Effect of White Noise on Pain Response, Heart Rate, and Oxygen Saturation During Heel Puncture in Premature Infants: A Randomized Controlled Trial.

IF 1.5 4区医学 Q3 NURSING Journal of Perinatal & Neonatal Nursing Pub Date : 2024-07-01 Epub Date: 2024-07-29 DOI:10.1097/JPN.0000000000000779

Min Hye Kim, Ju-Eun Song, Jeong-Ah Ahn, Mi-Ae You

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Abstract

Objective: This study aimed to investigate the effect of white noise on pain response, heart rate, and oxygen saturation during heel puncture in premature infants.

Methods: A randomized, controlled, pretest-posttest design was used. The participants were premature infants admitted to the neonatal intensive care unit of a university hospital in Gyeonggi Province. Sixty premature infants were assigned to either an experimental ( n = 30) or control ( n = 30) group. The experimental group was exposed to white noise during heel puncture, and the measured variables were pain response, heart rate, and oxygen saturation. The data were analyzed using the independent t test, chi-squared test, and analysis of covariance.

Results: Premature infants in the experimental group had a lower pain response and heart rate than the control group ( F = 81.26, P < .01; F = 7.05, P = .01), and higher oxygen saturation than the control group ( F = 4.76, P = .03).

Conclusion: These results demonstrated that the white noise intervention is an effective nursing intervention to reduce the pain response and stabilize heart rate and oxygen saturation in premature infants during heel puncture.

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白噪声对早产儿足跟穿刺疼痛反应、心率和血氧饱和度的影响:一项随机对照试验。

目的:探讨白噪声对早产儿足跟穿刺疼痛反应、心率和血氧饱和度的影响。方法:采用随机、对照、前测后测设计。研究对象是京畿道某大学医院新生儿重症监护病房的早产儿。60名早产儿被分为实验组(n = 30)和对照组(n = 30)。实验组在足跟穿刺过程中暴露于白噪声中，测量疼痛反应、心率、血氧饱和度。资料分析采用独立t检验、卡方检验和协方差分析。结果:实验组早产儿疼痛反应和心率均低于对照组(F = 81.26, P < 0.01;F = 7.05, P = 0.01)，血氧饱和度高于对照组(F = 4.76, P = 0.03)。结论:白噪声干预是一种有效的护理干预，可降低早产儿足跟穿刺时的疼痛反应，稳定早产儿心率和血氧饱和度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatal & Neonatal Nursing 医学-妇产科学

CiteScore

1.60

自引率

7.70%

发文量

147

审稿时长

>12 weeks

期刊介绍： The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.