Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-09-03 DOI:10.1111/ijn.70051

Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak

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引用次数: 0

Abstract

Aims

This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO₂), physiological parameters, pain and comfort of premature infants during heel blood collection.

Methods

This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (n = 22), facilitated tucking with positioning bed group (n = 22) and routine procedure control group (n = 22); rSO₂, physiological parameters, pain and (dis)comfort were assessed.

Results

In the facilitated tucking with positioning bed group, rSO₂ and oxygen saturation (SpO₂) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (p < 0.001). According to the results of the analysis, the effect size was moderate for rSO₂, body temperature, heart rate and SpO₂ and large for respiratory rate, comfort and pain.

Conclusions

Positioning bed can help stabilize rSO₂ and physiologic parameters, increase comfort and reduce pain in premature infants.

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便利收纳对早产儿足跟采血时脑氧合、生理参数、舒适度和疼痛的影响：一项随机对照试验

目的探讨手助收（FT）和定位床对早产儿足跟采血过程中脑氧合（rSO2）、生理参数、疼痛和舒适度的影响。方法本前瞻性、单盲、随机对照试验于2020年12月至2021年10月在基耶医学院附属医院新生儿三级重症监护室进行。采用手辅助收纳组（n = 22）、定位床辅助收纳组（n = 22）和常规手术对照组（n = 22）采集足跟血液；评估rSO2、生理参数、疼痛和不适。结果定位床辅助收纳组患者术中及术后rSO2、SpO2均显著高于其他两组，呼吸频率、疼痛评分显著低于其他两组，舒适程度显著高于其他两组。此外，在手术过程中，方便收纳与定位床组的心率明显低于其他两组（p < 0.001）。分析结果显示，rSO2、体温、心率和SpO2的效应大小中等，呼吸频率、舒适度和疼痛的效应大小较大。结论定位床有助于稳定早产儿的rSO2和生理参数，增加早产儿的舒适度，减轻早产儿的疼痛。

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

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.