The premature infants with a gestational age of 34 to 36 weeks 6 days who receive heel prick for blood sugar measurement. The pain responses, heart rate, respiratory rate, and oxygen saturation between groups will be evaluated before, during, and after the procedure. BLOOD SUGAR MEASUREMENT, HEEL PRICK, MUSICAL STORYTELLING, PAIN RESPONSES, PREMATURE INFANTS
Conditions
Interventions
If premature infant is assigned number 1 by lottery, the infant will first receive musical storytelling, followed by standard nursing care.,If premature infant is assigned number 2 by lottery, the inf
Experimental Procedure/Surgery,No Intervention No treatment
Musical Storytelling,Standard care
Sponsors
The Faculty of Medicine Vajira Hospital
Eligibility
Sex/Gender
All
Age
34 Weeks to 36 Weeks
Inclusion criteria
Inclusion criteria: 1. It is necessary to perform heel prick blood glucose monitoring according to the physician treatment plan, in order to measure blood glucose levels at least twice, with an interval of at least 3 hours. Each infant will undergo blood glucose monitoring at different times depending on the physician treatment plan. The blood samples for glucose monitoring will be obtained by heel prick before feeding times at 05.00, 08.00, 11.00, 14.00, 17.00, 20.00, 23.00, or 02.00 as prescribed by the physician. 2. The results of newborn hearing screening using otoacoustic emission were normal in both ears. The screening was performed shortly after birth, prior to the experimental procedure, and repeated when the infant reached 48 hours of age. 3. The infant vital signs were within normal limits before the experimental procedure, measured 3 minutes prior to the intervention about heart rate 100 to 160 beats per minute, respiratory rate 40 to 60 breaths per minute, and oxygen saturation equal or more than 90%. 4. The mother provided informed consent for her infant participation in the study after being fully informed about the research details and signing the consent form.
Exclusion criteria
Exclusion criteria: 1. Presence of chromosomal abnormalities, congenital anomalies, or congenital infections. 2. Presence of neurological disorders affecting behavioral pain response, including seizures or intraventricular hemorrhage. 3. Receiving oxygen therapy or mechanical ventilation. 4. Administration of sedatives, analgesics, or cardiotonic drugs within 48 hours prior to heel prick blood glucose testing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score -3, 0, 1, 5 ,10 minutes The Neonatal Infant Pain Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| physiological parameters -3, 0, 1, 5 ,10 minutes Heart rate, Respiratory rate, O2 sat | — |
Countries
Thailand
Contacts
Public ContactPreawvanid Samart
The Faculty of Medicine Vajira Hospital
Outcome results
None listed