Abstract
Background: Side effects that may often occur after immunization include fever in infants after to combined Diptheri Pertusis Tetanus/Hepatitis B (DPT/HB) vaccine. Fever in infants or toddlers is a case that cannot be ignored because it can interfere with the comfort and development of infants and toddlers.
 Objectives: This research aims to analyze the effects of baby massage in lowering body temperature among babies given combined DPT/HB immunization.
 Material and Methods: It is a quasi-experiment using one intervention group. The population and sample are babies aged 2-5 months visiting the Work Area of Puskesmas Lombok Barat in Indonesia that meet inclusion criteria. Baby massage was administered in the morning and in the afternoon for 5 days, with the first 2 days prior to combined DPT/HB immunization 1, the second 1 day at the time of immunization, and the last 2 days after immunization. The same treatment was also carried out for combined DPT/HB immunization 2. Prior and after massage, baby temperatures were measured at the axila using a digital thermometer, with the results put in an observation sheet (graph). Body temperature measurement was observed for 2 months. Data gathered were then tested using non-parametric test (Wilcoxon).
 Results: there is reduction in body temperature among babies given combined DPT/HB immunization 1 and combined DPT/HB immunization 2. Babies given combined DPT/HB immunization 1 had average body temperature of 0,2±0.18 °C in the morning and 0,21±0.25 °C in the afternoon. Meanwhile, babies given combined DPT/HB immunization 2 had average body temperature of 0,26±0.19 °C in the morning and 0,2±0.23 °C in the afternoon. Effect of massage in reducing body temperature among babies given combined DPT/HB immunization 1 is at (p<0.005) and at (p<0.005) for combined DPT/HB immunization 2.
 Conclusion: massage can be performed before or after babies are immunized with combined DPT/HB to lower their body temperature.
Highlights
Immunization is estimated to prevent 2.5 million cases of child mortality per year across the world [1]
Based on the results of the study, the number of respondents was mostly female because at the time of taking the sample it was nonprobability sampling with a purposive technique according to the inclusion criteria and the age of most respondents was 2 months old because the requirements for combined Diptheri Pertusis Tetanus/Hepatitis B (DPT/HB) immunization started at the age of 2 months, combined Diptheri Pertussis Tetanus (DPT)/HB immunization is given 3 times, namely at the age of 2 months of the baby of the vaccine given combined DPT/HB 1 immunization, Polio 2, the age of the baby of 3 months of the vaccine given combined DPT/HB 2 immunization, Polio 3 and the age of the baby 4 months of the vaccine given combined DPT/HB 3 immunization, Polio 4 [16]
The results showed that most of the respondents experienced an increase in body temperature decrease after being given intervention in babies who were immunized with combined DPT/HB 1 immunization in the morning, namely 26 respondents (86.67%), and 4 respondents (13.33% ) did not experience a decrease in body temperature, while in the afternoon most respondents experienced an increase in body temperature decrease as many as 23 respondents (76.67%), and 7 respondents (23.33%) did not experience a decrease in body temperature
Summary
Immunization is estimated to prevent 2.5 million cases of child mortality per year across the world [1]. In Indonesia, immunization is a program of national policy. Immunization is given for the purpose of reducing the number of sickness and mortality among babies by controlling Preventable Diseases such as Tuberculosis (TB), diphtheria, pertussis (respiratory disease), smallpox, tetanus, polio and hepatitis B. 32.1% of babies are still given incomplete immunization, while 8.7% are not immunized at all, with reasons including fear of fever, possible other illnesses, believes in the family, distant immunization location and not being aware of where to immunize or no time to do it. Side effects that may often occur after immunization include fever in infants after to combined Diptheri Pertusis Tetanus/Hepatitis B (DPT/HB) vaccine. Fever in infants or toddlers is a case that cannot be ignored because it can interfere with the comfort and development of infants and toddlers
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
