Effects of White Noise and Swaddling on Pain and Physiological Parameters During Eye Examination in Healthy Term Infants: A Randomized Controlled Trial.
Objective: Eye examinations in infants for vision screening can cause pain and stress. The aim of this study was to evaluate the effect of white noise and swaddling on pain, heart rate, and oxygen saturation in healthy term infants undergoing post-discharge eye examinations. Methods: The study was c...
| Publicado en: | Forbes Journal of Medicine Vol. 6; no. 3; pp. 249 - 259 |
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| Autores principales: | , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Galenos Yayinevi Tic. LTD. STI
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189909520&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189909520 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27179443 MPM9 jtl: Forbes Journal of Medicine issn: 27179443 maglogo: N pubinfo: dt: 2025 vid: 6 iid: 3 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 189909520 189909520 189909520 10.4274/forbes.gaLenos.2025.12499 189909520 ppf: 249 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effects of White Noise and Swaddling on Pain and Physiological Parameters During Eye Examination in Healthy Term Infants: A Randomized Controlled Trial. aug: au: BAŞARA, Sultan GÜNER ÇALIŞIR, Hüsniye ARSU, Emel BAHADIR ÖZDEMİR, Özdemir affil: Tokat Gaziosmanpaşa University Erbaa Faculty of Health Sciences, Department of Child Health and Disease Nursing, Tokat, Türkiye sug: subj: Noise Treatment Related Pain Prevention and Control Infant Care Diagnosis, Eye Pain Management Methods Vision Tests In Infancy and Childhood Heart Rate Oxygen Saturation Sensory Stimulation Methods Bedding and Linens Human Male Female Infant, Newborn Prospective Studies Randomized Controlled Trials Random Assignment Experimental Studies Descriptive Statistics Data Analysis Software Pearson's Correlation Coefficient Chi Square Test One-Way Analysis of Variance Repeated Measures Kruskal-Wallis Test Friedman Test Confidence Intervals Reflex, Pupillary Phenylephrine Administration and Dosage Pyridines Pulse Oximetry Scales Audiorecording Stress, Physiological Infant, Newborn: birth-1 month Male Female ab: Objective: Eye examinations in infants for vision screening can cause pain and stress. The aim of this study was to evaluate the effect of white noise and swaddling on pain, heart rate, and oxygen saturation in healthy term infants undergoing post-discharge eye examinations. Methods: The study was conducted from September 1, 2022, to March 1, 2023, in the neonatal eye outpatient clinic of a maternity hospital. This randomized controlled trial included 120 term infants randomized to four groups: white noise (n=30), swaddling (n=30), white noise plus swaddling (n=30), and control (n=30). Pain was assessed using the premature infant pain profile scale, and heart rate and peripheral capillary oxygen saturation (SpO2) were measured by pulse oximetry before, 30 seconds after, and at the end of the examination. Results: The groups showed comparable pain scores, heart rates, and SpO2 levels, with no significant differences observed (p>0.05). However, all groups showed significant increases in pain scores and heart rates, and a decrease in SpO2 during the examination compared with baseline (p<0.001). Conclusion: White noise, swaddling, and their combination did not reduce pain or improve physiological parameters during eye examinations in term infants. Amaç: Yenidoğanlarda görme taraması için yapılan göz muayeneleri ağrı ve stres oluşturabilir. Bu çalışmada, taburculuk sonrası göz muayenesi yapılan sağlıklı term yenidoğanlarda beyaz gürültü ve kundaklamanın ağrı, kalp hızı ve oksijen satürasyonu üzerine etkisi değerlendirildi. Yöntem: Çalışma, 1 Eylül 2022-1 Mart 2023 tarihleri arasında bir doğum hastanesinin yenidoğan göz polikliniğinde yürütüldü. Randomize kontrollü bu çalışmaya 120 term yenidoğan dahil edildi ve dört gruba ayrıldı: beyaz gürültü (n=30), kundaklama (n=30), beyaz gürültü + kundaklama (n=30) ve kontrol (n=30). Ağrı, kalp hızı ve periferik kapiller oksijen satürasyonu (SpO2), prematüre bebek ağrı profili ölçeği ve pulse oksimetre kullanılarak muayene öncesi, muayeneden 30 saniye sonra ve muayene sonunda ölçüldü. Bulgular: Gruplar arasında ağrı skorları, kalp hızı ve SpO2 seviyeleri açısından anlamlı bir fark gözlenmedi (p>0,05). Ancak, tüm gruplarda muayene sırasında bazal değerlere kıyasla ağrı skorları ve kalp hızında anlamlı artış, SpO2'de ise anlamlı düşüş görüldü (p<0,001). Sonuç: Beyaz gürültü, kundaklama ve bunların kombinasyonu, term yenidoğanlarda göz muayenesi sırasında ağrıyı azaltmadı ve fizyolojik parametreleri iyileştirmedi. 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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