Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant behavioural states across heel-stick procedures: A prospective, randomised controlled trial.
Background: Pain and stress agitate preterm infants, interrupting their sleep. Frequent high arousal states may affect infants' brain development and illness recovery. Preserving infants' sleep and relieving their pain during painful procedures are both important for their health. Objectives: To com...
| Published in: | International Journal of Nursing Studies Vol. 50; no. 7; pp. 883 - 895 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Elsevier B.V.
2013
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104176949&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104176949 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00207489 JHV jtl: International Journal of Nursing Studies issn: 00207489 maglogo: N pubinfo: dt: 2013 vid: 50 iid: 7 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 104176949 87931325 10.1016/j.ijnurstu.2012.08.021 NLM23068310 104176949 ppf: 883 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant behavioural states across heel-stick procedures: A prospective, randomised controlled trial. aug: au: Liaw, Jen-Jiuan Luke Yang Lee, Chuen-Ming Fan, Hueng-Chuen Chang, Yue-Cune Cheng, Li-Ping affil: School of Nursing, National Defense Medical Center, Taipei, Taiwan, ROC sug: subj: Treatment Related Pain Nursing Sucking Behavior In Infancy and Childhood Sucrose Administration and Dosage Patient Positioning In Infancy and Childhood Infant Behavior Neonatal Intensive Care Nursing Nursing Interventions Blood Specimen Collection Adverse Effects Human Funding Source Prospective Studies Randomized Controlled Trials Intensive Care Units, Neonatal Taiwan Convenience Sample Gestational Age Random Assignment Sleep Crying P-Value Descriptive Statistics Severity of Illness Severity of Illness Indices One-Way Analysis of Variance Infant, Premature Nursing Assessment Coefficient alpha Internal Consistency Criterion-Related Validity Interrater Reliability Intraclass Correlation Coefficient Spearman's Rank Correlation Coefficient kappa Statistic Data Analysis Software Kruskal-Wallis Test Regression Male Female Infant, Newborn Inpatients Apgar Score Scales Confidence Intervals Infant, Newborn: birth-1 month Male Female ab: Background: Pain and stress agitate preterm infants, interrupting their sleep. Frequent high arousal states may affect infants' brain development and illness recovery. Preserving infants' sleep and relieving their pain during painful procedures are both important for their health. Objectives: To compare the effectiveness of different combinations of non-nutritive sucking (sucking), oral sucrose, and facilitated tucking (tucking) with routine care on infants' sleep-wake states before, during, and after heel-stick procedures. Design: Prospective, randomised controlled trial. Setting: Level III Neonatal Intensive Care Unit in Taipei. Method: A convenience sample of 110 infants (gestational age 26.4-37 weeks) needing heel sticks were randomly assigned to five combinations of non-pharmacological treatments: sucking-oral sucrose-tucking; sucking-oral sucrose; oral sucrose-tucking; sucking-tucking; and routine care. Infant states, measured by a state-coding scheme, included quiet sleep, active sleep, transition, quiet awake, active awake, and fussing or crying. All states were recorded at 1-min intervals during four phases: baseline, intervention, heel-stick procedures, and recovery. Results: Infants receiving sucking-oral sucrose-tucking or sucking-oral sucrose experienced 52.8% (p = 0.023) and 42.6% (p = 0.063) more quiet-sleep occurrences than those receiving routine care after adjusting for phase, baseline states, non-treatment sucking during baseline and recovery, positioning, and infants' characteristics. Infants receiving oral sucrose-tucking, sucking-oral sucrose, sucking-oral sucrose-tucking, and sucking- tucking experienced 77.3% (p < 0.001), 72.1% (p = 0.008), 51.5% (p = 0.017), and 33.0% (p = 0.105) fewer occurrences of fussing or crying, respectively, than those receiving routine care after adjusting for related factors. Conclusions: The four treatment combinations differentially reduced infants' high arousal across heel-stick procedures. The combined use of oral sucrose-tucking, sucking-oral sucrose, and sucking-oral sucrose-tucking more effectively reduced occurrences of infant fussing or crying than routine care. Treatment combinations of sucking-oral sucrose- tucking and sucking-oral sucrose also better facilitated infants' sleep than routine care. To preserve infants' sleep, clinicians should use combinations of non-nutritive sucking, oral sucrose, and facilitated tucking to reduce agitation during painful procedures. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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