{"title":"The effects of virtual reality and stress ball distraction on procedure-related emotional appearance, pain, fear, and anxiety during phlebotomy in children: A randomized controlled study","authors":"Gülçin Özalp Gerçeker RN, PhD (Assoc. Prof.) , İlknur Bektaş RN, PhD (Assoc. Prof.) , Figen Yardımcı RN, PhD (Assoc. Prof.)","doi":"10.1016/j.pedn.2024.08.029","DOIUrl":"10.1016/j.pedn.2024.08.029","url":null,"abstract":"<div><h3>Background</h3><p>Virtual reality (VR) and stress balls can be used during phlebotomy in school-age children.</p></div><div><h3>Objectives</h3><p>This randomized controlled study was conducted to evaluate the effect of distraction methods using VR and stress balls on the emotional behavior, pain, fear, and anxiety associated with phlebotomy in children aged 7–12.</p></div><div><h3>Methods</h3><p>A parallel trial with a three-arm design approach was adopted for this randomized controlled trial, guided by the CONSORT checklist. The study sample (<em>n</em> = 150) was divided into VR, stress ball, and control group using stratified randomization. The mean scores obtained from the Children's Emotional Manifestation Scale, Wong-Baker FACES Pain Rating Scale, Child Anxiety Scale-State, and Child Fear Scale were compared between the groups. Linear regression analysis and correlation analysis were performed.</p></div><div><h3>Results</h3><p>Significant differences were found in phlebotomy-related pain, fear, and anxiety. While there was no difference in emotional behavior before the phlebotomy, a significant difference was found after the phlebotomy. Being in the virtual reality group explained 30.8 % of the difference between the before and after phlebotomy-related-emotional behavior scores. A strong, positive, and significant relationship was found between emotional behavior scores after phlebotomy and phlebotomy-related fear, pain, and anxiety scores (<em>p</em> < .01).</p></div><div><h3>Conclusion</h3><p>Virtual reality and stress ball distraction were found to be effective in reducing pain, fear, and anxiety during phlebotomy. Virtual reality distraction is effective in reducing negative emotional behaviors.</p></div><div><h3>Application to practice</h3><p>The VR distraction can be used in the pediatric population in pain, fear, anxiety, and emotional behavior management during phlebotomy.</p><p><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> Identifier: <span><span>NCT05818761</span><svg><path></path></svg></span></p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 197-204"},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayşe Ay , Eyşan Hanzade Savaş , Aylin Akça Sumengen , İlçim Ercan Koyuncu , Münevver Erkul , Remziye Semerci
{"title":"A qualitative exploration of nurses' views on technology-based interventions in pediatric oncology care","authors":"Ayşe Ay , Eyşan Hanzade Savaş , Aylin Akça Sumengen , İlçim Ercan Koyuncu , Münevver Erkul , Remziye Semerci","doi":"10.1016/j.pedn.2024.09.011","DOIUrl":"10.1016/j.pedn.2024.09.011","url":null,"abstract":"<div><h3>Objectives</h3><p>Recent technological advancements offer tools for pediatric oncology care, but their integration into clnical practice is still under research. This study aimed to explore pediatric oncology nurses' perspectives on integrating technology-based interventions into care.</p></div><div><h3>Methods</h3><p>A descriptive phenomenological qualitative study was conducted with 13 pediatric oncology nurses. The focus groups were led by the research members, and each group included four to five participants. Nurses were asked to discuss their perceptions of the technology-based intervention, the type of technology used in the clinic, and the advantages and disadvantages of the technology. The focus groups were audio-recorded and professionally transcribed. The transcripts were analyzed thematically by two study team members using MAXQDA. The Consolidated Criteria for Reporting Qualitative Research were followed.</p></div><div><h3>Results</h3><p>The mean age of nurses was 38.46 ± 5.23 years and 92.3 % had more than 10 years of professional experience. As a result of the focus group interviews, three main themes and seven sub-themes were identified. These main themes included: (i) Need for competence and training for technology-based interventions, (ii) Effectiveness of technology-based interventions in pediatric patient care, and (iii) Challenges in integrating technology-based interventions into care.</p></div><div><h3>Conclusion</h3><p>The study found that from the perspective of pediatric oncology nurses, technology-based interventions have multifaceted benefits and are effective in improving patient outcomes and care; however, nurses' limited ability to use technology-based interventions restricts them from integrating their care.</p></div><div><h3>Implications to practice</h3><p>It is recommended that nurses should be trained on technology-based interventions and the safe use of these interventions.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 205-212"},"PeriodicalIF":2.1,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
İdil Ada Aydos , Remziye Semerci , Eyşan Hanzade Savaş , Arda Gülersoy , Hakan Ürey
{"title":"Golden Breath: Feasibility and acceptability of a biofeedback-based virtual reality game on reducing children's needle-related pain and fear","authors":"İdil Ada Aydos , Remziye Semerci , Eyşan Hanzade Savaş , Arda Gülersoy , Hakan Ürey","doi":"10.1016/j.pedn.2024.09.008","DOIUrl":"10.1016/j.pedn.2024.09.008","url":null,"abstract":"<div><h3>Background</h3><p>Needle procedures can cause pain and fear in children. Current literature reports that biofeedback-based virtual reality applications may help alleviate children's pain and fear. This study aims to evaluate the feasibility, acceptability, and safety of the newly developed game Golden Breath, which uses biofeedback-based virtual reality to reduce children's needle-related pain and fear.</p></div><div><h3>Methods</h3><p>The development of Golden Breath includes; (1) development of the application's features based on needs assessment, (2) gamification of the application content based on literature, (3) development of the prototype, (4) expert evaluation and feedback on the application content, (5) usability testing by 11 children (4–12 years).</p></div><div><h3>Results</h3><p>Regarding acceptability, the expert evaluation showed a high usability of the system. All children provided positive feedback and reported high satisfaction with Golden Breath. The game was feasible and effective for reducing children's pain and fear levels during needle procedures. Golden Breath was deemed safe for children because it did not cause symptoms such as dizziness, vomiting, or nausea.</p></div><div><h3>Conclusion</h3><p>The expert evaluation, children's feedback, and pilot study results showed that the Golden Breath game is feasible, acceptable, and safe for children during the needle-related procedure. The pilot study revealed that the Golden Breath game effectively reduced pain and fear during blood sampling in children.</p></div><div><h3>Practice to implications</h3><p>It is recommended that healthcare professionals use Golden Breath to optimize the well-being of children receiving treatment for chronic and acute diseases.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 186-196"},"PeriodicalIF":2.1,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hilal Kurt Sezer , Sibel Küçükoğlu , Abdullah Canbal
{"title":"The effectiveness of an individual and family self-management theory-based education program given for adolescents with epilepsy and parents: Randomized controlled trial","authors":"Hilal Kurt Sezer , Sibel Küçükoğlu , Abdullah Canbal","doi":"10.1016/j.pedn.2024.08.026","DOIUrl":"10.1016/j.pedn.2024.08.026","url":null,"abstract":"<div><h3>Background</h3><p>This study focused on an online education program based on Individual and Family Self-Management Theory.</p></div><div><h3>Purpose</h3><p>The study investigated whether the education program affected adolescents' attitudes toward epilepsy, seizure self-efficacy, quality of life, and their parents' perceived nurse-support levels.</p></div><div><h3>Methods</h3><p>The study is a single-blind, randomized, controlled trial. The study was conducted in the pediatric neurology outpatient clinic of a medical hospital between January 2021 and April 2022 in Konya. The sample consisted of adolescents with epilepsy (<em>n</em> = 36) and their parents (n = 36). The intervention group attended the education program in three main sessions, two weeks apart. The control group received routine education. Data were collected using a Child Demographics Form (CDF), a Parent Demographics Form (PDF), the Child Attitude Toward Illness Scale (CATIS), the Self-Efficacy Scale for Children with Epilepsy (SSES-C), the Pediatric Quality of Life Inventory (PedsQL), and the Nurse Parents Support Tool (NPST). The data were analyzed using descriptive statistics, Pearson's chi-square test, Fisher's Exact test, independent samples <em>t</em>-test, Mann-Whitney <em>U</em> test, Mixed design ANOVA analysis, Cohen's d, and 95 % confidence interval. This study adhered to CONSORT research guidelines.</p></div><div><h3>Results</h3><p>The intervention group adolescents had a significantly higher mean of all scale scores than the control group adolescents. The intervention group parents had a significantly higher mean NPST score than the control group parents.</p></div><div><h3>Conclusion</h3><p>Healthcare professionals should organize theory-based online education programs for adolescents and their parents at regular intervals for the self-management of epilepsy in special situations, such as pandemics, where face-to-face education is impossible.</p></div><div><h3>Practice implications</h3><p>The study revealed that, unlike existing cues that highlight the effectiveness of face-to-face education, online interventions will strengthen epilepsy self-management of children with epilepsy and their parents. In extreme situations where face-to-face education has to be postponed for a long time and in routine education interventions, it is recommended to plan and implement online education so that children with chronic diseases can maintain their self-management.</p><p>ClinicalTrials: The paper is registered in the Clinical Trials database (<span><span>NCT04822662</span><svg><path></path></svg></span>).</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 171-180"},"PeriodicalIF":2.1,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of open and closed suctioning systems on neonatal pain and vital signs in neonatal intensive care units","authors":"Aslı Alaca MSc , Hatice Yildirim Sari , Hanife Karaöz , Hatice Akın Bostan , Defne Engür","doi":"10.1016/j.pedn.2024.09.007","DOIUrl":"10.1016/j.pedn.2024.09.007","url":null,"abstract":"<div><h3>Background</h3><p>Endotracheal suctioning is a procedure used by neonatal intensive care unit nurses to maximize oxygenation and clear airways of secretions, and is one of the most common painful procedures causing stress in intubated newborns.</p></div><div><h3>Aim</h3><p>This aim of this study is to compare the effects of open and closed endotracheal suctioning on pain, peak heart rate and oxygen saturation in neonates on mechanicalventilation.</p></div><div><h3>Materials and methods</h3><p>This experimental-design study was conducted on 30 newborns who were mechanically ventilated in the tertiary neonatal intensive care unit of a public hospital. First, closed suctioning and then open suctioning was performed on patients during the day. Pain, peak heart rate and oxygen saturation levels were evaluated before, during and 30 min after each suctioning procedure.</p></div><div><h3>Results</h3><p>Of the newborns included in the study, 53.3 % were male and 36.6 % were admitted to intensive care unit due to a heart defect. No statistically significant differences were found in pain, peak heart rate, or oxygen saturation between the open and closed suctioning methods. However, oxygen saturation levels during suctioning were lower compared to levels before and 30 min after the procedure. Additionally, peak heart rate was lower during suctioning compared to 30 min afterward.</p></div><div><h3>Conclusions</h3><p>The study concludes that there is no significant difference between open and closed suctioning techniques concerning pain, peak heart rate, and oxygen saturation.</p></div><div><h3>Implications to practice</h3><p>Given its sterility and ease of use, the closed suction method may be preferable in clinical settings.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 181-185"},"PeriodicalIF":2.1,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Content validation of the nursing diagnosis “ineffective protection” in the context of adolescents with cancer","authors":"Marília Mendes Nunes , Marcos Venícios de Oliveira Lopes , Viviane Martins da Silva , Lívia Maia Pascoal , Yanka Alcântara Cavalcante , Janaína Calisto Moreira","doi":"10.1016/j.pedn.2024.09.003","DOIUrl":"10.1016/j.pedn.2024.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the relevance of a set of clinical elements to represent the content domain of the nursing diagnosis Ineffective Protection.</p></div><div><h3>Design and methods</h3><p>This study employed content validation, using expert judgment to assess the appropriateness of clinical indicators, etiological factors, and conceptual and operational definitions, integrating the collective wisdom framework, the theory of predictive diversity, and the determination of rater skill level.</p></div><div><h3>Results</h3><p>From the middle range theory, 28 clinical indicators and 17 etiological factors were identified, which were rated by 34 raters. The analysis showed that the clinical indicators restlessness and insomnia and the etiological factors ambient temperature and humidity were not considered relevant for the nursing diagnosis of Ineffective Protection, because the median content validity index was lower than 0.9.</p></div><div><h3>Conclusions</h3><p>Content validation verified that most of the components of the nursing diagnosis of Ineffective Protection were considered relevant by judges.</p></div><div><h3>Practical implications</h3><p>It is believed that the data obtained can help nurses to more easily evaluate the related factors and clinical indicators of Ineffective Protection presented by adolescents with cancer, which favors the process of diagnostic inference.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 164-170"},"PeriodicalIF":2.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessing the maturity of the “Family Centered Care” concept: A review of concept analyses studies","authors":"Mohammad Al-Motlaq BSN, RN, MBS, PhD , Mandie Foster RN, PG Dip/Cert, PhD , Maggie Zgambo RN, MSc, PhD , Sarah Neill RGN, RSCN, MSc, PGDE, PhD","doi":"10.1016/j.pedn.2024.09.004","DOIUrl":"10.1016/j.pedn.2024.09.004","url":null,"abstract":"<div><h3>Background</h3><p>Concept analysis studies play major role in clarifying and operationalizing concepts. This approach has been used to clarify and advance knowledge about the concept of Family Centred Care (FCC). The concept of FCC has been studied by many nursing scholars using different methods.</p></div><div><h3>Aim</h3><p>This review aimed to combine outcomes of concept analysis studies to assess the level of maturity of the concept of Family Centred Care.</p></div><div><h3>Methods</h3><p>Formal electronic databases (MEDLINE and CINAHL) and informal (Google Scholar) were searched using the terms “Family Centred Care” and “concept analysis”. The Morse concept maturity evaluation approach was used to appraise the retrieved studies.</p></div><div><h3>Results</h3><p>35studies were identified of which12 met the inclusion criteria and were included in the analysis. Three studies used Walker and Avant concept analysis methodology, three applied the Rodgers evolutionary model while six applied modified mixed/hybrid approaches. While a few provided a definition of FCC, none have been able to confirm the maturity of the concept. This review summarized the different trials to analyze the concept of FCC supporting the rethinking of the model and emergence of new models such as Child and Family Centred Care (CFCC).</p></div><div><h3>Implications</h3><p>Concept analyses should be done periodically to assess the maturity of emerging concepts. Previously published FCC concept analyses manuscripts show the concept has evolved and gained significant recognition and acceptance over time. A clearer definition of FCC supports its positive impact on patient outcomes. A comprehensive FCC tool that can evaluate the effective delivery of FCC is needed.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 150-156"},"PeriodicalIF":2.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Turkish validity and reliability study of the Baby-Led Weaning Scale","authors":"Eda Gülbetekin Ph.D , Umut Uyar Ph.D","doi":"10.1016/j.pedn.2024.09.006","DOIUrl":"10.1016/j.pedn.2024.09.006","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study was to test the psychometric properties of the Turkish version of the Baby-Led Weaning Scale for parents with babies/children aged from 6 to 30 months.</p></div><div><h3>Methods</h3><p>The sample for this methodological research consisted of parents with babies aged 6 to 30 months between March and June 2024 in a city in eastern Turkey. The data were collected from 354 parents for exploratory factor analysis, from 213 parents for confirmatory factor analysis, and from 70 for the test-retest reliability study. The data were collected using the “Descriptive Information Form”, the “Baby-Led Weaning Scale” and the “Transition to Complementary Feeding Behaviors Scale” (TCFBS).</p></div><div><h3>Results</h3><p>The total content validity index score of the Baby Led Weaning Scale was 0.92 and the content validity rate score was 0.92. The TCBFS was used for the concordance of the scale with similar scales. During the measurements, the intra-observer reliability of the Baby Led Weaning Scale was statistically significant (<em>p</em> < 0.001). The Exploratory Factor Analysis revealed a three-factor structure, explaining 611.5 % of the variance. The fix index values were χ<sup>2</sup>/df = 3.036, RMSEA = 0.069, GFI = 0.902, CFI = 0.907 and AGFI = 0.857, IFI = 0.928, and TLI = 0.921.The Cronbach alpha values of the scale were in the range of 0.706 and 0.831.</p></div><div><h3>Conclusion</h3><p>As a result, the Turkish adaptation of the Baby Led Weaning Scale is a valid and reliable measurement tool.</p></div><div><h3>Practical implications</h3><p>The Baby-Led Weaning Scale can be used as a simple and objective tool to measure the knowledge level of parents with babies/children aged 6 to 30 months.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 157-163"},"PeriodicalIF":2.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bianca Fortuin Msc , Mai Chinapaw , E. Verlinden , Annette Brons , Mia Kösters , Mariëtte Hoogsteder
{"title":"Children's perspectives on health and wellbeing: A concept mapping study","authors":"Bianca Fortuin Msc , Mai Chinapaw , E. Verlinden , Annette Brons , Mia Kösters , Mariëtte Hoogsteder","doi":"10.1016/j.pedn.2024.09.005","DOIUrl":"10.1016/j.pedn.2024.09.005","url":null,"abstract":"<div><h3>Purpose</h3><p>Children's needs and perspectives regarding health and wellbeing are rarely considered in public health care services. To improve preventive youth health care, the aim of this study was to gain knowledge about children's perspectives on health and wellbeing.</p></div><div><h3>Design and methods</h3><p>In a concept mapping study, Dutch children, 9–12 years old in primary schools (<em>N</em> = 82), generated ideas regarding health or wellbeing and sorted and rated these ideas on importance. Multidimensional scaling and hierarchical clustering were done in program R. Qualitative analyses determined the final concept maps. Subsequently, we conducted four focus groups about these maps with nurses and physicians.</p></div><div><h3>Results</h3><p>For the concept “health”, children (<em>n</em> = 33) generated 309 statements in 7 themes: 1) healthy living environment, 2) food and drinks, 3) important for a healthy life, 4) leisure time and relaxation, 5) physical diseases and cure, 6) necessities to be healthy, 7) love and affection. For the concept “wellbeing”, children (<em>n</em> = 49) generated 435 statements in 9 themes: 1) negative influence on feelings, 2) feeling connected with friends and family, 3) unpleasant feelings, 4) positivity and enjoyable activities, 5) bad experiences and things, 6) problems with friends and family, 7) social media and gaming, 8) puberty and sexuality, 9) tasty food and drinks. Professionals (<em>N</em> = 16) had a more risk-oriented perspective on health and wellbeing than children.</p></div><div><h3>Conclusions</h3><p>Children have a wide variety of perceptions of what is important for their health and wellbeing.</p></div><div><h3>Practice implications</h3><p>Children's perceptions could inform preventive youth health care services to better adapt to children's needs.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 141-149"},"PeriodicalIF":2.1,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0882596324003464/pdfft?md5=248a419f12047992743a58aff3a779dd&pid=1-s2.0-S0882596324003464-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of lullaby played to preterm infants in neonatal intensive care units on physiological parameters and pain","authors":"Nilüfer Özgürbüz , Arzu Bahar , Arzu Tuna , Elif Çopur","doi":"10.1016/j.pedn.2024.08.019","DOIUrl":"10.1016/j.pedn.2024.08.019","url":null,"abstract":"<div><h3>Purpose</h3><p>The study was conducted as a randomized controlled experimental study to investigate the effects of music therapy application on physiological parameters and pain in preterm infants.”</p></div><div><h3>Materials and methods</h3><p>Preterm newborns included in the study were divided into 3 groups. The first group is experiment I, in which lullabies sung by the babies' own mothers were recorded and played. The second group is experiment II, where lullabies recorded with a standard female vocal for babies are played. The third group is the Control group in which no intervention is applied to the babies. The heart rate and respiratory rate, oxygen saturation level (SpO2) values and pain scores of the groups were measured and compared at different times.</p></div><div><h3>Results</h3><p>Lullaby exposure did not yield significant differences between groups in terms of physiological parameters and pain scores. However, statistical significance was observed in the post-lullaby heart rate, respiratory rate, oxygen saturation level, and pain scores of infants in the experimental group (<em>p</em> < 0.05). Significance was consistent across all measurements taken 15 min after the IV intervention.</p></div><div><h3>Conclusion</h3><p>Listening to lullabies has beneficial effects on physiological parameters and pain reduction in preterm infants. Integrating lullaby exposure into the regular supportive care of neonatal intensive care unit infants, conducting further studies with more diverse sample groups, and exploring various types of lullabies and music are recommended.</p></div><div><h3>Practice implications</h3><p>Lullaby during invasive procedures may reduce pain and improve physiologic symptoms in preterm infants. Our findings support the integration of lullabies into the daily supportive care of preterm infants.</p></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"79 ","pages":"Pages 133-140"},"PeriodicalIF":2.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}