Davari Samaneh, Borimnejad Leili, Khosravi Sharareh, Haghani Hamid
a Iran University of Medical Sciences, Neonatal Nursing , Tehran , Iran.
b Iran University of Medical Sciences, Nursing Care Research Center , Tehran , Iran.
J Matern Fetal Neonatal Med. 2019 Oct;32(20):3427-3430. doi: 10.1080/14767058.2018.1465550. Epub 2018 Apr 26.
According to research findings, pain experience in neonatal period leads to short- and long-term complications that could be prevented by means of neonatal pain relief. Therefore, this study aimed to investigate the effect of facilitated tucking position on neonatal pain during heel prick blood sampling. This is a cross over clinical trial was done on 40 premature neonates. During blood sampling, neonates were put in either facilitated tucking or routine positions randomly and Premature Infant Pain Profile (PIPP) was completed for each neonate. In the next sampling time, positions were changed and the process repeated. Data were analyzed using descriptive statistics, repeated measure ANOVA, and independent -test. Results showed that the mean pain intensity in each position was increased during sampling ( = .0001) and after that was decreased significantly ( = .001), but before, during, and after sampling there was no significant difference between the two positions ( > .05). Overall findings showed that comparing neonates in the two positions; there was no significant difference in their pain intensity. These results are almost in contrast with many researches findings in this area. It seems there is a need to further investigation regarding this subject.
根据研究结果，新生儿期的疼痛经历会导致短期和长期并发症，而通过缓解新生儿疼痛可以预防这些并发症。因此，本研究旨在探讨舒适包裹体位对足跟采血时新生儿疼痛的影响。这是一项对40例早产儿进行的交叉临床试验。在采血过程中，将新生儿随机置于舒适包裹体位或常规体位，并为每个新生儿完成早产儿疼痛量表（PIPP）评估。在下一次采血时，更换体位并重复该过程。使用描述性统计、重复测量方差分析和独立样本t检验对数据进行分析。结果显示，每个体位在采血期间疼痛强度均值增加（P = 0.0001），采血后显著降低（P = 0.001），但在采血前、采血期间和采血后，两个体位之间无显著差异（P > 0.05）。总体研究结果表明，比较处于两种体位的新生儿，其疼痛强度无显著差异。这些结果几乎与该领域的许多研究结果相反。似乎有必要对该主题进行进一步研究。
