Faculty of Health Science, Pediatric Nursing Department, Pamukkale University, Denizli, Turkey.
Pamukkale University Hospital, Pediatric Intensive Care Unit, Pamukkale University, Denizli, Turkey.
Intensive Crit Care Nurs. 2020 Feb;56:102767. doi: 10.1016/j.iccn.2019.102767. Epub 2019 Nov 15.
The aim of this study was to evaluate the effectiveness of the maternal voice in reducing pain during painful procedures in children between one and three years old receiving treatment in paediatric intensive care unit.
This research was designed as a randomised controlled experimental study. Sixty children were randomised into two groups, the maternal-voice group and the controls. The children in the maternal-voice group listened to the maternal voice during the procedure. Although questionnaire forms were used to determine the descriptive characteristics of infants, the Face, Legs, Activity, Cry, Consolability (FLACC) pain assessment scale was used to evaluate pain level. Heart rate and oxygen saturation were also measured.
There were significant differences in the pain, heart rate and oxygen saturation levels between the maternal-voice and control groups. Pain levels and heart rates of the children in the experimental group during and after the painful procedures were much lower, and their oxygen saturations were higher than those of the children in the control group.
Distraction methods, such as listening to the maternal voice, should be used as a nursing intervention to reduce pain and decrease heart rate and increaseoxygen saturation in children during painful procedures in the paediatric intensive care unit. The maternal voice is recommended as a helpful option in cases when a pain control method is required. Future research needs to explore different interventional practices.
本研究旨在评估母亲的声音在减少儿童在儿科重症监护病房接受治疗时进行痛苦治疗过程中的疼痛的有效性。
本研究设计为随机对照实验研究。将 60 名儿童随机分为两组，即母亲声音组和对照组。母亲声音组的儿童在治疗过程中聆听母亲的声音。虽然使用问卷形式确定了婴儿的描述性特征，但使用面部、腿部、活动、哭泣、可安慰性（FLACC）疼痛评估量表来评估疼痛程度。还测量了心率和血氧饱和度。
母亲声音组和对照组之间在疼痛、心率和血氧饱和度水平方面存在显著差异。实验组儿童在痛苦治疗过程中和治疗后疼痛水平和心率较低，而其血氧饱和度高于对照组儿童。
在儿科重症监护病房中，应使用分散注意力的方法，如聆听母亲的声音，作为护理干预措施，以减轻疼痛，降低心率并增加儿童在痛苦治疗过程中的血氧饱和度。在需要疼痛控制方法的情况下，建议使用母亲的声音作为一种有用的选择。未来的研究需要探索不同的干预实践。
