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Diversion therapy for infants

Priya Reshma Aranha, J Umarani

    The Nursing Journal of India
    |August 28, 2014
    PubMed

    Insights

    Diversion therapy using rattles effectively reduced infant pain during injections. This study demonstrates a significant decrease in pain scores for infants receiving this non-pharmacological intervention.

    Area of Science:

    • Pediatric Nursing
    • Pain Management
    • Infant Care

    Background:

    • Infants experience significant pain during vaccinations.
    • Effective pain management strategies are crucial for infant well-being.
    • Non-pharmacological interventions offer a safe alternative for pain relief.

    Purpose of the Study:

    • To evaluate the efficacy of diversion therapy in mitigating injection pain in infants.
    • To compare pain levels in infants receiving diversion therapy versus standard care.
    • To assess the impact of auditory and visual stimuli on infant pain perception.

    Main Methods:

    • A quasi-experimental, post-test only control group design was employed.
    • The experimental group received distraction with rattles before, during, and after injections.
    • Pain was objectively measured using the Neonatal Infant Pain Scale (NIPS).

    Main Results:

    • A statistically significant difference in mean pain scores was observed between groups (mean difference = 3.18, t=14.76, p<0.05).
    • Post-injection pain scores were significantly lower in the diversion therapy group (3.18 ± 0.8) compared to the control group (4.21 ± 1.34, t=3.68, p<0.05).
    • Diversion therapy demonstrated a marked reduction in infant pain during and after injections.

    Conclusions:

    • Diversion therapy using bright, sound-producing rattles is an effective method for reducing infant pain during injections.
    • This non-invasive technique provides a valuable tool for healthcare providers managing pediatric pain.
    • Further research could explore optimal duration and types of stimuli for diversion therapy.

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