Subedi Rejeena, Bhatta Mukesh, Chaudhary Ramananda, Karn Basant K, Yadav Upendra, Yadav Shankar P
Department of Child Health Nursing.
Department of Paediatrics and Adolescent Medicine, B.P. Koirala Institute of Health Sciences, Dharan, Province 1, Nepal.
Ann Med Surg (Lond). 2024 Jun 26;86(9):5211-5217. doi: 10.1097/MS9.0000000000002321. eCollection 2024 Sep.
Pain in neonates is associated with adverse neurodevelopmental outcomes in the later days of life. Facilitated tucking is a nonpharmacological method of pain relief. The study aims to compare the effect of facilitated tucking in pain reduction in neonates.
This was a randomized controlled experimental study conducted in the neonatal ward of a tertiary care center. There were 25 neonates randomized each in the experimental and control groups (total of 50), based on computer-generated random tables. The experimental group was placed in a facilitated tucking position during heel stick, while the control group was kept in the usual position, as done routinely. A self-structured questionnaire and Neonatal Infant Pain Scale were used. The main outcome measures were the mean Neonatal Infant Pain Scale score, and change in preprocedure and postprocedure heart rate and oxygen saturation in the two groups. Ethical clearance and informed written consent were sought.
Neonates in the experimental group had significantly lesser pain (less Neonatal Infant Pain Scale score) than the neonates in the control group (<0.001). There was also a significant increment in the mean heart rate and a decrease in the oxygen saturation after the procedure in the control group, indicating significantly more pain perception (<0.001) in the control group.
Facilitated tucking was found to be effective in reducing the pain during heel stick procedures in neonates.
新生儿疼痛与日后不良的神经发育结局相关。辅助襁褓法是一种非药物性的疼痛缓解方法。本研究旨在比较辅助襁褓法对减轻新生儿疼痛的效果。
这是一项在三级护理中心新生儿病房进行的随机对照实验研究。根据计算机生成的随机表，将25名新生儿随机分为实验组和对照组（共50名）。在足跟采血期间，实验组采用辅助襁褓姿势，而对照组则保持常规姿势。使用了一份自行编制的问卷和新生儿疼痛量表。主要观察指标为两组新生儿疼痛量表的平均得分，以及操作前后心率和血氧饱和度的变化。研究获得了伦理批准并寻求了书面知情同意。
实验组新生儿的疼痛程度（新生儿疼痛量表得分更低）明显低于对照组（<0.001）。对照组在操作后平均心率显著增加，血氧饱和度下降，表明对照组的疼痛感知明显更强（<0.001）。
发现辅助襁褓法在减轻新生儿足跟采血过程中的疼痛方面是有效的。
