Comparison of different methods for reducing pain during a heel lance in newborns: a randomized trial.

IF 3.1 3区医学 Q1 PEDIATRICS Italian Journal of Pediatrics Pub Date : 2025-03-12 DOI:10.1186/s13052-025-01916-w

Tuğba Karga Yilmaz, Betul Yavuz

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Abstract

Background: This study aimed to compare three different methods [breastfeeding, skin-to-skin contact (SSC), swaddling + holding] to reduce the pain felt by term newborns during a heel lance (HL).

Methods: This was a randomized three-group experimental study. The study sample included 90 newborns, 30 in each group. The data were collected using a pulse oximeter, a voice recorder, an Information Form, the Neonatal Infant Pain Scale (NIPS). The newborns' pain level, heart rate, and oxygen saturation were measured at three different times.

Results: No difference was found between the groups' mean NIPS scores before the HL procedure (p > 0.05). The mean NIPS scores 10 s after the procedure started and after the HL procedure were the lowest in the breastfeeding group, followed by the SSC and swaddling + holding groups (p < 0.05). There was no difference between the groups' mean heart rates before the procedure; however, there was a significant difference 10 s after the procedure started and after the procedure (p < 0.05).

Conclusion: Breastfeeding is the most effective method to reduce pain during and after HL procedures in term newborns, followed by SSC and swaddling + holding.

Trial registration: This study was retrospectively registered at ClinicalTrials.gov with the registration number NCT05797532 (date: 04.04.2023).

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新生儿足跟穿刺时减轻疼痛的不同方法的比较：一项随机试验。

背景：本研究旨在比较三种不同的方法[母乳喂养，皮肤接触（SSC），襁褓+抱]来减轻足月新生儿在脚跟穿刺（HL）过程中感受到的疼痛。方法：采用随机三组实验研究。研究样本包括90名新生儿，每组30名。使用脉搏血氧仪、录音机、信息表、新生儿疼痛量表（NIPS）收集数据。在三个不同的时间测量新生儿的疼痛程度、心率和血氧饱和度。结果：两组患者行HL术前NIPS平均评分差异无统计学意义（p < 0.05）。手术开始后和HL手术后10 s NIPS平均评分最低的是母乳喂养组，其次是SSC组和襁褓+抱着组(p结论：母乳喂养是减轻足月新生儿HL手术期间和术后疼痛最有效的方法，其次是SSC组和襁褓+抱着组。试验注册：本研究在ClinicalTrials.gov上回顾性注册，注册号为NCT05797532（日期：04.04.2023）。

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来源期刊

Italian Journal of Pediatrics PEDIATRICS-

CiteScore

6.10

自引率

13.90%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues. The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field. Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.