Impact of Kangaroo Mother Care on Heart Rate Variability and Pain Score with Heel Lance Pain in Preterm Neonates: A Cross-over Randomized Controlled Trial

Q4 Medicine Journal of Neonatology Pub Date : 2024-04-11 DOI:10.1177/09732179241239131
M. Jajoo, Medha Mittal, Diganta Saikia, Niraj Kumar
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Abstract

Introduction: To evaluate the effect of kangaroo care on response to pain due to heel lance in preterm infants using premature infant pain profile (PIPP). Design: Randomized cross-over design. Methods: Stable preterm neonates ( n = 70) who had completed 28–36 weeks of gestational age received either kangaroo mother care or were kept under control (bassinet) conditions for 30 minutes prior to a heel lance. The neonates were observed, and responses were scored as per PIPP. They were then crossed over to the other condition and scored similarly. The PIPP scores in the two study arms were then compared using appropriate statistical tools. Results: A total of 342 neonates were admitted during the study period, of which 95 were assessed for eligibility, and finally, 70 were included and randomized to be in one of the two arms. The facial actions differed in the two groups; the brow bulge and eye squeeze scores were significantly better at each observation in the KMC group. The nasolabial furrow score was significantly better at 60 and 90 seconds. The baseline PIPP scores were similar. In the KMC group, the scores were significantly lower at 30, 60, and 90 seconds post–heel lance. Conclusions: Kangaroo mother care is an effective way of reducing the physiological and behavioral effects of pain in preterm neonates.
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袋鼠妈妈护理对早产新生儿心率变异性和足跟疼痛评分的影响:交叉随机对照试验
简介利用早产儿疼痛档案(PIPP)评估袋鼠式护理对早产儿足跟穿刺疼痛反应的影响。设计:随机交叉设计。方法:随机交叉设计:胎龄在 28-36 周的稳定早产新生儿(n = 70)在足跟穿刺前接受袋鼠妈妈护理或在控制(摇篮)条件下保持 30 分钟。对新生儿进行观察,并按照 PIPP 对其反应进行评分。然后将新生儿换到另一种条件下,并进行类似的评分。然后使用适当的统计工具对两个研究组的 PIPP 评分进行比较。研究结果研究期间共接收了 342 名新生儿,其中 95 人通过了资格评估,最后有 70 人被纳入研究并随机分配到两个研究组中的一个。两组新生儿的面部动作存在差异;每次观察时,KMC 组的眉毛隆起和眼球挤压评分均明显优于 KMC 组。鼻唇沟得分在 60 秒和 90 秒时明显更好。基线 PIPP 分数相似。在 KMC 组,轮喷后 30 秒、60 秒和 90 秒的评分明显较低。结论袋鼠妈妈护理是减轻早产新生儿疼痛的生理和行为影响的有效方法。
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来源期刊
Journal of Neonatology
Journal of Neonatology Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.30
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0.00%
发文量
55
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