Effect of Mothers' Heartbeats Combined with Swaddling Technique on Orogastric Tube Insertion Pain among Preterm Neonates | ||||
| Egyptian Journal of Health Care | ||||
| Article 99, Volume 13, Issue 1, March 2022, Page 1457-1474 PDF (410.26 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2022.228203 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Rehab Ibrahim Mostafa Radwan1; Abeer Abd El-Razik Ahmed Mohammed2; Amina Mohamed Thabet3; Noha Mohamed Arafa4 | ||||
| 1Assistant professor, Pediatric Nursing, Faculty of Nursing, Damanhour University | ||||
| 2Assistant professor, Pediatric Nursing, Faculty of Nursing, Alexandria University | ||||
| 3Assistant professor, Pediatric Nursing, Faculty of Nursing, Sohag University | ||||
| 4Lecturer, Pediatric Nursing, Faculty of Nursing, Alexandria University | ||||
| Abstract | ||||
| Preterm neonates experience pain with various procedures within the Neonatal Intensive Care Unit (NICU). Significant evidence proves that controlling the neonatal pain is beneficial in improving physiological, behavioral, and hormonal outcomes. Thus, it is reasonable to manage preterm neonates’ pain by incorporating innovative non-pharmacological pain interventions that will help those neonates to cope with stressful situations. Aim: The aim of this study was to determine the effect of mothers' heartbeats combined with swaddling technique on Orogastric Tube (OGT) insertion pain among preterm neonates. Research Design: A quasi- experimental research design was used. Setting: The study was conducted at the NICU of Damanhour National Medical Institute, Damanhour City, Al-Behira Governorate, Egypt. Subjects: A convenience sampling of 60 preterm neonates comprised the study subjects. Those neonates were equally divided into a study group (listened to mothers' heartbeats combined with swaddling technique in addition to routine NICU care) and a control group (received NICU routine care only). Tools: Two tools were used to collect necessary data, namely, Characteristics and Medical History of Preterm Neonates, and Premature Infant Pain Profile (PIPP). Results: During OGT insertion, the pain score recorded for 80.0% of preterm neonates in the study group was less than or equal 6 which entails that OGT insertion did not cause pain. At the same time, 50.0% of those in the control group had slight to moderate pain as they obtained 7-12 pain score. Moreover, the mean PIPP score was 5±1.92 among preterm neonates in the study group compared to 9±3.43 among those in the control group and the difference was statistically significant where P=0.000. Immediately after OGT insertion, 93.3% of preterm neonates in the study group perceived no pain compared to 66.7% of those in the control group. Furthermore, the mean PIPP score reduced to 4.5±2.61 in the study group compared to 6±7.55 in the control group with a statistically significant difference (P= 0.000). Conclusion: It can be concluded that mothers' heartbeats combined with swaddling technique were effective in reducing preterm neonates' feeling with pain during and immediately after OGT insertion. Recommendation: mothers' heartbeats combined with swaddling technique should be incorporated in the NICU policies and the written guidelines concerning painful procedures. | ||||
| Keywords | ||||
| Mothers’ heartbeats; swaddling technique; orogastric tube insertion pain; preterm neonates | ||||
|
Statistics Article View: 269 PDF Download: 305 |
||||
