Effects of Sucrose and Kangaroo Care on Pain Alleviation Among Preterm Neonates Undergoing Invasive Procedures
American Journal of Nursing Science
Volume 5, Issue 4, August 2016, Pages: 146-151
Received: Jun. 22, 2016; Accepted: Jul. 1, 2016; Published: Jul. 28, 2016
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Azza A. Ghoneim, Department of Pediatric Nursing, Faculty of Nursing, Menoufia University, Shebin El-Kom, Egypt
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Background: Persistent neonatal pain due to numerous painful procedures can result in serious consequences of the newborn. Effective pain management is required to promote physiologic stability and positive developmental outcomes in preterm infants. Aims of this study were to examine the effect of sucrose and kangaroo care on pain alleviation among preterm neonates undergoing invasive procedures and compare between sucrose versus kangaroo care on pain alleviation among preterm neonates undergoing invasive procedures. It hypothesized that sucrose and kangaroo care would be effective measures to alleviate procedural pain. The Design of this study was quasi-experimental research design. A sample of 60 neonates was selected to carry out this study then they were randomized to receive (a) sucrose (n =20), (b) kangaroo care (n =20), or (c) routine care (n =20). Setting of this study was health care center for neonates. Tool of this study was Premature Infant Pain Profile (PIPP) (Stevens et al., 1996). Results showed that there was significant difference in PIPP score among preterm neonates within the three groups at 30 seconds and 1 minute (P < 0.001**). Mean PIPP scores for sucrose, kangaroo care and routine care were 8.1 ±3.22, 9.76 ±3.04 and 10.15 ±2.64 respectively. Conclusion: sucrose is the most effective intervention for alleviation of procedural pain in neonates. Therefore, sucrose is a recommended analgesic for premature neonates.
Preterm Neonates, Procedural Pain, Sucrose and Kangaroo Care
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Azza A. Ghoneim, Effects of Sucrose and Kangaroo Care on Pain Alleviation Among Preterm Neonates Undergoing Invasive Procedures, American Journal of Nursing Science. Vol. 5, No. 4, 2016, pp. 146-151. doi: 10.11648/j.ajns.20160504.14
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Stevens B, Johnston C, Petryshen P, Taddio A. Premature infant pain profile: development and initial validation. Clin J Pain. 1996; 12: 13–22.
Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, et al. (2012). National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012 Jun 9; 379 (9832): 2162-72. doi: 10.1016/S0140-6736 (12) 60820-4.
Furdon A. s., Rosenkrantz T., Clark D. and Windle M. (2014). Prematurity Clinical Presentation. http://emedicine.medscape.com/article/975909-clinical.
Hassanein, S (2011). Autologous Umbilical Cord Blood Transfusion for Preterm Neonates. Ain Shams University, Medical School. Cairo, Egypt.
Lawn J. E., Davidge R., Paul V., Xylander S., Johnson J. D., Costello A., Kinney M, Segre M. and Molyneux L. (2012). Chapter 5: Care for the preterm baby. www.who.int/pmnch/media/news/2012/borntoosoon_chapter5.pdf
Simons SH, van Dijk M, van Lingen RA et al. Do we still hurt newborn babies? A prospective study of procedural pain and analgesia in neonates. Arch Pediatr Adolesc Med 2003; 157 (11): 1058–64.
Gibbins S, Maddalena P, Moulsdale W, et al. Pain assessment and pharmacologic management for infants with NEC: a retrospective chart audit. Neonatal Netw. 2006; 25: 339–345.
Stevens B, Yamada J, Lee Y G., Ohlsson A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database of Systematic Reviews 2013, Issue 1. Art. No.: CD001069. DOI: 10.1002/14651858.CD001069.pub4.
American Academy of Pediatrics (the Committee on Fetus and Newborn; Committee on Drugs; Section on Anesthesiology; and Section on Surgery), Canadian Paediatric Society (the Fetus and Newborn Committee). Prevention and management of pain and stress in the newborn infant. Pediatrics 2000; 105: 454-61.
Anand KJ; International Evidence-Based Group for Neonatal Pain. Consensus statement for the prevention and management of pain in the newborn. Archives of Pediatrics and Adolescent Medicine 2001; 155: 173-80.
Anand KJS, Stevens BJ, McGrath PJ. Future direction for clinical research in infancy. In: Pain in Neonates and Infants. Amsterdam: Elsevier, 2007: 299-309.
Carbajal R, Rousset A, Danan C, Coquery S, Nolent P, Ducrocq S, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. Journal of the American Medical Association 2008; 300: 60-70.
Anand KJ, Scalzo FM. Can adverse neonatal experiences alter brain development and subsequent behavior? Biol Neonate. 2000; 77: 69– 82
Walden M., Gibbins S. (2008). Pain Assessment and Management, Guideline for practice; 2nd edition.
McGrath JM, Braescu AV. State of the science: feeding readiness in the preterm infant. J Perinat Neonatal Nurs. 2004 Oct-Dec; 18 (4): 353-68; quiz 369-70.
Hatifield N. (2003). Bro Adribb's Introductory Pediatric Nursing. 6th ed., Lippincot Williams and Wilkins. Philadelphia. Chapter 15, Pp 320-322.
Allen, T. (2009). Massage for Growth & Development. Retrived May 20, 2010 from http://www.info@liddlekidz.com
Anand, D., Kantak, M. & John T. (2009). Respiratory Distress Syndrome in Neonates. Retrieved June 7, 2010 from http://www.merck.com/mmpe/sec19/ch277/ch277a.html.
Johnston CC, Sherrard A, Stevens B, Franck L, Stremler R, Jack A. Do cry features reflect pain intensity in preterm neonates? A preliminary study. Biol Neonate. 1999; 76: 120–124
B. Stevens, C. Johnston, L. Franck, P. Petryshen, A. Jack, and G. Foster, “The efficacy of developmentally sensitive interventions and sucrose for relieving procedural pain in very low birth weight neonates,” Nursing Research, vol. 48, no. 1, pp. 35–43, 1999.
Gibbins S, Stevens B, Hodnett E, Pinelli J, Ohlsson A, Darlington G. Efficacy and safety of sucrose for procedural pain relief in preterm and term neonates. Nurs Res. 2002; 51: 375–82.
Slater R, Worley A, Fabrizi L, et al. Evoked potentials generated by noxious stimulation in the human infant brain. Eur J Pain. 2010; 14: 321–326.
Harrison D, Beggs S, Stevens B. Sucrose for procedural pain management in infants. Pediatrics. 2012; 130: 918–925. doi: 10.1542/peds. 2011-3848
Acharya AB, Annamali S, Taub NA, Field D. Oral sucrose analgesia for preterm infant venepuncture. Arch Dis Child Fetal Neonatal Ed. 2004; 89: F 17–F 18.
Gray L, Watt L, Blass EM. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics 2000 Jan; 105: e 14
Firoozeh Sajedi, Zahra Kashaninia, Mehdi Rahgozar, Fariba Asadi Noghabi. (2007). The Effect of Kangaroo Care on Physiologic Responses to Pain of an Intramuscular Injection in Neonates. Iranian Journal of Pediatrics, http://ijp.tums.ac.ir/index.php/ijp CrossRefMedlineWeb of Science.
Johnston CC, Filion F, Campbell-Yeo M, Goulet C, Bell L, McNaughton K, Byron J, Aita M, Finley GA, Walker CD. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: a crossover trial. BMC Pediatr. 2008 Apr 24; 8: 13. doi: 10.1186/1471-2431-8-13.
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