Application of the hepatitis B vaccine in the ventrogluteal region: Evaluation of the pain reaction in newborns

• Autor(a) principal: Gonçalves, Paula Alencar
• Data de Publicação: 2021
• Outros Autores: Santos, Regina Maria dos, Junqueira, Ana Luiza Neto, Trezza, Maria Cristina Soares Figueiredo, Lúcio, Ingrid Martins Leite, Costa, Luana Jeniffer Souza Duarte da, Santos, Maria Isabel Oliveira dos
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/15541
• topic: Injeções Intramusculares; Vacinação; Dor; Recém-nascido; Enfermagem Neonatal; Neonatologia.; Injections, Intramuscular; Vaccination; Pain; Neonatal Nursing; Infant, newborn; Neonatology.; Inyecciones Intramusculares; Vacunación; Dolor; Enfermería Neonatal; Recién Nacido; Neonatología.

Purporse: To analyze the pain reaction produced by the application of the Hepatitis B vaccine in the ventrogluteal region in newborns and to verify its relationship with sex, gestational age of birth and anthropometric characteristics. Methodology: Quantitative, exploratory, cross-sectional study, carried out in the joint accommodation of a university hospital with a sample of 121 newborns. For the evaluation of the pain reaction, the Neonatal Pain Scale, heart rate and crying time were used. The scores produced by the scale were associated with the variables: sex, hours of life, gestational age and anthropometric measurements. During data analysis, the measures were calculated: minimum, maximum, median, mean, standard deviation, Spearmam's correlation coefficient and the Wilcoxon, Mann Whitney and Kruskal Wallis test was used. Results: Most presented pain, with a mean score of Neonatal Pain Scale 2.87 (absence of pain) before and 6.14 (presence of pain) during the procedure, being statistically significant (p <0.0001). A weak positive correlation was identified between heart rate and Neonatal Pain Scale scores and a strong correlation of the latter with crying time. Conclusion: The pain reaction is a reality even with the use of the ventrogluteal region and there is no variation according to the characteristics studied of the newborns.