NEWBORN, Pain, Acute
Conditions
Brief summary
Peripheral Central Catheter (PICC) is one of the painful interventions that are routinely performed repeatedly to establish a safe venous access in preterm babies.Nurses should reduce the pain of babies and ensure their comfort during interventions arising from the necessity of care processes. Today, it is accepted that tactile stimuli, which have a pain-reducing effect on babies, should be used as a complementary treatment and care method. Palmar grasp reflex is one of the important tactile stimuli to reduce pain and provide comfort in babies. This research will be conducted to examine the effect of palmar grasp reflex stimulation on pain and comfort levels in PICC care in preterm babies.
Interventions
This initiative is stimulated by applying gentle pressure to the palm of the baby's palm while he or she is awake, lying on a flat surface in a symmetrical supine position.
Sponsors
Ataturk University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
28 Weeks to 36 Weeks
Healthy volunteers
No
Inclusion criteria
* Without congenital defects, * Not receiving sedation at least 3 hours before PICC care, * No unexplained crying, * Without neurological problems, * Not undergoing surgical intervention, * Babies with PICC insertion
Exclusion criteria
* Having had a painful procedure (invasive procedure, etc.) within the last hour, * Babies for whom permission was not obtained from the parent through an informed voluntary consent form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain level | 8 months | Premature Infant Pain Scale-Revision (PIPP-R): It is defined as the gestational age of preterm babies, change in heart rate, change in SPO2 level, initial behavioral state, frowning, squeezing eyes, nasolabial groove. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comfort | 8 months | COMFORT neo: Consists of 7 sections: alertness, calmness/agitation, respiratory status, physical movements, muscle tone, facial expression and average heart rate. Each section has 5 items with 1 to 5 points. The cut-off point is 17 points on the comfort scale, with a minimum of 7 and a maximum of 35. |
Countries
Turkey (Türkiye)
Outcome results
None listed