The Effect of 3 Positions Given to Preterm Infants During Heelstick Procedure on Pain and Durations of Crying and Procedure.
Journal
The Journal of perinatal & neonatal nursing
ISSN: 1550-5073
Titre abrégé: J Perinat Neonatal Nurs
Pays: United States
ID NLM: 8801387
Informations de publication
Date de publication:
Historique:
entrez:
26
4
2021
pubmed:
27
4
2021
medline:
29
10
2021
Statut:
ppublish
Résumé
The purpose of this randomized controlled study was to determine the effect of 3 positions given to preterm infant during heelstick procedure on the pain and durations of crying and procedure. The sample of the study consisted of 90 preterm infants (30 in each group). The heelstick procedure was video recorded. Data from the pain scores, durations of crying, and procedure were collected watching the video recordings. It was determined that the pain mean score of the infants in the control group (supine on the crib) (5.50 ± 2.13) was statistically significantly higher than that of the infants in the positions of upright (3.00 ± 2.17) and supine on the lap (3.20 ± 2.46) (P < .01), and there was no difference between the positions of upright and supine on the lap (P > .05). Giving the positions of upright or supine on the lap during heelstick is effective in reducing pain, shortening the duration of crying, and calming down the infant. Heelstick in the position of upright on the lap shortened the procedure duration and allowed the infants to be subjected to less painful procedure. It is recommended for nurses to take the preterm infants on their laps during heel lancing and give them the upright position, in particular.
Identifiants
pubmed: 33900249
doi: 10.1097/JPN.0000000000000547
pii: 00005237-202104000-00017
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
188-195Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
AAP COMMITTEE ON FETUS AND NEWBORN and SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE. Prevention and management of procedural pain in the neonate: an update. Pediatrics. 2016;137(2):e20154271.
Nicolet EW, Annequin D, Biran V, Mitanchez D, Tourniaire B. Pain management in newborns-from prevention to treatment. Pediatr Drugs. 2010;12(6):353–365.
Johnston CC, Fernandes AM, Campbell-Yeo M. Pain in neonates is different. Pain. 2011;152(3 suppl):S65–S73.
Simons SHP, van Dijk M, Anand KS, Roofthooft D, van Lingen RA, Tibboel D. Do we still hurt newborn babies? A prospective study of procedural pain and analgesia in neonates. Arch Pediatr Adolesc Med. 2003;157(11):1058–1064.
Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008;300(1):60–70.
Prasopkittikun T, Tilokskulchai F. Management of pain from heel stick in neonates: an analysis of research conducted in Thailand. J Perinat Neonatal Nurs. 2003;17(4):304–312.
Walden M, Gibbins S. Pain Assessment and Management Guideline for Practice. 2nd ed. Chicago: IL: National Association of Neonatal Nurses; 2008.
Cong X, Ludington-Hoe SM, McCain G, Fu P. Kangaroo care modifies preterm infant heart rate variability in response to heel stick pain: pilot study. Early Hum Dev. 2009;85(9):561–567.
Naughten F. The heel prick: how efficient is common practice? RCM Midwives. 2005;8(3):112–114.
Mathew PJ, Mathew JL. Assessment and management of pain in infants. Postgrad Med J. 2003;79(934):438–443.
Hatfield LA, Murphy N, Karp K, Polomano RC. A systematic review of behavioral and environmental interventions for procedural pain management in preterm infants. J Pediatr Nurs. 2019;44,22–30.
Morrow C, Hidinger A, Wilkinson-Faulk D. Reducing neonatal pain during routine heel lance procedures. MCN Am J Matern Child Nurs. 2010;35(6):346–354.
Karakoç A, Türker F. Effects of white noise and holding on pain perception in newborns. Pain Manag Nurs. 2014;15(4):864–870.
Akdovan T. Assessment of Pain in Healthy Neonates, Investigation of the Effects of Pacifying and Holding in the Arms [master's thesis]. Istanbul, Turkey: Health Science Institute, Marmara University; 1999.
Shepherd AJ, Glenesk A, Niven CA, Mackenzie JA. Scottish study of heel-prick blood sampling in newborn babies. Midwifery. 2006;22(2):158–168.
Lindh V, Wiklund U, Hakansson S. Heel lancing in term new-born infants: an evaluation of pain by frequency domain analysis of heart rate variability. Pain. 1999;80(1–2):143–148.
Lago P, Garetti E, Merazzi D, et al. Guidelines for procedural pain in the newborn. Acta Paediatr. 2009;98(6):932–939.
Urbaniak GC, Plous S. Research randomizer (version 3.0). http://randomizer.org . Published 2007. Accessed October 5, 2016.
Lawrence J, Alcock D, McGrath P, Kay J, MacMurray SB, Dulberg C. The development of a tool to assess neonatal pain. Neonatal Netw. 1993;12(6):59–66.
Clifford PA, Stringer M, Christensen H, Mountain D. Pain assessment and intervention for term newborns. J Midwifery Womens Health. 2004;49(6):514–519.
Uyan ZS, Bilgen H, Topuzoğlu A, Akman I, Ozek E. Comparison of three neonatal pain scales during minor painful procedures. J Matern Fetal Neonatal Med. 2008;21(5):305–308.
Yılmaz G, Gürakan B, Saatçi Ü. Topuk kanı alma sonrası bebeklerin ağlama sürelerine etki eden faktörler [Factors influencing the duration of crying of infants after heel lance]. Çocuk Sağlığı ve Hastalıkları Dergisi J Child Health Dis. 2002;45(3):233–236.
Kostandy RR, Ludington-Hoe SM, Cong X, et al. Kangaroo Care (skin contact) reduces crying response to pain in preterm neonates: pilot results. Pain Manag Nurs. 2008;9(2):55–65.
Erkut Z, Yildiz S. The effect of swaddling on pain, vital signs, and crying duration during heel lance in newborns. Pain Manag Nurs. 2017;18(5):328–336.
Kahraman A, Başbakkal Z, Yalaz M, Sözmen EY. The effect of nesting positions on pain, stress and comfort during heel lance in premature infants. Pediatr Neonatol. 2018;59(4):352–359.