Investigating The Helfer Skin Tap Technique's Effectiveness in Reducing Pain During Intramuscular Injections in Children Below Five Years

Authors

  • Navreet Kaur Bains Department of Nursing, Desh Bhagat University, Mandi Gobindgarh , Distt. Fatehgarh Sahib, Panjab, India Author
  • Dr. Charan Singh Department of Nursing, Desh Bhagat University, Mandi Gobindgarh , Distt. Fatehgarh Sahib, Panjab, India Author

Keywords:

Intramuscular Injections, Pain Perception, Infant Pain, Humane, Intervention, Neonates

Abstract

Intramuscular injections are a common and necessary medical procedure for neonates, required for vaccinations and medication administration. However, these injections can cause significant pain and distress, not only causing immediate discomfort but potentially leading to longer-term consequences in infant development and behaviour. The traditional approach to managing this pain often relies on pharmacological interventions, which can have their own risks and side effects. As a result, there is growing interest in non-pharmacological methods that are safe, effective, and can be easily implemented in clinical settings. The Helfer Skin Tap Technique, grounded in the Gate Control Theory of pain, presents a promising alternative. This theory posits that non-painful inputs, such as tapping or stroking the skin, can interfere with pain signals traveling to the brain, thus reducing the perception of pain. By providing a simple distraction from the painful stimulus, the technique potentially offers a practical method of pain reduction without the complications associated with drugs. Despite the potential benefits, research into the Helfer Skin Tap Technique's effectiveness in neonates during intramuscular injections remains limited. Current studies have shown mixed results, with some indicating significant reductions in pain perception and others showing minimal impact. This variability underscores the need for further research to establish standardized protocols and confirm the technique’s efficacy across different settings and populations. This study aims to fill the gap in current research by systematically evaluating the Helfer Skin Tap Technique in a controlled, clinical environment with a focus on neonates. By measuring pain responses through validated tools like the Premature Infant Pain Profile (PIPP) and comparing outcomes between intervention and control groups, this research seeks to provide definitive evidence on the technique's utility, paving the way for more humane and effective pain management strategies in neonatal care.

Downloads

Download data is not yet available.

References

Anand, K. J., & Hickey, P. R. (1987). Pain and its effects in the human neonate and fetus. New England Journal of Medicine, 317(21), 1321-1329. doi:10.1056/NEJM198711193172105

Barker, D. P., & Rutter, N. (1995). Exposure to invasive procedures in neonatal intensive care unit admissions. Archives of Disease in Childhood - Fetal and Neonatal Edition, 72(1), F47-F48. doi:10.1136/fn.72.1.F47

Bellieni, C. V., & Buonocore, G. (2008). Non-pharmacological analgesia for newborns. Neonatology, 94(2), 93-99. doi:10.1159/000119336

Blass, E. M., & Watt, L. B. (1999). Sucrose for pain relief in infants: A review. Pediatrics, 103(3), e78. doi:10.1542/peds.103.3.e78

Bueno, M., Yamada, J., & Stevens, B. (2014). A systematic review and meta-analyses of nonsucrose sweet solutions for pain relief in neonates. Pain Research and Management, 19(6), e345-e352. doi:10.1155/2014/859039

Harrison, D., Johnston, L., & Loughnan, P. (2003). Oral sucrose for pain management in infants: Myths and misconceptions. Journal of Neonatal Nursing, 9(1), 4-11. doi:10.1016/S1355-1841(03)00017-1

Grunau, R. E., & Craig, K. D. (1987). Pain expression in neonates: Facial action and cry. Pain, 28(3), 395-410. doi:10.1016/0304-3959(87)90073-8

Gray, L., Watts, R., Blass, E. M., & Valois, M. E. (2000). Skin-to-skin contact and breastfeeding as analgesia for neonates. Pediatrics, 105(1), e14. doi:10.1542/peds.105.1.e14

Anand, K. J., & International Evidence-Based Group for Neonatal Pain. (2001). Consensus statement for the prevention and management of pain in the newborn. Archives of Pediatrics & Adolescent Medicine, 155(2), 173-180. doi:10.1001/archpedi.155.2.173

Carbajal, R., Veerapen, S., Couderc, S., Jugie, M., & Ville, Y. (2003). Analgesic effect of breast-feeding in term neonates: Randomized controlled trial. BMJ, 326(7379), 13. doi:10.1136/bmj.326.7379.13

Stevens, B., Yamada, J., Ohlsson, A., Haliburton, S., & Shorkey, A. (2016). Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database of Systematic Reviews, 7, CD001069. doi:10.1002/14651858.CD001069.pub5

Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971-979. doi:10.1126/science.150.3699.971

Taddio, A., Katz, J., Ilersich, A. L., & Koren, G. (1997). Effect of neonatal circumcision on pain response during subsequent routine vaccination. The Lancet, 349(9052), 599-603. doi:10.1016/S0140-6736(96)10316-0

Slater, R., Cornelissen, L., Fabrizi, L., Patten, D., Yoxen, J., Worley, A., & Fitzgerald, M. (2010). Oral sucrose as an analgesic drug for procedural pain in newborn infants: A randomized controlled trial. The Lancet, 376(9748), 1225-1232. doi:10.1016/S0140-6736(10)61303-3

Johnston, C. C., Stevens, B., Craig, K. D., & Grunau, R. V. E. (1993). Developmental changes in pain expression in premature, full-term, two- and four-month-old infants. Pain, 52(2), 201-208. doi:10.1016/0304-3959(93)90132-Z

Bueno, M., Stevens, B., Ohlsson, A., & Campbell-Yeo, M. (2013). Procedural pain in neonates: Prevention and treatment. Pediatric Clinics, 60(4), 1101-1126. doi:10.1016/j.pcl.2013.04.012

Campbell-Yeo, M., Johnston, C., & Filion, F. (2011). Use of kangaroo care for pain management in preterm infants: A systematic review and meta-analysis. International Journal of Nursing Studies, 48(6), 760-774. doi:10.1016/j.ijnurstu.2010.10.012.

Downloads

Published

08-11-2024

Issue

Section

Research Articles

How to Cite

Investigating The Helfer Skin Tap Technique’s Effectiveness in Reducing Pain During Intramuscular Injections in Children Below Five Years. (2024). International Journal of Scientific Research in Science and Technology, 11(6), 48-57. https://ijsrst.com/index.php/home/article/view/IJSRST24116157

Similar Articles

1-10 of 17

You may also start an advanced similarity search for this article.