THE EFFECT OF PHYSICAL INTERVENTION 5S'S (SWADDLING, SIDE-STOMACH, SUSHING, SWINGING, SUCKING) TOWARD PAIN AND THE DURATION OF CRYING IN INFANTS WITH DPT IMMUNIZATION

Abstract

Background: Diphteria, pertussis and tetanus (DPT) immunization injection can cause pain in infants. As a result infants respond by crying which leads to parent's anxiety and affect the sustainability of the next immunization. The purpose of this study was to analyze the effect of 5S's physical intervention (swaddling, side-stomach position, sushing, swinging, sucking) for pain and the durationof crying in infant with DPT immunization.

Methods: This study was conducted in clinic in the District of Health Sanan Wetan Unit, Blitar-Indonesia, from July to October, 2013. Post - test only control group design was used in this study. The experimental group was given 5S's physical intervention, while the control group was subjected to the usual actions of parents. The sample of 50 respondents divided into 25 respondents as experimental groups and 25 respondents as the control group.

Results: The results indicated that there are effect of 5S's physical intervention (Swaddling, Side – Stomach position, Sushing, Swinging, Sucking) toward pain in infants with DPT immunized on 20th and 30th second after injection (p-value = 0.025, and p-value = 0.017) and there is effect on the duration of crying (p-value = 0.001). Moreover, there is no effect of 5S's physical intervention toward pain on 10th second after injection (p-value = 0.404).

Conclusion: Based on the study, the 5S's physical intervention are effective toward pain and length of crying after DPT immunization injection. By providing effective 5S's physical intervention education and training to parents will contribute to decrease pain after immunizations injection.