THE EFFECT OF AUDITORY INTERVENTIONS ON PAIN AND COMFORT DURING HEEL LANCE IN PREMATURE INFANTS
Project no. 675 · Status: Kapanmış · 2017
Summary
Introduction and Aim: Auditory interventions are commonly used during procedural analgesic administration in premature neonates. This study investigated the effects of three interventions —recorded mother's voice, white noise, and MiniMuffs, muffs used to attenuate environmental sounds— applied during a heel lance on pain and comfort in premature infants. Methods: This experimental study was randomized controlled research. The sample consisted of 64 premature neonates with a gestational age of 31-36 weeks hospitalized in the neonatal intensive care unit (NICU). The infants were randomly assigned to four groups: i) recorded mother’s voice, ii) white noise, iii) MiniMuffs, and iv) control. The heel lance procedure was recorded on a camera. The camera recordings were evaluated according to the Neonatal Infant Pain Scale (NIPS) and the COMFORTneo scale. Findings: The crying time, mean NIPS score, COMFORTneo score, COMFORTneo numerical rating scale (NRS)-pain score, and COMFORTneo NRS-distress score of the premature neonates in the white noise, recorded mother’s voice, and MiniMuffs groups were significantly lower than those in the control group during the procedure (p<0.001). Significant differences in NIPS skoru were found between the white noise and recorded mother’s voice groups (p=0.032) as well as between the white noise and MiniMuffs groups ((p=0.033). Conclusions and Recommendations: Auditory interventions had pain-reducing and comfort-enhancing effects during heel lance practices in premature infants. It is recommended that studies be carried out in smaller premature infants and different invasive procedures in future studies. Keywords: premature infant, pain, comfort, mother’s voice, white noise, MiniMuffs.