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Ital J Pediatr. 2016 Jan 21;42:8. doi: 10.1186/s13052-016-0218-y.

Effect of flick application on pain level and duration of crying during infant vaccination.

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Department of Child Health Nursing, Faculty of Health Sciences, Zirve University, 27260, Gaziantep, Turkey.
Department of Nursing, Kars School of Health, Kafkas University, 36000,, Kars, Turkey.
Department of Nursing, Faculty of Health Science, Bandirma Onyedi Eylul University, 10200,, Bandırma, Balıkesir, Turkey.



The aim of the research is to determine the effect of flick application to reduce pain on pain level and duration of crying during vaccination.


This research was carried out on one-month-old babies in a family health center between March and June 2015. The babies coming for the second dose of Hepatitis B vaccine were divided into experiment and control groups. The babies in experiment group were flicked just before they were vaccinated. On the other hand, the babies in control group were vaccinated in usual way, with no other application. The pain level of babies in both groups was determined using "Neonatal Infant Pain Scale". In addition, babies' duration of crying was recorded.


In the study, it was detected that there was not a significant difference between pain score averages of babies in experiment and control groups (p > 0.05) before the application, however a significant difference in pain score average was detected during the application (p < 0.01) and after the application (p < 0.001). Babies' duration of crying was compared and it was determined that babies in experiment group cried for shorter period, but no relevance was found (p > 0.05).


Flick application at vaccination area could be used to reduce pain during vaccination at babies.

[Indexed for MEDLINE]
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