The Effect of the Nurse's Compassionate Speech on the Pain Associated With Intravenous Catheter Insertion in Premature Neonates.

IF 1.3 4区 医学 Q3 NURSING
Reyhaneh Omidvar, Naghmeh Razaghi, Maryam Salari, Hasan Boskabadi
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Abstract

Background: Venipuncture is a common and painful procedure in the neonatal intensive care unit (NICU), Thus, there is a necessity for cost-effective, safe, and nonpharmacological interventions to alleviate pain associated with frequent and painful procedures in infants.

Objective: This study aimed to investigate the effect of compassionate speech by nurses on the pain caused by venipuncture in premature infants.

Method: This quasi-experimental study was conducted on 65 premature infants admitted to the neonatal intensive care units of the Imam Reza and Qaem hospitals in Mashhad, Iran. The control group received routine pain-reducing measures during the placement of the intravenous catheter, whereas the intervention group received the usual measures along with the nurse's voice before, during and after catheter insertion. The intensity of pain in the infants was measured via the Premature Infant Pain Profile at 4 time points. Data analysis was performed via SPSS version 26.

Results: The results of the Generalized Estimating Equations (GEE) test revealed that infants in the intervention group experienced 2.826 units less pain than those in the control group over time (P < .001).

Conclusion: The findings indicate that the presence of a nurse's voice positively influences pain reduction in infants undergoing painful procedures. It is advisable to implement this cost-effective approach, particularly in situations where the mother is not present.

护士同情言语对早产儿静脉置管疼痛的影响。
背景:静脉穿刺在新生儿重症监护病房(NICU)是一种常见且痛苦的手术,因此,有必要采用成本效益高、安全且非药物的干预措施来减轻与婴儿频繁且痛苦的手术相关的疼痛。目的:探讨护士同情言语对早产儿静脉穿刺疼痛的影响。方法:对伊朗马什哈德伊玛目礼萨和卡姆医院新生儿重症监护室收治的65名早产儿进行了准实验研究。对照组在置管过程中采取常规的镇痛措施,干预组在置管前、置管中、置管后均采取常规的镇痛措施,并有护士的提示。通过4个时间点的早产儿疼痛概况来测量婴儿的疼痛强度。数据分析采用SPSS 26。结果:根据广义估计方程(Generalized estimingequations, GEE)检验结果显示,干预组婴儿的疼痛随时间推移比对照组婴儿少2.826个单位(P < 0.001)。结论:研究结果表明,护士的声音的存在积极影响减轻疼痛的婴儿进行痛苦的程序。建议采用这种具有成本效益的办法,特别是在母亲不在场的情况下。
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来源期刊
CiteScore
1.60
自引率
7.70%
发文量
147
审稿时长
>12 weeks
期刊介绍: The Journal of Perinatal and Neonatal Nursing (JPNN) strives to advance the practice of evidence-based perinatal and neonatal nursing through peer-reviewed articles in a topic-oriented format. Each issue features scholarly manuscripts, continuing education options, and columns on expert opinions, legal and risk management, and education resources. The perinatal focus of JPNN centers around labor and delivery and intrapartum services specifically and overall perinatal services broadly. The neonatal focus emphasizes neonatal intensive care and includes the spectrum of neonatal and infant care outcomes. Featured articles for JPNN include evidence-based reviews, innovative clinical programs and projects, clinical updates and education and research-related articles appropriate for registered and advanced practice nurses. The primary objective of The Journal of Perinatal & Neonatal Nursing is to provide practicing nurses with useful information on perinatal and neonatal nursing. Each issue is PEER REVIEWED and will feature one topic, to be covered in depth. JPNN is a refereed journal. All manuscripts submitted for publication are peer reviewed by a minimum of three members of the editorial board. Manuscripts are evaluated on the basis of accuracy and relevance of content, fit with the journal purpose and upcoming issue topics, and writing style. Both clinical and research manuscripts applicable to perinatal and neonatal care are welcomed.
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