Oral Glucose and Listening to Lullaby to Decrease Pain in Preterm Infants Supported with NCPAP: A Randomized Controlled Trial.
Administration, Oral
Continuous Positive Airway Pressure
/ adverse effects
Double-Blind Method
Female
Glucose
/ pharmacology
Humans
Infant
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
/ organization & administration
Male
Music Therapy
/ methods
Pain Management
/ methods
Pain Measurement
/ methods
Journal
Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
13
10
2016
revised:
18
02
2018
accepted:
04
04
2018
pubmed:
20
5
2018
medline:
21
5
2019
entrez:
20
5
2018
Statut:
ppublish
Résumé
Preterm infants spend the early days of their lives in neonatal intensive care units, where they undergo many minor painful procedures. There are many nonpharmacologic methods that can effectively reduce the pain response of neonates who undergo routine procedures. This study aimed to investigate whether oral glucose and listening to lullabies could bring pain relief during the removal and reinsertion of the tracheal tube and also oronasopharyngeal suctioning in premature infants to whom nasal continuous positive airway pressure was applied. A double-blind, randomized controlled trial. This study was conducted in the neonatal intensive care unit in the tertiary setting between November 2012 and September 2013. A total of 106 preterm infants were divided into three groups, including 37 infants in the control group, 35 infants in the lullaby group, and 34 infants in the glucose group. All preterm infants were randomly assigned to either the intervention groups or the control group. Pain responses were assessed using the Neonatal Infant Pain Scale and the Premature Infant Pain Profile. An assessment of the pain severity of the preterm infants after the intervention indicated that the preterm infants in the lullaby and glucose groups had lower pain, whereas the preterm infants in the control group experienced more pain (p < .05). The findings suggest that pain could be reduced significantly in preterm infants after the suggested intervention, although further studies are required to identify the benefits of lullabies or glucose in infants during other painful procedures.
Sections du résumé
BACKGROUND
Preterm infants spend the early days of their lives in neonatal intensive care units, where they undergo many minor painful procedures. There are many nonpharmacologic methods that can effectively reduce the pain response of neonates who undergo routine procedures.
AIMS
This study aimed to investigate whether oral glucose and listening to lullabies could bring pain relief during the removal and reinsertion of the tracheal tube and also oronasopharyngeal suctioning in premature infants to whom nasal continuous positive airway pressure was applied.
DESIGN
A double-blind, randomized controlled trial.
SETTING
This study was conducted in the neonatal intensive care unit in the tertiary setting between November 2012 and September 2013.
PARTICIPANTS/SUBJECTS
A total of 106 preterm infants were divided into three groups, including 37 infants in the control group, 35 infants in the lullaby group, and 34 infants in the glucose group.
METHODS
All preterm infants were randomly assigned to either the intervention groups or the control group. Pain responses were assessed using the Neonatal Infant Pain Scale and the Premature Infant Pain Profile.
RESULTS
An assessment of the pain severity of the preterm infants after the intervention indicated that the preterm infants in the lullaby and glucose groups had lower pain, whereas the preterm infants in the control group experienced more pain (p < .05).
CONCLUSION
The findings suggest that pain could be reduced significantly in preterm infants after the suggested intervention, although further studies are required to identify the benefits of lullabies or glucose in infants during other painful procedures.
Identifiants
pubmed: 29776872
pii: S1524-9042(16)30154-0
doi: 10.1016/j.pmn.2018.04.008
pii:
doi:
Substances chimiques
Glucose
IY9XDZ35W2
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
54-61Informations de copyright
Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.