Bülent Ecevit University, Institute of Health Sciences, Department of Pediatric Nursing, Zonguldak, Turkey; Department of Pediatric Nursing, and Bülent Ecevit University, Zonguldak School of Nursing, Zonguldak, Turkey.
Student Bülent Ecevit University, Institute of Health Sciences, Department of Pediatric Nursing, Zonguldak, Turkey.
J Pediatr Nurs. 2023 May-Jun;70:61-67. doi: 10.1016/j.pedn.2022.05.025. Epub 2023 Feb 18.
The study was carried out to determine the effect of the swaddling method on pain in preterm infants (between 27 and 36 weeks) hospitalized in the Neonatal Intensive Care Unit during the aspiration procedure. Preterm infants were recruited by convenience sampling from level III neonatal intensive care units in a city in Turkey.
The study was conducted in a randomized controlled trial manner. The study consisted of preterm infants (n = 70) receiving care or treatment at a neonatal intensive care unit. While swaddling was applied to the infants in the experimental group before the aspiration process. The pain was assessed before, during, and after the nasal aspiration using the Premature Infant Pain Profile.
No significant difference was found in terms of pre-procedural pain scores whereas a statistically significant difference was detected in terms of pain scores during and after the procedure between the groups.
It was determined in the study that the swaddling method reduced the pain of the preterm infants during the aspiration procedure.
This study emphasized that swaddling had pain-reducing during the aspiration procedure in the neonatal intensive care unit in preterm infants. It is recommended that future studies be conducted using different invasive procedures in preterm infants born earlier.
本研究旨在确定包裹法对接受吸引术的早产儿（胎龄 27-36 周）的疼痛的影响。早产儿通过土耳其某市三级新生儿重症监护病房的便利抽样法招募。
本研究采用随机对照试验的方式进行。研究包括在新生儿重症监护病房接受护理或治疗的早产儿（n=70）。在实验组，在进行鼻腔吸引术之前，对婴儿进行包裹。使用早产儿疼痛评估工具（Premature Infant Pain Profile）在鼻吸引术前、术中和术后评估疼痛。
在术前疼痛评分方面，两组之间无显著差异，而在术中和术后疼痛评分方面，两组之间存在显著差异。
本研究表明，包裹法可减轻早产儿在吸引术过程中的疼痛。
本研究强调，在新生儿重症监护病房中，包裹法可减轻早产儿在接受吸引术过程中的疼痛。建议未来在更早出生的早产儿中进行不同侵入性程序的研究。
