Ege University Faculty of Nursing, Pediatric Nursing, Department, İzmir, Turkey.
Ege University Faculty of Nursing, Pediatric Nursing, Department, İzmir, Turkey.
Intensive Crit Care Nurs. 2020 Dec;61:102904. doi: 10.1016/j.iccn.2020.102904. Epub 2020 Jul 9.
This study investigated the effects of three auditory interventions; white noise, recorded mother's voice, and MiniMuffs, applied during a heel lance on pain and comfort in premature infants in the neonatal intensive care units.
This experimental, parallel, randomised controlled research was conducted in a state hospital tertiary-level neonatal intensive care unit. The sample comprised sixty-four premature infants with gestational ages of 31-36 weeks. The infants were randomly assigned to four groups: i) white noise, ii) recorded mother's voice, iii) MiniMuffs, and iv) control. Pain and comfort of newborns were evaluated according to the Neonatal Infant Pain Scale (NIPS) and the COMFORTneo scale. Oxygen saturation, heart rate, and crying time were also measured.
The mean of oxygen saturation levels in the white noise, recorded mother's voice, and MiniMuffs group were higher than the control group. The heart rate, crying time, mean NIPS score, COMFORTneo score of the premature neonates in the white noise, recorded mother's voice, and MiniMuffs groups were significantly lower than the control group (p < .001).
Auditory interventions used during heel lance reduce the pain and increase the comfort of the premature infants. White noise is extremely effective in preventing infants's pain.
本研究调查了三种听觉干预措施，即白噪声、录制的母亲声音和 MiniMuffs，在足跟穿刺时应用于新生儿重症监护病房中早产儿的疼痛和舒适度的影响。
这是一项在州立医院三级新生儿重症监护病房进行的实验性、平行、随机对照研究。样本包括 64 名胎龄为 31-36 周的早产儿。将婴儿随机分为四组：i）白噪声，ii）录制的母亲声音，iii）MiniMuffs，和 iv）对照组。根据新生儿疼痛量表（NIPS）和 COMFORTneo 量表评估新生儿的疼痛和舒适度。还测量了氧饱和度、心率和哭泣时间。
白噪声、录制的母亲声音和 MiniMuffs 组的氧饱和度平均值高于对照组。白噪声、录制的母亲声音和 MiniMuffs 组的早产儿的心率、哭泣时间、平均 NIPS 评分和 COMFORTneo 评分均显著低于对照组（p <.001）。
足跟穿刺时使用听觉干预措施可减轻早产儿的疼痛并提高其舒适度。白噪声在预防婴儿疼痛方面非常有效。
