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Pediatrics. 1994 Mar;93(3):384-8.

Blowing away shot pain: a technique for pain management during immunization.

Author information

1
Department of Pediatrics, Ohio State University, College of Medicine, Children's Hospital, Columbus 43205.

Abstract

OBJECTIVE:

To study the effect of an active distraction technique on pain in preschool children receiving diphtheria, pertussis, and tetanus immunization.

DESIGN:

Randomized, unblinded controlled study.

SETTING:

Columbus Public Health Department Immunization Clinics.

PARTICIPANTS:

One hundred forty-nine 4- to 7-year-old children.

INTERVENTION:

Children were taught to blow out air repeatedly during the injection, as if they were blowing bubbles.

RESULTS:

Children who were taught to blow out air during their shots had significantly fewer pain behaviors (P < .04) and demonstrated a trend toward lower subjectively reported pain (P = .06). There was no significant difference in the nurse or parent visual analog scale scores.

CONCLUSIONS:

A simple distraction technique can be effective in helping children cope with the pain of immunization. The use of such a technique to relieve the pain and distress associated with even a brief painful procedure should be encouraged.

PMID:
8115196
[Indexed for MEDLINE]

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