Investigation of The Effects of Two Nonpharmacological Methods; Using Pacifiers and Maternal Holding, On Pain of Neonates in The Outpatient Clinic and Neonatal Intensive Care Unit

Year 2022, Volume: 12 Issue: 1, 33 - 37, 15.01.2022

Ramazan Gurlu , Dilek Kahvecioğlu , Hatice Tatar Aksoy , Arzu Yılmaz , Bulent Alioglu

https://doi.org/10.16899/jcm.928100

Abstract

Introduction: The most important purpose in neonatal pain management is to minimize the pain felt by newborns and to help the newborn cope with pain. This study planned to examine the effects of two non-pharmacological methods, using pacifiers or maternal holding, on neonates’ pain admitted to the outpatient clinic (OC) and hospitalized in the Neonatal Intensive Care Unit (NICU).
Material and Methods: Ninety newborns (30 used pacifiers, 30 maternal holding,30 control) who applied to the OC and 60 newborns (30 used pacifiers, 30 control) admitted to the NICU were prospectively included in this study. The Neonatal Infant Pain Scale (NIPS) was used to evaluate behavioral responses to pain perception. Physiological parameters of newborns and their durations of crying were also evaluated.
Results: When the NIPS scores were analyzed in OC group during and after the procedure, the lowest score was found in the group using pacifiers (p<0.001). As for the NICU patients, both during and after the procedure, NIPS scores were found to be significantly lower in the pacifier users (p<0.001). It was observed that giving pacifiers and mathernal holding had positive effects on physiological parameters and duration of crying in OC patients (p<0.05). No significant difference in the NIPS score was found between OC and NICU group.
Conclusion: This study showed that giving pacifiers and maternal holding during the procedure of blood sampling decreased the NIPS score, restored the changes in physiological parameters and decreased the duration of crying.

Keywords

Neonatal pain, NIPS, pacifier, maternal holding

Sağlam Çocuk Polikliniğinde ve Yenidoğan Yoğun Bakım Ünitesinde Farmakolojik Olmayan Ağrı Giderme Yöntemlerinden Emzik Verme ve Anne Kucağının Yenidoğan Ağrısı Üzerine Etkisinin İncelenmesi

Abstract

Amaç: Yenidoğan ağrı yönetiminde en önemli amaç, yenidoğanların hissettiği ağrıyı en aza indirmek ve yenidoğanın ağrı ile baş etmesine yardım etmektir. Bu çalışmada non-farmakolojik yöntemlerden emzik verme ve anne kucağının yenidoğanda ağrı üzerine etkilerini incelemek amaçlandı.
Yöntem: Sağlam çocuk polikliniğine ayaktan başvuran 90 yenidoğan (30 emzik, 30 anne kucağı, 30 kontrol) ve aynı dönemde yenidoğan yoğun bakım ünitesinde(YYBÜ) yatarak izlenen 60 yenidoğan (30 emzik, 30 kontrol) çalışmaya dahil edildi. Ağrıya davranışsal yanıtları değerlendirmede Yenidoğan Bebek Ağrı Ölçeği (NIPS) kullanıldı. Ayrıca yenidoğanların fizyolojik parametreleri ile ağlama süreleri de değerlendirildi.
Bulgular: Sağlam çocuk grubunda NIPS skoru işlem sırasında ve sonrasında değerlendirildiğinde emzik verilen grupta en düşük bulundu (p<0,001). YYBÜ grubunda işlem sırasında ve sonrasında NIPS skorunun emzik verilen grupta anlamlı olarak düşük olduğu saptandı (her ikisinde p<0,001). Emzik verilen grupta daha belirgin olmak üzere emzik verme ve anne kucağının fizyolojik parametreler ve ağlama süreleri üzerine olumlu etkileri olduğu görüldü (p<0,05). Sağlam çocuk ve YYBÜ grubu arasında NIPS skorunda anlamlı bir fark bulunmadı.
Sonuç: Çalışmamızda yenidoğana ağrılı işlem sırasında emzik vermenin ve anne kucağının NIPS skorunu azalttığı, fizyolojik parametrelerdeki değişimi düzelttiği ve ağlama süresini azalttığı görüldü.

Keywords

Yenidoğanda ağrı, NIPS, emzik verme, anne kucağı

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