Department of Pediatric Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Complement Ther Clin Pract. 2022 Aug;48:101622. doi: 10.1016/j.ctcp.2022.101622. Epub 2022 Jun 22.
This research was conducted to evaluate the effects of gentle human touch (GHT) on pain, comfort, and physiologic parameters in preterm infants during heel lancing.
This prospective, assessor-blind, randomized controlled study was performed between August 10, 2021 and September 10, 2021 in the Neonatal Intensive Care Units (NICU) of a tertiary hospital in the Central Anatolia Region of Turkey. Fifty preterm infants were randomly appointed to GHT and control groups. The researcher applied GHT to the infants in the GHT group by placing one hand on the infant's head and the other hand on the lower abdomen covering the waist and hips for 15 min. Data were collected with a Questionnaire, Physiological Parameters Observation Form, Newborn Infant Pain Scale (NIPS), The Comfort Scale (COMFORT), and Pulse Oximeter.
The NIPS and COMFORT mean scores of preterm infants in the GHT group were lower during (p < 0.001, p < 0.05, respectively) and after heel lancing (p < 0.05, p < 0.001, respectively). There was no difference between the preterm infants' peak heart rate, respiratory rate, and SPO values in the GHT and control groups during and after heel lancing (p > 0.05). The study found that preterm infants in the GHT group had less crying time during the heel lancing (p < 0.001).
It could recommend using in painful procedures because GHT may positively affect preterm infants' pain, comfort, and physiologic parameters. The results of this study will contribute to NICU nurses should include non-pharmacological methods such as GHT to decrease pain of preterm infants in procedural pain.
ClinicalTrials.gov (NCT05001191).
本研究旨在评估轻柔人体触摸（GHT）对足跟采血时早产儿疼痛、舒适度和生理参数的影响。
这是一项前瞻性、评估者盲法、随机对照研究，于 2021 年 8 月 10 日至 9 月 10 日在土耳其中安纳托利亚地区一家三级医院的新生儿重症监护病房（NICU）进行。将 50 名早产儿随机分配到 GHT 组和对照组。在 GHT 组中，研究人员将一只手放在婴儿头部，另一只手放在下腹部，覆盖腰部和臀部，持续 15 分钟，对婴儿进行 GHT。使用问卷、生理参数观察表、新生儿疼痛量表（NIPS）、舒适度量表（COMFORT）和脉搏血氧仪收集数据。
足跟采血时，GHT 组早产儿的 NIPS 和 COMFORT 平均得分较低（p<0.001，p<0.05），足跟采血后得分也较低（p<0.05，p<0.001）。足跟采血期间和足跟采血后，GHT 组和对照组早产儿的心率峰值、呼吸频率和 SPO 值无差异（p>0.05）。研究发现，足跟采血期间，GHT 组早产儿的哭泣时间较短（p<0.001）。
GHT 可能会推荐用于有疼痛的操作，因为它可能会对早产儿的疼痛、舒适度和生理参数产生积极影响。本研究的结果将有助于 NICU 护士在操作疼痛中应包括非药物方法，如 GHT，以减轻早产儿的疼痛。
ClinicalTrials.gov（NCT05001191）。
