Sanliurfa Birecik Cuma Gokdogan Primary Care Clinic No. 3, Turkey (Ms Avan Antepli); Department of Nursing, Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey (Dr Bilsin Kocamaz); and Department of Nursing, Faculty of Health Sciences, Gaziantep Islamic Science and Technology University, Gaziantep, Turkey (Dr Güngörmüş).
Adv Neonatal Care. 2022 Apr 1;22(2):E43-E47. doi: 10.1097/ANC.0000000000000918.
BACKGROUND/SIGNIFICANCE: The pain-reducing effect of applying vibration, which is used as a nonpharmacological method in pain management, is explained by the gate control theory developed by Melzack and Wall. Studies that are based on this theory have shown similar results to those of Melzack and Wall, indicating that pain-transmitting nerves are suppressed by vibrations, leading to higher pain thresholds.
The study aimed to evaluate the effect of applying vibration to manage pain during heel lance procedures in newborns.
This is a randomized, controlled experimental study. The study sample included 56 newborns determined using power analysis (vibration group = 28; control group = 28). For those in the vibration group, a vibrating device was used for approximately 30 seconds before the heel lance procedure and then continued throughout the procedure. No interventions were provided to the newborns in the control group. Pain in the newborns was evaluated by the nurse who performed the heel lance procedures, before the procedures and 15 to 20 seconds and 5 minutes after procedures, and by 2 specialists who viewed the video footage and conducted the Neonatal Infant Pain Scale examination.
The pain scores were significantly lower at 15 to 20 seconds and 5 minutes after the heel lance procedures in the group that received vibrations than in the control group (P < .05).
The application of vibration, which is effective, nonpharmacological, and noninvasive, could help nurses manage pain in newborns as a nonpharmacological method.
The number of studies that examine the effect that vibration has on pain associated with heel lance procedures in newborns is very limited, and it is recommended that further studies be conducted with larger sample sizes.
背景/意义：应用振动作为疼痛管理中的非药物方法，可以减轻疼痛，这一效果可以用梅尔扎克和沃尔开发的门控控制理论来解释。基于该理论的研究得出了与梅尔扎克和沃尔相似的结果，表明振动抑制了疼痛传导神经，从而提高了疼痛阈值。
本研究旨在评估在新生儿足跟采血过程中应用振动来管理疼痛的效果。
这是一项随机对照实验研究。研究样本包括通过功效分析确定的 56 名新生儿（振动组=28；对照组=28）。对于振动组的新生儿，在足跟采血前大约 30 秒使用振动设备，然后在整个过程中持续使用。对照组的新生儿不接受任何干预。在进行足跟采血前、采血后 15 至 20 秒和 5 分钟，由进行足跟采血的护士，以及观看视频并进行新生儿疼痛量表检查的 2 名专家评估新生儿的疼痛。
与对照组相比，在足跟采血后 15 至 20 秒和 5 分钟，接受振动的新生儿疼痛评分显著降低（P<.05）。
振动作为一种有效、非药物、非侵入性的方法，可以帮助护士管理新生儿的疼痛，作为一种非药物方法。
研究振动对新生儿足跟采血疼痛影响的研究非常有限，建议进一步进行更大样本量的研究。
