Yilmaz Diler, Inal 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.
Jpn J Nurs Sci. 2020 Oct;17(4):e12338. doi: 10.1111/jjns.12338. Epub 2020 Apr 2.
This study aims to experimentally determine effects of three different methods (swaddling; swaddling and holding; swaddling, holding and breastfeeding) used during heel lancing on pain levels in healthy term neonates.
This study was a prospective, randomized controlled trial. The sample of newborns (n = 160) were allocated to the groups (group 1, control; group 2, swaddling; group 3, swaddling and holding; group 4, swaddling, holding and breastfeeding) by blocked randomization. The study data were obtained using an information form, and the Neonatal Infant Pain Scale (NIPS).
The procedural pain scores of group 4 were lower than group 1, group 2 and group 3. Both the total crying time and the first calming time of the groups swaddling, holding and breastfeeding, were shorter than the swaddling, swaddling and holding and the control group.
As a result, all the three methods are effective in reducing the pain felt during heel lancing in the newborn. However, swaddling, holding and breastfeeding is more effective than the other methods.
本研究旨在通过实验确定足跟采血时采用的三种不同方法（襁褓包裹；襁褓包裹并怀抱；襁褓包裹、怀抱并母乳喂养）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。通过区组随机化将160例新生儿样本分配到各个组（第1组，对照组；第2组，襁褓包裹组；第3组，襁褓包裹并怀抱组；第4组，襁褓包裹、怀抱并母乳喂养组）。研究数据通过信息表和新生儿疼痛量表（NIPS）获取。
第4组的操作疼痛评分低于第1组、第2组和第3组。襁褓包裹、怀抱并母乳喂养组的总哭闹时间和首次安静时间均短于襁褓包裹组、襁褓包裹并怀抱组及对照组。
因此，这三种方法均能有效减轻新生儿足跟采血时的疼痛。然而，襁褓包裹、怀抱并母乳喂养比其他方法更有效。
