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Master Thesis

Délivrer une fiche d'information écrite aux parents permet-il d'améliorer le comportement des nourrissons lors de l’acte vaccinal ? Étude réalisée en Lot-et-Garonne et sud-Gironde

Abstract : Introduction: although the vaccination of infants is a frequent and old gesture, the pain associated with the gesture is still little avoided, despite the different recommendations. We wanted to know if parenting education improves the behaviour of infants. Material and method: we conducted a multicenter observational study with post-intervention survey, in which 120 couples were randomized into two equal groups: Informed Group (IG) and Uninformed Group (UG). The IG received an information sheet during the stay at the maternity ward. All couples answered a telephone questionnaire five months later. Results: 90 couples (75 %) answered the questionnaire, 45 in each group. IG parents perceived their infants' behavior to be less painful in the first session (p = 0.018) and second session (p < 0.001), with no difference in crying duration. The number of analgesic methods were similar in both groups. The knowledge acquired is minimal (44 %). Discussion: the less painful behavior of IG infants during both sessions can be explained by an improved use of behavioral techniques provided by the fact sheet and instinctively applied by parents. The absence of difference in the number of analgesic methods used and the improvement of skills suggest that distribution during the maternity stay is not the right time. Conclusion: our study found an improvement in the parents' judgment of the behavior of one in eight infants after distribution of the card to the maternity ward. This rate could perhaps improve if the sheet, easily printable, was given at a better time, such as when prescribing vaccines.
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Submitted on : Wednesday, January 29, 2020 - 12:49:32 PM
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Nicolas Rouillard. Délivrer une fiche d'information écrite aux parents permet-il d'améliorer le comportement des nourrissons lors de l’acte vaccinal ? Étude réalisée en Lot-et-Garonne et sud-Gironde. Médecine humaine et pathologie. 2019. ⟨dumas-02459358⟩

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