Effect of pacifier and pacifier with dextrose in reducing pain during orogastric tube insertion in newborns: a randomized controlled trial.

Autor: Akkaya-Gül A; Department of Child Health and Diseases Nursing, Health Sciences Institute, Bursa Uludağ University, Bursa, Turkey. aysenurakkaya006@gmail.com.; Department of First and Emergency Aid, Vocational School of Health Services, Fenerbahçe University, Istanbul, Turkey. aysenurakkaya006@gmail.com., Özyazıcıoğlu N; Department of Child Health and Diseases Nursing, Faculty of Health Sciences, Bursa Uludağ University, Bursa, Turkey.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 May; Vol. 44 (5), pp. 717-723. Date of Electronic Publication: 2024 Mar 29.
DOI: 10.1038/s41372-024-01948-w
Abstrakt: Objective: This study aimed to assess the efficacy of pacifier use, with and without 25% dextrose, in reducing pain during orogastric tube insertion in newborns.
Study Design: In a randomized controlled trial involving 60 newborns at a public hospital from April to December 2019, participants were divided into three groups: pacifier (n = 20), pacifier with 25% dextrose (n = 20), and control (n = 20). A pacifier, with and without dextrose, was used for the experimental groups, while the control group performed a routine procedure. Neonatal infant pain scale, crying duration, heart rate (HR), and oxygen saturation (SpO2) were evaluated.
Results: Results indicated that the control group experienced significantly higher pain levels, elevated HRs, decreased SpO2, and prolonged crying. Conversely, the pacifier with 25% dextrose group showed a notable reduction in crying duration.
Conclusion: A pacifier, with and without 25% dextrose, effectively reduces pain and improves physiological and behavioral parameters during orogastric tube insertion.
Clinical Trial Number: NCT05462964 CLINICAL TRIAL REGISTRATION: The protocol for this randomized controlled experimental trial is registered on ClinicalTrials.gov. The clinical trial registration number is https://clinicaltrials.gov ; NCT05462964.
(© 2024. The Author(s).)
Databáze: MEDLINE
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