The Effect of Breastfeeding on the Newborn's Comfort and Pain Levels During Heel Blood Collection.

I Lknur Bektas, Serap Şule Oktay, Pınar Köylü, Handan Ulu, Aslı Akdeniz Kudubeş
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Abstract

This research was planned to determine the effect of breastfeeding on newborns' behavioral pain and comfort scores during heel blood collection. A pretest/posttest experimental-control group design was used. The research was conducted between August 2021 and June 2022. A total of 50 newborns, including 25 in each of the experimental and control groups, were included in the study. An Infant Descriptive Information Form, the COMFORTneo Behaviour Scale, the NIPS-Neonatal Infant Pain Scale, and the LATCH Breastfeeding Diagnosis and Assessment Tool were used in the study. The comfort behaviors and pain scores of infants in the experimental and control groups were evaluated during the heel blood collection process. The comparison of the comfort behaviors (comfort, pain, and distress), differences between pretest-posttest scores on the NIPPS pain score, and crying duration of the newborns in the experimental and control groups indicated a significant difference (p 0.05). The intra-group differences between the mean pretest and posttest scores of both the intervention and control groups were found to be statistically significant (p 0.05). Breastfeeding is an important nursing intervention for reducing procedural pain in newborns. The breastfeeding method reduces pain and distress and increases comfort for newborns during the heel blood collection process.

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母乳喂养对新生儿足跟采血时舒适度和疼痛程度的影响。
这项研究旨在确定母乳喂养对新生儿足跟采血过程中行为疼痛和舒适评分的影响。采用前测/后测实验对照组设计。该研究于2021年8月至2022年6月期间进行。共有50名新生儿参与了这项研究,其中实验组和对照组各有25名。研究中使用了婴儿描述性信息表、COMFORTneo行为量表、NIPS新生儿疼痛量表和LATCH母乳喂养诊断和评估工具。在足跟采血过程中评估实验组和对照组婴儿的舒适行为和疼痛评分。舒适行为(舒适、疼痛和痛苦)的比较,NIPPS疼痛评分的测试前-测试后评分之间的差异,实验组和对照组新生儿哭闹时间差异有统计学意义(p0.05)。干预组和对照对照组的测试前和测试后平均得分之间的组内差异具有统计学意义(p>0.05)。母乳喂养是减少新生儿手术疼痛的重要护理干预措施。母乳喂养的方法减少了疼痛和痛苦,并增加了新生儿在足跟采血过程中的舒适度。
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