behavioral and physiological Indicators of pain. Encounter for routine child health examination
Conditions
Interventions
Intervention 1: Intervention group:In the present study,Intrauterine simulated sound will be provided with medical educational software for intrauterine sound.This sound contains a relaxed Intrauterin
Sponsors
Rasht University of Medical Sciences
Eligibility
Sex/Gender
All
Age
1 Days to 6 Days
Inclusion criteria
Inclusion criteria: Premature Infants Aged 28 to 36 Weeks Weight less than 2500 grams Chronological Age is Less than one Week Physiological Stability (heart rate less than 160 beats per minute, less than 60 breaths per minute. Arterial oxygen saturation greater than 85%) First Minute apgar and fifth minute apgar = 7 more than 30 minutes passed from the last feed Positive Moro Reflex
Exclusion criteria
Exclusion criteria: History of intubation Use of analgesic or relaxing drugs and anticonvulsant during the last 24 hours Having intraventricular hemorrhage or leukomalacia Having any genetic abnormalities and any neurological disorder Shaking and touching the neonate during blood sampling by the mothers Within 4 hours before the intervention, any painful intervention or analgesic medication or other pharmacological or Non-pharmacological intervention has been performed Mother addiction The presence of any acute or chronic disease before or during pregnancy of the mother (such as heart disease and diabetes, preeclampsia, history of depression, etc.) Receiving any narcotic drug during and after delivery(In lactating mothers)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain level in the Neonatal Infant Pain Scale (NIPS) Behavioral checklist. Timepoint: The researcher will filming neonatal behavioral changes with a video camera each time for 1 minute in 3 steps, including 5 minutes before and after intervention, during which time (during blood sampling time) and 5 minutes after the completion of blood sampling. Method of measurement: Neonatal Infant Pain Scale (NIPS) Behavioral checklist. | — |
Secondary
| Measure | Time frame |
|---|---|
| Mean score of physiological indices including heart rate and hemoglobin saturation from oxygen. Timepoint: Each time for 1 minute in 3 steps including 5 minutes before and after the intervention, during it (during the bleeding time) and 5 minutes after the completion of blood sampling. Method of measurement: For measuring physiological parameters of pain including heart rate and hemoglobin saturation of oxygen, a calibrate pulse oximetry device, the model NOVAMETRIX will be used. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactShamime Yarahmadi
Rasht University of Medical Sciences
Outcome results
None listed