The effects of skin-to-skin contact during acute pain in preterm newborns
| Autor: | Adriana Moraes Leite, Thaíla Corrêa Castral, Vanderlei José Haas, Fay Warnock, Carmen Gracinda Silvan Scochi |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Heel Skin to skin Psychological intervention Pain Neonatal Nursing Heart rate medicine Humans Needlestick Injuries Acute pain Pain Measurement Skin integumentary system Obstetrics Crying business.industry Infant Newborn Gestational age Behavioral state medicine.disease Anesthesiology and Pain Medicine medicine.anatomical_structure Touch Premature birth Acute Disease Infant Behavior Infant Care Emergency Medicine Neonatal nursing Female medicine.symptom business |
| Zdroj: | European Journal of Pain. 12:464-471 |
| ISSN: | 1090-3801 |
| Popis: | Background and purpose Several promising non-pharmacological interventions have been developed to reduce acute pain in preterm infants including skin-to-skin contact between a mother and her infant. However, variability in physiological outcomes of existing studies on skin-to-skin makes it difficult to determine treatment effects of this naturalistic approach for the preterm infant. The aim of this study was to test the efficacy of mother and infant skin-to-skin contact during heel prick in premature infants. Method Fifty nine stable preterm infants (born at least 30 weeks gestational age) who were undergoing routine heel lance were randomly assigned to either 15 min of skin-to-skin contact before, during and following heel prick ( n = 31, treatment group), or to regular care ( n = 28, control group). Throughout the heel lance procedure, all infants were assessed for change in facial action (NFCS), behavioral state, crying, and heart rate. Results Statistically significant differences were noted between the treatment and control groups during the puncture, heel squeeze and the post phases of heel prick. Infants who received skin-to-skin contact were more likely to show lower NFCS scores throughout the procedure. Both groups of infants cried and showed increased heart rate during puncture and heel squeeze although changes in these measures were less for the treated infants. Conclusions Skin-to-skin contact promoted reduction in behavioral measures and less physiological increase during procedure. It is recommended that skin-to-skin contact be used as a non-pharmacologic intervention to relieve acute pain in stable premature infants born 30 weeks gestational age or older. |
| Databáze: | OpenAIRE |
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