Publication: Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
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.
Description
Harsshika Bajaj
Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Akaash Tandel
Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Uday Rajput
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Naresh Sonkawade
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Rahul Dawre
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Sameer Pawar
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Sangeeta Chivale
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Pragati Kamath
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Kanchan Sakharkar
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Poonam Sancheti
Department of Community Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Murlidhar Tambe
Department of Community Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India
Aarti Kinikar
Department of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India