Soothing pain-elicited distress in Chinese neonates.
Luk Kar Bo,Patrick Callaghan +1 more
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Nonnutritive sucking, music therapy, and combined NNS and MT had the strongest effect on neonates' TcPao 2 levels and pain behavior; MT alone had the weakest effect on Neonates' heart rate.Abstract:
Objective. To test the effect of nonnutri- tive sucking (NNS), music therapy (MT), and combined NNS and MT (NNS 1 MT), versus no intervention, on heart rate, transcutaneous oxygen (TcPaO2) levels, and pain behavior of neonates in intensive care units having blood taken by a heel-stick procedure. Methodology. A within-subjects, counter-balancing, repeated-measures design conducted in a government- funded hospital in Hong Kong, comparing TcPaO2 levels, heart rate, and pain behavior outcomes in 27 neonates. Results. Repeated-measures multivariate analysis of variance revealed statistically significant differences in outcomes across all interventions (Wilk's l 5 .142; F (3,27) 5 31.82; h2 5 .47). One-way analysis of variance revealed that the 3 comfort interventions significantly reduced neonates' heart rate (Wilk's l 5 .647; F (2,27) 5 18.93; h2 5 .35), improved their TcPaO2 levels (Wilk's l 5 .481; F (2,27) 5 37.42; h2 5 .51), and reduced their pain behavior (Wilk's l 5 .312; F (2,27) 5 76.42; h2 5 .68). Posthoc scheffe tests revealed that NNS 1 MT had the strongest effect on neonates' TcPaO2 levels and pain be- havior; MT alone had the strongest effect on neonates' heart rate. Conclusions. Health professionals using NNS 1 MT when doing heel-sticks can improve the TcPaO2 levels of neonates and reduce their pain. Using MT alone can improve the heart rate of neonates. Pediatrics 2000;105(4). URL: http://www.pediatrics.org/cgi/content/full/105/4/ e49; psychological interventions, neonates, pain.read more
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Prevention and Management of Pain in the Neonate: An Update
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Rebecca Pillai Riddell,Nicole Racine,Hannah Gennis,Kara Turcotte,Lindsay S. Uman,Rachel Elizabeth Horton,Sara Ahola Kohut,Jessica Hillgrove Stuart,Bonnie Stevens,Diana Lisi +9 more
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Distraction techniques for children undergoing procedures: a critical review of pediatric research.
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TL;DR: The significant difference in NIPS scores over time indicates that the scale provides a measurement of intensity of infant responses to intrusive procedures, and there was no association between gestational age and five-minute Apgars and responsiveness to pain, as measured by change inNIPS scores from before to during the procedure.
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Journal ArticleDOI
Pacifying Effects of Nonnutritive Sucking on Term and Preterm Neonates During Heelstick Procedures
Tiffany Field,Edward Goldson +1 more
TL;DR: It is suggested that nonnutritive sucking during heelstick procedures may attenuate behavioral distress in all neonates and physiologic arousal in neonates with less severe postnatal complications.