Pain
Conditions
Keywords
Newborn, pain, vibration, warming, heel blood collection, infant
Brief summary
This study aimed to determine the effects of warming and vibration applications on pain during heel blood collection in newborns. H1: Warming application has a positive effect on pain during heel blood collection in newborns. H2: Vibration application has a positive effect on pain during heel blood collection in newborns. H3: The combined application of warming and vibration during heel blood collection in newborns has a positive effect on pain.
Detailed description
Heel blood collection is frequently used for neonatal metabolic screening and analysis of bilirubin, glucose and other biochemical/hematologic parameters. This process is both painful and stressful for the newborn. Pain experience in the neonatal period can cause intense stress in the infant and cause physiopathological changes such as respiratory irregularity, impaired thermoregulation, changes in heart rhythm, changes in oxygen saturation and blood pressure. Therefore, it is recommended to use evidence-based non-pharmacological methods to reduce the pain experiences of newborns and to minimize the short and long-term negative effects of pain. Based on this rationale, this study was planned to evaluate the effect of non-pharmacologic methods on pain and procedure time together.
Interventions
OTHERControl group
1. The procedure for heel blood collection will be performed. 2. Pain assessment will be performed with the N-PASS scale during and after the procedure.
OTHERWarming
1. The cotton sock will be warmed under the heater for 3 minutes. The sock will be put on the newborn and taken off after 3 minutes. 2. The procedure for heel blood collection will be performed. 3. Pain assessment will be performed with the N-PASS scale during and after the procedure.
OTHERVibration
1. A rechargeable toothbrush will be prepared for the newborn to whom vibration will be applied. The vibration process will be applied to the midline of the gastrocnemius muscle for 3 minutes. 2. The procedure for heel blood collection will be performed. 3. Pain assessment will be performed with the N-PASS scale during and after the procedure.
OTHERWarming and vibration
1. After the socks are warmed, they will be put on the newborn\'s feet and both warming and vibration will be applied for 3 minutes. 2. The procedure for heel blood collection will be performed. 3. Pain assessment will be performed with the N-PASS scale during and after the procedure.
Sponsors
Acibadem University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Days to 28 Days
Healthy volunteers
Yes
Inclusion criteria
* Healthy newborns
Exclusion criteria
* Newborns with any lower extremity anomalies * Newborns with congenital diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in level of pain | Immediately before the prosedure, during the procedure, immediately after the procedure. The change in these time period will be measured. | The level of pain will be measured using the N-PASS: Neonatal Pain/Agitation, Sedation Scale. The scale was developed by Hummel, Lawlor-Klean and Weiss in 2010, its Turkish validity and reliability were made by Açıkgöz et al. in 2017. N-PASS consists of two sections: sedation and pain assessment. Total pain score varies between 0 and +11 and total sedation score varies between 0 and +10. A high score indicates severe pain. The aim is to keep the score at 3 and below. If it is above 3 points, sedation requirements are evaluated. The average time spent to administer the scale is 1 minute. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORHande Keskin Nurse
Acibadem University
Outcome results
None listed