Non-Pharmacological Management for Vaccine-Related Pain in Children in the Healthcare Setting: A Scoping Review

作者全名："Wu, Yujie; Zhao, Yong; Wu, Liping; Zhang, Ping; Yu, Genzhen"

作者地址："[Wu, Yujie; Zhang, Ping] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Nursing, Wuhan 430030, Peoples R China; [Zhao, Yong] Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing 400014, Peoples R China; [Wu, Liping] Chongqing Med Univ, Dept Nursing, Childrens Hosp, Chongqing 400014, Peoples R China; [Yu, Genzhen] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Pediat, Wuhan 430030, Hubei, Peoples R China; [Yu, Genzhen] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Pediat, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China"

通信作者："Yu, GZ (通讯作者)，Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Pediat, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China."

来源：JOURNAL OF PAIN RESEARCH

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:000858975200001

JCR分区：Q3

影响因子：2.7

年份：2022

卷号：15

期号：　

开始页：2773

结束页：2782

文献类型：Review

关键词：vaccine-related pain; non-pharmacological management; vaccination; children; scoping review

摘要："Purpose: To examine how research was conducted on non-pharmacological management in children with vaccine-related pain in the healthcare setting, so as to provide reference for the relief of vaccine-related pain in children. Methods: This study conducted a scoping review guided by the methodological framework of Arksey and O'Malley. MEDLINE, Cochrane Library, EMBASE, CINAHL, PubMed databases were searched in detail, and search strategy included the keyword ""vaccine"", the keyword ""pain"", and the keyword ""children"". Two researchers conducted literature screening and data extraction independently, and any disagreements were resolved through team consultation. Results: This study retrieved 1017 literatures, of which 22 were finally included, including 18 randomized controlled studies, 3 quasiexperimental studies and 1 cohort study. Non-pharmacological management measures were summarized in the study, mainly involving taste, tactile, olfactory, visual, exercise, and postural interventions and injection technique. All the above non-pharmacological management were effective in mitigating vaccine-related pain in children. The study population in the included literatures was mainly neonates and infants. Regarding the analgesic effects of taste intervention, breastfeeding was better than sweeteners, and sweeteners were better than sterile water or non-nutritive sucking. However, there was a lack of comparative studies on the analgesic effects of other non-pharmacological management. Conclusion: There are many non-pharmacological management measures with varying analgesic effects. Diversified nonpharmacological management measures can provide more analgesic choices for children. For reducing vaccine-related pain in newborns and infants, breastfeeding is recommended first, then sweeteners, and then non-nutritious sucking. In addition to the taste intervention, the analgesic effects of other non-pharmacological management measures need further comparative studies. Moreover, medical staff can use a combination of non-pharmacological analgesic measures to maximize the analgesic effect, and medical staff should also fully consider the analgesia willingness of children and parents."

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