Dur Sadiye, Balci Serap
Pediatric Nursing Department, Istanbul University Florence Nightingale Faculty of Nursing, Istanbul 34381, Turkey.
J Trop Pediatr. 2018 Dec 1;64(6):488-494. doi: 10.1093/tropej/fmx100.
The objective of this study was to compare neonatal pain, duration of crying and procedure time following use of automatic or manual heel lancets.
This randomized trial was conducted with neonates undergoing heel prick procedures in a neonatal intensive care unit for routine blood bilirubin monitoring. An information form, an observation form and the Neonatal Infant Pain Scale (NIPS) were used. Pain before, during and after (1 and 3 min) was assessed using NIPS scoring.
Seventy neonates were included (automatic lancet, n = 35; manual lancet, n = 35); there was no difference between the groups (p > 0.01). Pain scores were significantly lower, with automatic lancets compared with manual lancets (p = 0.001). The duration of crying after the procedure (p = 0.001) and procedure time (p = 0.001) was significantly shorter with automatic lancets compared with manual lancets.
Automatic heel lancets in neonates are more effective than manual lancets at reducing pain, and shorten the procedure time and duration of post-procedural crying.
本研究的目的是比较使用自动或手动足跟采血针后的新生儿疼痛、哭闹持续时间和操作时间。
本随机试验在新生儿重症监护病房对接受足跟采血操作以进行常规血胆红素监测的新生儿进行。使用了一份信息表、一份观察表和新生儿疼痛量表（NIPS）。使用NIPS评分评估操作前、操作期间和操作后（1分钟和3分钟）的疼痛情况。
纳入70名新生儿（自动采血针组，n = 35；手动采血针组，n = 35）；两组之间无差异（p > 0.01）。与手动采血针相比，使用自动采血针时疼痛评分显著更低（p = 0.001）。与手动采血针相比，使用自动采血针时操作后哭闹持续时间（p = 0.001）和操作时间（p = 0.001）显著更短。
新生儿使用自动足跟采血针在减轻疼痛方面比手动采血针更有效，并且缩短了操作时间和操作后哭闹持续时间。
