings taken were watched by the same researcher and crying time
before, during and after vaccine injections was calculated for each infant.
Physiological Changes (heart rate and oxygen saturation): the probe of pulse oximetry was
attached to the foot not injected vaccine to measure oxygen saturation and heart rate
before, during and after the injections in each child.
;
Allocation: Randomized, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Prevention
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