Karakoç Ayse, Türker Funda
Midwifery Department, Faculty of Health Science, Marmara University, Istanbul, Turkey.
Canakkale State Hospital, Canakkale, Turkey.
Pain Manag Nurs. 2014 Dec;15(4):864-70. doi: 10.1016/j.pmn.2014.01.002. Epub 2014 Feb 20.
This experimental study on newborns was conducted to compare the effects of various atraumatic care procedures during an infant's crying response to pain. Included in this study were 120 newborns chosen from among healthy infants admitted to the Obstetrics Department of Çanakkale State Hospital between April 2010 and June 2010. The patients were divided into three physically homogeneous groups. Infants in group 1 were held on the mothers' laps, infants in group 2 were held on the mother's laps and listened to white noise, and infants in group 3 lay in their cribs and listened to white noise while undergoing a painful procedure. Data collection included the Neonatal Infant Pain Scale, which was used to evaluate the behavioral responses to pain during a heel prick blood draw and a newborn information sheet developed by the researcher. Changes in cardiac and respiratory rates recorded during the invasive procedure were statistically significant among the three groups (p < .05). The shortest crying period and the lowest behavioral reactions were among those infants lying in their cribs and listening to white noise. This group was then followed by the infants who listened to white noise while being held by their mothers. The highest behavioral reaction was reported by those infants who were held by their mothers but did not listen to white noise. According to the results, white noise is an effective nonpharmacologic method to control pain, reduce crying time, and positively effect vital signs. Therefore, it is recommended that the use of white noise be practiced on newborns when they undergo painful procedures.
这项针对新生儿的实验研究旨在比较婴儿对疼痛产生哭闹反应时，各种无创伤护理程序的效果。该研究纳入了2010年4月至2010年6月期间在恰纳卡莱州立医院妇产科住院的120名健康婴儿。将这些患者分为三个身体状况相似的组。第1组婴儿被抱在母亲腿上，第2组婴儿被抱在母亲腿上并听白噪音，第3组婴儿在接受痛苦程序时躺在婴儿床里并听白噪音。数据收集包括用于评估足跟采血时对疼痛的行为反应的新生儿疼痛量表，以及由研究人员编制的新生儿信息表。在侵入性操作过程中记录的三组婴儿的心率和呼吸频率变化具有统计学意义（p <.05）。哭闹时间最短且行为反应最小的是那些躺在婴儿床里听白噪音的婴儿。其次是那些被母亲抱着并听白噪音的婴儿。被母亲抱着但未听白噪音的婴儿行为反应最大。根据研究结果，白噪音是一种有效的非药物控制疼痛、减少哭闹时间并对生命体征产生积极影响的方法。因此，建议在新生儿接受痛苦程序时使用白噪音。
