Background: Newborns are exposed to varying degrees of stressful interventions due to procedures such as heel lancing used in routine metabolic screenings. It is an examination of the effects of white noise and kangaroo care on some physiological parameters and stress markers (cortisol and glucose-regulated protein 78-GRP78) in heel lancing in newborns.
Methods: Randomized controlled study was conducted at a gynecology service of a hospital between January and September 2023. 90 babies were divided into three groups: 30 babies in the Kangaroo Care Group (KCG), 30 babies in the White Music Group (WMG), and 30 babies in the Control Group (CG). All babies were randomly divided into groups. Stress parameters were measured by saliva collection method and physiological parameters by saturation device.
Results: A statistically significant difference was determined between the total crying time, pulse and saturation values according to the groups (p < 0.001; p = 0.001). A statistically significant difference was determined between the mean values of cortisol and GRP78 measurements according to group and time interaction (p < 0.001). KCG was more effective in reducing total crying time and stabilizing pulse, saturation, salivary cortisol, GRP-78 values compared to WNG and CG.
Conclusion: It was concluded that white noise and kangaroo care help reduce newborns' stress in the case of heel lancing.
Practical Implications: The practice of kangaroo care and the use of white noise methods may assist healthcare professionals as supportive methods in stress management during invasive procedures.
Trial Registration: NCT06278441, registered on 19/02/2024.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378472 | PMC |
| http://dx.doi.org/10.1186/s12887-024-05033-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Pain-Related Responses in Preterm Babies Using Automated and Laser Heel-Lancing Devices.
Creat Nurs
January 2025
Department of Pediatrics, Haeundae Paik Hospital, Inje University, Busan, South Korea.
This study aimed to compare the pain-related behavioral and physiological responses and puncture-related characteristics between automated and laser lancets and examine the correlation between infants' pain-related responses and facial expressions during heel lancing in a neonatal intensive care unit. Pain-related responses were assessed using the Neonatal Infant Pain Scale, heart rate, and oxygen saturation through pulse oximetry. Facial expressions were also analyzed using a facial recognition application.
View Article and Find Full Text PDFQuality Improvement Intervention Decreases Pain and Adverse Events Due to Heel Lances in Infants.
Children (Basel)
November 2024
Department of Paediatrics and Adolescent Medicine, Lillebaelt Hospital, University Hospital of Southern Denmark, Sygehusvej 24, 6000 Kolding, Denmark.
Background: Studies have investigated ways to reduce infants' pain during heel lancing, but research on preventing adverse events is scarce. This study investigated whether or not the number of infants with normal comfort (>8 and ≤14), distress (≤4), and pain (≤4) scores increased and whether or not the number of adverse events (blue and/or edematous heels and improperly placed incisions) decreased during and after heel lancing following an intervention.
Methods: A pre- and post-quality improvement intervention including 189 and 186 heel lances, respectively, in infants (postmenstrual age ≥ 28 + 0 to ≤ 43 + 6 weeks) was conducted in May to July 2020 and April to July 2022.
Decoding of pain during heel lancing in human neonates with EEG signal and machine learning approach.
Sci Rep
December 2024
Neuroscience & Neuroengineering Research Lab, Biomedical Engineering Department, School of Electrical Engineering, Iran University of Science & Technology (IUST), Narmak, Tehran, Iran.
Currently, pain assessment using electroencephalogram signals and machine learning methods in clinical studies is of great importance, especially for those who cannot express their pain. Since newborns are among the high-risk group and always experience pain at the beginning of birth, in this research, the severity of newborns has been investigated and evaluated. Other studies related to the annoyance of newborns have used the EEG signal of newborns alone; therefore, in this study, the intensity of newborn pain was measured using the electroencephalogram signal of 107 infants who were stimulated by the heel lance in three levels: no pain, low pain and moderate pain were recorded as a single trial and evaluated.
View Article and Find Full Text PDFUse of Mothers Milk Odor and White Noise on Pain Management in Preterm Infants: A Randomized Controlled Trial.
Adv Neonatal Care
December 2024
Author Affiliations: Institute of Health Sciences, Ankara University, Dışkapı Campus, Ankara, Turkey (Ms Otlu); and Faculty of Nursing, Ankara University, Altındağ, Dışkapı, Turkey (Dr Esenay).
Background: Recurrent pain experienced by preterm infants during hospitalization is significant due to its short and long-term negative consequences.
Purpose: This randomized controlled trial examined the effect of the mother's own milk odor and white noise on pain management during heel lance in preterms.
Methods: The data were collected in the neonatal intensive care unit and postpartum services between May and October 2022.
Effects of White Noise and Therapeutic Touch on Pain and Comfort in Newborns during Heel Lance: A Randomized Controlled Study.
Adv Neonatal Care
December 2024
Department of Pediatric Nursing, İzmir Atatürk Education and Research Hospital, Neonatal Intensive Care Unit, and Dokuz Eylül University, Institute of Health Sciences, Izmir, Turkey (Ms Erol); and Pediatric Nursing Department, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey (Mrs Özalp Gerçeker).
Background: Nonpharmacological methods such as white noise and therapeutic touch can be used in pain management in neonates.
Purpose: This randomized controlled study evaluated the effects of white noise and therapeutic touch during heel lance procedures on pain, comfort levels, and physiological parameters in healthy neonates.
Methods: This parallel, randomized controlled study was conducted in the Obstetrics and Gynecology Service of a regional hospital.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!