Effects of White Noise on Pain Scores and Salivary Cortisol Levels in Surgical Neonates: A Randomized Controlled Trial.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-06-01 Epub Date: 2024-05-30 DOI:10.1097/ANC.0000000000001167

Siya Lin, Li Li, Xuyan Ren, Chunxia Zhong, Kai Wu, Xiaoling Fang, Shaocong Liang, Xuedong Chen, Jingxia Chen, Liucheng Yang, Xiaowu Wang, Bin Wang

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引用次数: 0

Abstract

Background: Neonates experience varying intensities of pain after surgery. While white noise has been used for postoperative pain relief in infants, its effects on neonates after surgery need further exploration.

Purpose: This study aimed to evaluate the effects of white noise on pain scores and salivary cortisol levels in surgical neonates.

Methods: In this randomized controlled trial, 64 neonates scheduled for surgery were recruited and assigned by block randomization into 2 groups. The intervention group listened to white noise at 50 dB, while the control group listened to white noise at 0 dB, for 30 minutes 6 times for 48 hours postoperatively. Pain scores, measured by the COMFORTneo Scale, and salivary cortisol levels were compared.

Results: Although pain scores decreased after surgery in all subjects, no statistically significant difference was observed between the 2 groups (P = .937). There was a significant difference between pre- and postintervention pain scores in the intervention group only (P = .006). Salivary cortisol levels decreased after intervention in the intervention group, but there was no significant difference between pre- and postintervention levels in the 2 groups (P = .716).

Implications for practice: Given the reduction in pain scores and salivary cortisol concentrations after white noise intervention, white noise shows potential as an adjunctive soothing measure for neonates after surgery.

Implications for research: Future studies are needed to confirm the efficacy and utility of white noise intervention in clinical settings.

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白噪声对手术新生儿疼痛评分和唾液皮质醇水平的影响：随机对照试验

背景：新生儿在手术后会经历不同程度的疼痛。目的：本研究旨在评估白噪声对手术新生儿疼痛评分和唾液皮质醇水平的影响：在这项随机对照试验中，共招募了 64 名计划接受手术的新生儿，并通过整群随机法将其分为两组。干预组听 50 分贝的白噪音，对照组听 0 分贝的白噪音，每次 30 分钟，术后 48 小时内听 6 次。通过 COMFORTneo 量表测量疼痛评分，并比较唾液皮质醇水平：结果：虽然所有受试者的术后疼痛评分都有所下降，但两组之间的差异无统计学意义（P = .937）。只有干预组在干预前和干预后的疼痛评分之间存在明显差异（P = .006）。干预组干预后唾液皮质醇水平下降，但两组干预前和干预后的水平无明显差异（P = .716）：对实践的启示：鉴于白噪音干预后疼痛评分和唾液皮质醇浓度降低，白噪音显示出作为新生儿术后辅助舒缓措施的潜力：研究启示：今后需要开展研究，以确认白噪音干预在临床环境中的有效性和实用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.