Abbasi Naimeh, Ramezani Monir, Heidarzadeh Mohammad, Shoeibi Naser
Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
J Neonatal Perinatal Med. 2025 Jul;18(4):327-337. doi: 10.1177/19345798251330827. Epub 2025 May 15.
BackgroundEye examination is one of the painful procedures for infants. Eye screening for retinopathy of prematurity (ROP) is an essential intervention to prevent visual impairment in preterm infants. However, Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is a well-established framework for all of the interventions on premature infants, and pain management is the main subject of this program.PurposeThe aim of this study is to determine the effect of NIDCAP on the pain caused by eye examination for ROP screening.MethodsIn this non-randomized controlled clinical trial, 60 infants were classified in two groups (30 infants in the intervention group and 30 infants in the control group). The infants of the intervention group underwent NIDCAP protocols before, during, and after the examination and the infants of the control group received routine cares. Then, according to PIPP tool, level of pain in the two groups was evaluated.ResultsThe two groups were homogeneous in terms of demographic variables. The results showed that the interventions group experienced significantly lower increases in heart rate during exams ( = 0.001). The reduction of oxygen saturation during the examination in the intervention group was less than the control group, which was not statistically significant ( = 0.577). The two groups have no difference in behavioral status score during examination. While facial scores during the examination in the intervention group were significantly lower than the control group ( = 0.011). In terms of the total score of pain during examination, the newborns of the intervention group have a significantly lower pain score than the control group ( = 0.033).
背景
眼部检查是婴儿痛苦的检查程序之一。早产儿视网膜病变（ROP）的眼部筛查是预防早产儿视力损害的一项重要干预措施。然而，新生儿个体化发育护理与评估计划（NIDCAP）是针对早产儿所有干预措施的一个成熟框架，疼痛管理是该计划的主要主题。
目的
本研究的目的是确定NIDCAP对ROP筛查眼部检查所致疼痛的影响。
方法
在这项非随机对照临床试验中，60名婴儿被分为两组（干预组30名婴儿，对照组30名婴儿）。干预组婴儿在检查前、检查期间和检查后接受NIDCAP方案，对照组婴儿接受常规护理。然后，根据PIPP工具评估两组的疼痛程度。
结果
两组在人口统计学变量方面具有同质性。结果显示，干预组在检查期间心率的增加显著更低（P = 0.001）。干预组在检查期间血氧饱和度的下降小于对照组，但差异无统计学意义（P = 0.577）。两组在检查期间的行为状态评分无差异。而干预组在检查期间的面部评分显著低于对照组（P = 0.011）。在检查期间的疼痛总分方面，干预组新生儿的疼痛评分显著低于对照组（P = 0.033）。
