Penurunan Tingkat Nyeri Bayi Saat Imunisasi Pentavalen Dengan Pemberian ASI Secara Menyusui

  • Indah Permatasari UPN Veteran Jakarta
  • Ritanti Ritanti UPN Veteran Jakarta
Keywords: ASI; Pentavalent immunization; Breastfeeding; pain

Abstract

Immunization pain is a stimulus that can cause trauma and changes affective response in the baby. Breastfeeding is the alternative strategies to reduce pain response due in invasive procedures. The aims of this study is to determine the effect of breastfeeding on infant pain levels when getting pentavalent immunization. This research using Randomized Controlled Trial design unblind, post-test design, with a sample of 70 healthy infants consisted of 34 respondents intervention group and 36 respondents of the control group were selected by random block technique. Breastfeeding intervention is given from two minutes before to 2 minutes after the immunization.  In this study showed the pain level of intervention group is lower than the level of pain group (p = 0.000; α = 0.05). breast-fed infants when immunized can reduce the risk of severe pain by 80%, which compared to not breastfed infants. Further research on the effect of breast feeding for preterm infants pain response in invasive procedure.

References

Badr, L.K., Abdallah, B., Hawari, M., Sidani, S., Kassar, M., Nakad P. Determinans of Premature Infant pain Responsses to Heelsticks. Pediatr Nurs. 2010;36 (3):129–36.

Carbajal R, Veerapen S, Couderc S, Jugie M, Ville Y. Analgesic Effect of Breast Feeding in Term Neonates : Randomised Controlled Trial. BMJ. 2003;326(January).

Gradin M, Finnström O, Schollin J. Feeding and oral glucose--additive effects on pain reduction in newborns. Early Hum Dev. 2004 Apr;77(1–2):57–65.

Gray L, Miller LW, Philipp BL, Blass EM, Hospital B. Breastfeeding Is Analgesic in Healthy Newborns. 2002;109(4).

Kassab M, Almomani B, Nuseir K, Alhouary A a. Efficacy of Sucrose in Reducing Pain during Immunization among 10- to 18-Month-Old Infants and Young Children: A Randomized Controlled Trial. J Pediatr Nurs [Internet]. 2020;50:e55–61. Available from: https://doi.org/10.1016/j.pedn.2019.11.010

Modarres M, Jazayeri A, Rahnama P, Montazeri A. Breastfeeding and pain relief in full-term neonates during immunization injections : a clinical randomized trial. 2013;

Okan F, Ozdil a, Bulbul a, Yapici Z, Nuhoglu a. Analgesic effects of skin-to-skin contact and breastfeeding in procedural pain in healthy term neonates. Ann Trop Paediatr. 2010 Jan;30(2):119–28.

Pope N, Tallon M, Leslie G, Wilson S. Ask me: Children’s experiences of pain explored using the draw, write, and tell method. J Spec Pediatr Nurs [Internet]. 2018 Jul;23(3):e12218. Available from: http://doi.wiley.com/10.1111/jspn.12218

Potter PA, Perry AG. Fundamentals of Nursing: Concepts, Process, and Practise. 4 Vol.2. Komalasari, R., Evriyani, D., Noviestari, E., Hany, A., Kurnianingsih, S. Edt. Ester, M. Yulianti. D., Parulian I, editor. Jakarta: EGC; 2005.

Ps S, Ll A, Vs S. Breastfeeding or Breast Milk for Procedural Pain in Neonates ( Review ). Cochrane Collab. 2009;(1).

Sanz-rojo S, Garicano-vilar E. Nutrición Hospitalaria. Nutr Hosp. 2016;33(1):148–55.

Schechter NL, Zempsky WT, Cohen LL, McGrath PJ, McMurtry CM, Bright NS. Pain Reduction During Pediatric Immunizations: Evidence-Based Review and Recommendations. Pediatrics. 2007 May;119(5):e1184-98.

Sridharan K, Sivaramakrishnan G. Pharmacological interventions for reducing pain related to immunization or intramuscular injection in children: A mixed treatment comparison network meta-analysis of randomized controlled clinical trials. J Child Heal Care. 2018;22(3):393–405.

Published
2020-05-29