Aydin Diler, İnal Sevil
Faculty of Health Sciences, Department of Pediatric Nursing, Bandirma Onyedi Eylul University, Bandirma, Turkey.
Faculty of Health Sciences, Midwifery Department, Istanbul University, Istanbul, Turkey.
Int J Nurs Pract. 2019 Jun;25(3):e12734. doi: 10.1111/ijn.12734. Epub 2019 Apr 17.
To determine the effects of two different methods, breastfeeding and heel warming, during heel stick procedures on pain levels in healthy term neonates.
This study was a prospective, randomized controlled trial. The sample of the study consisted of 150 healthy newborns who matched the case selection criteria and were brought to the nursery for the heel stick procedure. Fifty neonates were randomly assigned to each group: breastfeeding (n = 50), heel warming (n = 50), and control (n = 50), using computer-based randomization. The study data were obtained using an Information Form and the Neonatal Infant Pain Scale (NIPS).
The pre-procedural pain scores of the breastfeeding group (mean 4.44 SD 1.21 seconds) were lower than in the heel warming (mean 6.10 SD 1.07 seconds) and the control group (mean 6.42 SD 0.91 seconds) (P < 0.01). Both the total crying time and the first calming time of the breastfeeding group were shorter than the heel warming and control group. The first calming time of the heel warming group was shorter than in the control group.
Both breastfeeding and heel warming are effective in reducing the calming time during heel stick procedures. However, breastfeeding is more effective than heel warming in reducing pain during heel stick and should be preferred as the first choice.
确定在足跟采血操作过程中，母乳喂养和足跟保暖这两种不同方法对健康足月儿疼痛程度的影响。
本研究为前瞻性随机对照试验。研究样本包括150名符合病例选择标准并被送至新生儿护理室进行足跟采血操作的健康新生儿。使用计算机随机分组，将50名新生儿随机分配到每组：母乳喂养组（n = 50）、足跟保暖组（n = 50）和对照组（n = 50）。研究数据通过信息表和新生儿疼痛量表（NIPS）获得。
母乳喂养组的操作前疼痛评分（平均4.44，标准差1.21秒）低于足跟保暖组（平均6.10，标准差1.07秒）和对照组（平均6.42，标准差0.91秒）（P < 0.01）。母乳喂养组的总哭闹时间和首次安静时间均短于足跟保暖组和对照组。足跟保暖组的首次安静时间短于对照组。
母乳喂养和足跟保暖在减少足跟采血操作过程中的安静时间方面均有效。然而，母乳喂养在减轻足跟采血疼痛方面比足跟保暖更有效，应作为首选。
