Development of atraumatic heel-stick procedures by combined treatment with non-nutritive sucking, oral sucrose, and facilitated tucking: A randomised, controlled trial

Yin, Ti; Yang, Luke; Lee, Tsorng-Yeh; Li, Chia-Chi; Hua, Yi-Ming; Liaw, Jen‐Jiuan

doi:10.1016/j.ijnurstu.2015.04.012

Cited by 34 publications

(36 citation statements)

References 44 publications

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“…These findings support the reports that painful procedures increased the wake states and sleep/wake transitions (Liaw et al, ), and pain could disturb preterm infants' sleep (Bonan et al, ). Some research suggests that the infants' state changes were minimized when their pain was relieved during intrusive procedures (Yin et al, ). These study findings also could support the use of pain‐relief interventions in protecting preterm infants' sleep while undergoing intrusive procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Before data collection, the PI/last author trained the personnel who were engaged in the study. The PI has conducted studies on training nurses to provide developmentally supportive neonatal care for more than 15 years and had rich research experience documented in a number of publications (Liaw, ; Liaw, Yang, Chang, Chou, & Chao, ; Yin et al, ).…”

Section: Methodsmentioning

confidence: 99%

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Effects of a supportive care bundle on sleep variables of preterm infants during hospitalization

Lan

Yang

Hsieh

et al. 2018

Research in Nursing & Health

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Sleep is important for preterm infants' brain development, but they are frequently exposed to painful procedures in the neonatal intensive care unit (NICU) that disturb their sleep cycle and affect their growth. The purpose of this study was to examine the prolonged effects of a supportive care bundle (modulation of the infants' states, non-nutritive sucking, facilitated tucking, and oral sucrose feeding) on preterm infants' sleep variables (sleep efficiency, total sleep time, sleep latency, and frequency of wake bouts) during hospitalization. The team recruited 65 preterm infants (gestational age at birth 28-36 weeks, average birth weight 1,652 g) from a Level III NICU at a medical center in Taiwan. Infants were randomly assigned to one of two treatment conditions to be administered while receiving intrusive procedures: (1) control condition (usual care, including routine procedures, positioning, and gentle touch); or (2) intervention condition in which the supportive care bundle was added to usual care. Sleep variables were measured using actigraphy for a baseline of three continuous days on the 6th to 8th days after birth and again for 3 continuous days when infants weighed ≧1,950 g. Two forms of generalized estimating equation analyses with control of significant covariates were used for data analysis. The supportive care bundle not only significantly increased sleep efficiency and total sleep time but also significantly decreased duration of sleep latency and frequency of wake bouts. These results provide evidence to support the incorporation of the supportive care bundle into NICU clinical practice during intrusive procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects of a supportive care bundle on sleep variables of preterm infants during hospitalization

Lan

Yang

Hsieh

et al. 2018

Research in Nursing & Health

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“…[29] We found that the combination of sucrose, facilitated tucking, and pacifier was the most effective, agreeing with Yin and others who also found that the same combination was most effective for heelstick pain in 110 infants. [30]…”

Section: Discussionmentioning

confidence: 99%

Does noninvasive electrical stimulation of acupuncture points reduce heelstick pain in neonates?

et al. 2016

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Aim Noninvasive electrical stimulation at acupuncture points (NESAP) for analgesia is used in children, but has not been widely studied in neonates. The purpose of this study was to determine if NESAP alone or in combination with sucrose relieved heelstick pain in neonates. Methods Term neonates (n=162) receiving routine heelsticks for newborn screening were enrolled following parental consent. All infants received facilitated tucking and nonnutritive sucking. Neonates were randomized to standard care, sucrose, NESAP, or sucrose plus NESAP. NESAP (3.5 mA, 10 Hz) or sham was administered over 4 acupuncture points. The Premature Infant Pain Profile (PIPP), heart rate variability (HRV), and salivary cortisol were used to measure heelstick pain. Results PIPP scores among all 4 treatment groups increased during heelstick, F (9,119) =1.95, p 0.05, and NESAP therapy had no significant effect on PIPP scores. However, PIPP scores from baseline to heelstick increased the most in the two groups not receiving sucrose (p<0.01). Mean PIPP scores remained below 5 during the heelstick in all four groups, indicating minimal or no pain. Differences in HRV and salivary cortisol among groups were insignificant. Conclusion NESAP at 3.5 mA, 10 Hz is not effective in relieving pain during heelsticks in neonates.

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“…Os locais em que os estudos selecionados aconteceram foram em Unidade Terapia Intensiva Neonatal (UTIN) (FIELD, 2016;COPIDIETRO et al, 2011;MOTTA, CUNHA, 2015;STEVENS et al, 2016;LIAW et al, 2013;GAO et al, 2016;YIN et al,2015) ou em Unidade de Cuidado Secundários Neonatais (SIMONSE et al,2011), alguns estudos não designaram o ambiente estudado (CODIPIETRO et al, 2008;SHAH;OHLSSON, 2011;SHAH et al, 2012;AAP, 2016).…”

Section: Local De Estudounclassified

“…Como respostas comportamentais dos RN ao uso da sacarose identificaram a diminuição do choro, na maioria dos estudos (SHAH et al, 2012;SHAH;OHLSSON, 2011;MOTTA, CUNHA, 2015;STEVENS et al, 2016;YAN et al, 2015;LIAW et al, 2013), a diminuição do escore da escala PIPP (CODIPIETRO et al, 2008;SIMONSE et al, 2011), a diminuição da mímica facial (MOTTA; CUNHA, 2015) e diminuição da extensão dos membros (YIN et al, 2015).…”

Section: Respostas Comportamentais Pelo Uso Da Sacaroseunclassified

Uso da sacarose para o alívio da dor: repercussão na amamentação materna durante a internação do recém-nascido a termo

Barbieratto¹

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Agradeço primeiramente a Deus, por me conceder o dom da vida e estar sempre presente nela e por me presentear com pessoas maravilhosas no decorrer de minha jornada. Aos meus pais, que são a base de tudo, que por muitas vezes estive ausente devido a correria e que sempre me entenderam e nunca me deixaram desistir. À minha filha de quatro patas, Alana, que me ajudou a superar as dificuldades com muito carinho e beijinhos. Ao meu namorado, Felipe, por todo apoio emocional e por toda paciência em sempre me ouvir falar sobre a mesma coisa durante esses anos e sempre disposto a me ajudar. Ao meu afilhado, Lucas, por ser um dos motivos da minha inspiração e meu melhor presente durante esses 2 anos. À minha família: madrinhas, padrinho, tias, tios, primas e primos, avós, sobrinhos que sempre me apoiaram e estiveram presente em minha vida. Em especial, para minhas primas Ana Maria e Paula, por serem minhas companheiras de vida, por sempre estarem presentes na minha vida e por me darem meus sobrinhos, Benício e Mateus e meu afilhado, Lucas, que são as minhas maiores alegrias. A minha prima Camila, por tentar me fazer ser fitness durante essa trajetória e me apoiar em momentos difíceis, a Minha Prima Tata, por ser esse doce de pessoa que me ajudou e orientou sobre as partes de metodologia e por me presentear com a nossa doce Clarinha. Às minhas amigas da graduação, Annie, Carolina, Jéssica e Luana, obrigada por todo carinho, mesmo que muitas vezes a distância, sempre estamos unidas em nossos corações. À Luana e a Glaucia, minhas amigas de pesquisa, por me ajudarem na formatação e diagramação do trabalho. À Dalila, por me ajudar na digitação do Banco de dados, uma tarefa árdua que fez com muito carinho. RESUMO BARBIERATTO, B. J. Uso da sacarose para o alívio da dor: repercussão na amamentação materna durante a internação do recém-n8.ascido a termo. 2018. 119f. Dissertação

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Development of atraumatic heel-stick procedures by combined treatment with non-nutritive sucking, oral sucrose, and facilitated tucking: A randomised, controlled trial

Cited by 34 publications

References 44 publications

Effects of a supportive care bundle on sleep variables of preterm infants during hospitalization

Effects of a supportive care bundle on sleep variables of preterm infants during hospitalization

Does noninvasive electrical stimulation of acupuncture points reduce heelstick pain in neonates?

Uso da sacarose para o alívio da dor: repercussão na amamentação materna durante a internação do recém-nascido a termo

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