Effectiveness of an atraumatic orogastric tube insertion protocol for the combined use of swaddling, facilitated tucking, breast milk and sucrose.

Autor: Apaydin Cirik V; Faculty of Health Sciences, Department of Midwifery, Child Health and Disease Nursing, Karamanoğlu Mehmetbey University, Karaman, Turkey., Turkmen AS; Faculty of Health Sciences, Department of Nursing, Child Health and Disease Nursing, Karamanoğlu Mehmetbey University, Karaman, Turkey., Derin E; Neonatal Intensive Care Unit, Selcuk University Hospital, Konya, Turkey., Yilmaz N; Neonatal Intensive Care Unit, Selcuk University Hospital, Konya, Turkey.
Jazyk: angličtina
Zdroj: International journal of nursing practice [Int J Nurs Pract] 2024 Dec; Vol. 30 (6), pp. e13293. Date of Electronic Publication: 2024 Jul 29.
DOI: 10.1111/ijn.13293
Abstrakt: Aim: The study aims to develop a protocol for the combined use of swaddling, facilitated tucking, expressed breast milk and sucrose administration methods in the orogastric tube (OGT) insertion procedure and evaluate its effectiveness.
Methods: The randomized controlled trial was conducted in the Neonatal Intensive Care Unit between 15 February 2022 and 15 September 2022, with 175 preterms. Preterms at 32-34 gestational weeks were randomly allocated to five groups: routine care, swaddling + expressed breast milk, swaddling + sucrose, facilitated tucking + expressed breast milk and facilitated tucking + sucrose groups. The data were collected using the Preterm Descriptive Information Form, the Physiological Measurement Form, the COMFORTneo scale and the Premature Infant Pain Profile (PIPP).
Results: The facilitated tucking + expressed breast milk method was found to be more effective than the routine care (p distress  < 0.001; p pain  = 0.031) and swaddling + expressed breast milk (p distress  = 0.004; p pain  = 0.015) methods in reducing the estimated distress and PIPP pain level of preterms during the procedure. Two minutes after the procedure, the facilitated tucking + expressed breast milk method was more effective than the routine care (p < 0.001), swaddling + expressed breast milk (p = 0.011) and swaddling + sucrose (p = 0.002) methods in reducing the comfort level score.
Conclusions: The facilitated tucking + expressed breast milk method is effective in reducing pain and distress and providing comfort during the OGT procedure. Clinical Trials ID: NCT05180058.
(© 2024 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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