Yıl: 2018 Cilt: 8 Sayı: 2 Sayfa Aralığı: 122 - 127 Metin Dili: İngilizce DOI: 10.5152/clinexphealthsci.2017.437 İndeks Tarihi: 10-11-2020

Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates

Öz:
Objective: One of the most frequently observed painful procedures duringnewborn hospitalization is the neonatal heel prick. The use of vibrationtherapy in newborn pain control can be a preferred method for its non-invasive, cheap, and easy applicability. This study aimed to evaluate effectiveness of mechanical vibration application to avoid pain sensation duringheel puncture in newborns.Methods: This was a prospective single-center, placebo-controlled,, prospectiverandomized study. The study sample composed of healthy neonates born between 37 and 42 weeks of gestation in Medeniyet University Göztepe Trainingand Research Hospital. Sixty healthy neonates born in the study hospital between September 2012 and March 2013 and who matched the inclusion criteriaafter parental consent was obtained were included in the study. Heel puncturewas applied to the infants during routine testing for phenylketonuria. It was recorded that all of the newborns demographic characteristics, heart rate,oxygensaturation and body tempature measurement at the process. All applicationswas saved to video camera, then displayed followed and the NIPS was scoredby the investigator. The Cronbach’s alpha coefficient for the NIPS scoring systemwas 0.85 during the procedure and 0.87 after the procedure in this study.Results: Before procedure and during procedure the NIPS point averageof the experiment group is calculated by (0.967±1.771) and (1.733±2.050). For the control group, before and during application the NIPS point average is (3,567±1,775) and (4,533±1,907), respectively (p<0.05). In bothgroups Newborns post-procedure NIPS score results was higher thanduring procedure NIPS score and it was statistically significant (p<0.05).Conclusion: Mechanical vibration is found to be effective in decreasingpain sensation in neonates.
Anahtar Kelime:

Yenidoğanlarda Topuk Delme İşleminde Ağrı Kontrolü ve Mekanik Vibrasyonun Etkisi

Öz:
Amaç: Topuk kanı alınması işlemi; yenidoğanların hastanede kaldığı sürede en sık uygulanan ağrılı girişimlerdendir. Mekanik vibrasyon yenidoğan ağrı kontrolünde tercih edilebilecek invaziv olmayan, ucuz ve kolay uygulanabilir bir yöntemdir. Çalışmamız yenidoğanlarda topuk delme işlemi sırasında oluşabilecek ağrı hissini engellenmek için mekanik vibrasyon uygulamasının etkinliğini test etmek amacıyla yapılmıştır. Yöntem: Araştırma randomize kontrollü, tek merkezli prospektif bir çalışma olarak Medeniyet Üniversitesi Göztepe Eğitim Araştırma Hastanesi’nde, 37-42 GH’ nda doğan sağlıklı term 60 yenidoğanda, Eylül 2012- Mart 2013 tarihleri arasında yapılmıştır. Çalışma alınma kriterlerini karşılayan yenidoğanların ebeveynlerinden onam alınmıştır. Topuk delme işlemi her yenidoğana yapılan fenilketonüri testi sırasında uygulanmıştır. Hastaların tamamının demografik özellikleri, işlem sürecindeki KTA, SPO2, vücut ısısı ölçümleri kaydedilmiştir. Tüm uygulamalar kameraya kaydedilmiş, sonrasında görüntüler izlenerek araştırmacı tarafından NIPS skorlaması yapılmıştır. Bu çalışmada NIPS puanlama sisteminin Cronbach’s alpha katsayısı işlem sırası için .85, işlem sonrası için .87 olarak bulunmuştur. Bulgular: Deney grubunun NIPS puan ortalaması işlem sırası ve işlem sonrası için (0,967±1,771) ve (1,733±2,050), kontrol grubunda ise sırası ile (3,567±1,775) ve (4,533±1,907) olarak belirlenmiştir (p<0,05). Her iki gruptaki yenidoğanların işlem sonrası NIPS puan sonuçları işlem sırasındakilerden istatistiksel olarak anlamlı yüksek bulunmuştur (p<0,05). Sonuç: Yenidoğanlarda ağrı algısının azaltılmasında ve ağrı kontrolünde mekanik vibrasyon yöntemi etkili bulunmuştur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Kaya F, Karakoc A (2018). Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. , 122 - 127. 10.5152/clinexphealthsci.2017.437
Chicago Kaya Fatos Nimet,Karakoc Ayse Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. (2018): 122 - 127. 10.5152/clinexphealthsci.2017.437
MLA Kaya Fatos Nimet,Karakoc Ayse Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. , 2018, ss.122 - 127. 10.5152/clinexphealthsci.2017.437
AMA Kaya F,Karakoc A Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. . 2018; 122 - 127. 10.5152/clinexphealthsci.2017.437
Vancouver Kaya F,Karakoc A Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. . 2018; 122 - 127. 10.5152/clinexphealthsci.2017.437
IEEE Kaya F,Karakoc A "Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates." , ss.122 - 127, 2018. 10.5152/clinexphealthsci.2017.437
ISNAD Kaya, Fatos Nimet - Karakoc, Ayse. "Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates". (2018), 122-127. https://doi.org/10.5152/clinexphealthsci.2017.437
APA Kaya F, Karakoc A (2018). Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. Clinical and Experimental Health Sciences, 8(2), 122 - 127. 10.5152/clinexphealthsci.2017.437
Chicago Kaya Fatos Nimet,Karakoc Ayse Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. Clinical and Experimental Health Sciences 8, no.2 (2018): 122 - 127. 10.5152/clinexphealthsci.2017.437
MLA Kaya Fatos Nimet,Karakoc Ayse Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. Clinical and Experimental Health Sciences, vol.8, no.2, 2018, ss.122 - 127. 10.5152/clinexphealthsci.2017.437
AMA Kaya F,Karakoc A Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. Clinical and Experimental Health Sciences. 2018; 8(2): 122 - 127. 10.5152/clinexphealthsci.2017.437
Vancouver Kaya F,Karakoc A Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates. Clinical and Experimental Health Sciences. 2018; 8(2): 122 - 127. 10.5152/clinexphealthsci.2017.437
IEEE Kaya F,Karakoc A "Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates." Clinical and Experimental Health Sciences, 8, ss.122 - 127, 2018. 10.5152/clinexphealthsci.2017.437
ISNAD Kaya, Fatos Nimet - Karakoc, Ayse. "Efficacy of Mechanical Vibration of Heel Stick Pain in Neonates". Clinical and Experimental Health Sciences 8/2 (2018), 122-127. https://doi.org/10.5152/clinexphealthsci.2017.437