Abstract

This study was performed to investigate the efficiency of local heat and cold application to decrease vaccine-associated pain among infants 2-6 months of age. This was a randomized controlled trial. The study universe comprised infants aged 2-6 months who were brought to 4 family health centers in the Safranbolu district of Karabuk Province, Turkey, for a pneumococcal vaccination June 1-November 30, 2016. A total of 96 infants (heat application: 31, cold application: 32, and control group: 33) were enrolled in the the study. The data were collected using an infant ınformation form and the Face, Legs, Activity, Cry, Consolability (FLACC) pain scale. The mean FLACC score of the infants was 5.531±1.934 in the cold application group, 8.710±1.346 in the heat application group, and 9.152±1.661 in the control group. The difference between the mean scores of the groups was statistically significant (KW=49.043; p=0.000). Local cold and heat application methods applied to the vaccination area before a pneumoccal vaccine reduced vaccine-associated pain in the infants, and the application of cold was more effective than heat.

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