Multisensory stimulation to reduce procedural pain in retinopathy of prematurity: A randomized controlled trial.

IF 3 3区医学 Q1 NURSING

Nursing in Critical Care Pub Date : 2024-11-10 DOI:10.1111/nicc.13200

Halil Ibrahim Tasdemir

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引用次数: 0

Abstract

Background: Retinopathy is frequently seen in the neonatal intensive care unit (NICU), and its examination is a painful procedure for infants.

Aim: This randomized active-controlled trial aimed to investigate the impact of multisensory stimulation (MSS) on neonatal pain during retinopathy of prematurity (ROP) examinations, in comparison with a white noise (WN) and control group receiving standard care.

Study design: Conducted as a three-arm, randomized controlled trial, the study was implemented in the NICU of a local university hospital. Recruitment spanned from July 2023 to November 2023, with preterm infants (gestational age < 37 weeks) randomly assigned to either a MSS, WN or a control group. MSS components included visual, auditory, tactile, olfactory and gustatory stimuli, all designed to create a synergistic, comforting environment for the infant during the procedure. Procedural pain, heart rate and oxygen saturation were assessed at various stages before and after ROP examinations.

Results: Analysis of 90 participants revealed that the MSS group exhibited lower Premature Infant Pain Profile (PIPP) scores than the WN and control groups (mean difference: -2.12, 95% confidence interval [CI]: -2.62 to -1.62; odds ratio [OR]: 0.004, 95% CI [0.001, 0.012], p < 0.001). Additionally, heart rates were significantly lower in the MSS group (mean difference: -15.3 beats/min, 95% CI: -20.5 to -10.1; OR: 0.025, 95% CI [0.008, 0.073], p < .001) and oxygen saturation levels were higher (mean difference: 3.2%, 95% CI: 1.8% to 4.6%; OR: 1.12, 95% CI [1.05, 1.20], p < .001) than in the other groups.

Conclusions: MSS emerges as a favourable, safe and non-pharmacological intervention for pain management in ROP and similar procedures.

Relevance to clinical practice: Multisensory stimulation can be effectively integrated into the routine care provided by critical care nurses during retinopathy of prematurity examinations in preterm infants. This non-pharmacological intervention offers a practical approach for critical care nurses to reduce procedural pain and improve physiological stability in this vulnerable population.

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减少早产儿视网膜病变手术疼痛的多感官刺激：随机对照试验。

背景：目的：本随机主动对照试验旨在研究多感官刺激（MSS）对早产儿视网膜病变（ROP）检查过程中新生儿疼痛的影响，并与白噪声（WN）和接受标准护理的对照组进行比较：研究设计：该研究在当地一所大学医院的新生儿重症监护室进行，是一项三臂随机对照试验。招募时间为 2023 年 7 月至 2023 年 11 月，招募对象为早产儿（胎龄结果）：对 90 名参与者的分析表明，MSS 组的早产儿疼痛档案（PIPP）得分低于 WN 组和对照组（平均差异为-2.12，95% 置信度（P<0.01））：平均差异：-2.12，95% 置信区间 [CI]：-2.62 至-1.62；几率比 [OR]：0.004, 95% CI [0.001, 0.012], p 结论：多感官刺激疗法是一种有效、安全、非药物性的疼痛干预方法，可用于治疗视网膜病变及类似手术中的疼痛：在早产儿视网膜病变检查过程中，多感官刺激可有效融入重症监护护士提供的常规护理中。这种非药物干预为重症监护护士提供了一种实用的方法，可减轻程序性疼痛并改善这一弱势群体的生理稳定性。

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

Nursing in Critical Care NURSING-

CiteScore

6.00

自引率

13.30%

发文量

109

审稿时长

>12 weeks

期刊介绍： Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics. Papers published in the journal normally fall into one of the following categories: -research reports -literature reviews -developments in practice, education or management -reflections on practice