Vildan Apaydin Cirik PhD, Ayse Sonay Turkmen PhD, RN, Esra Derin MSc RN, Nezahat Yilmaz MSc RN
{"title":"无创伤口胃管插入方案对联合使用襁褓、辅助塞入、母乳和蔗糖的效果。","authors":"Vildan Apaydin Cirik PhD, Ayse Sonay Turkmen PhD, RN, Esra Derin MSc RN, Nezahat Yilmaz MSc RN","doi":"10.1111/ijn.13293","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>The study aims to develop a protocol for the combined use of swaddling, facilitated tucking, expressed breast milk and sucrose administration methods in the orogastric tube (OGT) insertion procedure and evaluate its effectiveness.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The randomized controlled trial was conducted in the Neonatal Intensive Care Unit between 15 February 2022 and 15 September 2022, with 175 preterms. Preterms at 32–34 gestational weeks were randomly allocated to five groups: routine care, swaddling + expressed breast milk, swaddling + sucrose, facilitated tucking + expressed breast milk and facilitated tucking + sucrose groups. The data were collected using the Preterm Descriptive Information Form, the Physiological Measurement Form, the COMFORTneo scale and the Premature Infant Pain Profile (PIPP).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The facilitated tucking + expressed breast milk method was found to be more effective than the routine care (<i>p</i><sub>distress</sub> < 0.001; <i>p</i><sub>pain</sub> = 0.031) and swaddling + expressed breast milk (<i>p</i><sub>distress</sub> = 0.004; <i>p</i><sub>pain</sub> = 0.015) methods in reducing the estimated distress and PIPP pain level of preterms during the procedure. Two minutes after the procedure, the facilitated tucking + expressed breast milk method was more effective than the routine care (<i>p</i> < 0.001), swaddling + expressed breast milk (<i>p</i> = 0.011) and swaddling + sucrose (<i>p</i> = 0.002) methods in reducing the comfort level score.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The facilitated tucking + expressed breast milk method is effective in reducing pain and distress and providing comfort during the OGT procedure.</p>\n \n <p>Clinical Trials ID: NCT05180058.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"30 6","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of an atraumatic orogastric tube insertion protocol for the combined use of swaddling, facilitated tucking, breast milk and sucrose\",\"authors\":\"Vildan Apaydin Cirik PhD, Ayse Sonay Turkmen PhD, RN, Esra Derin MSc RN, Nezahat Yilmaz MSc RN\",\"doi\":\"10.1111/ijn.13293\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>The study aims to develop a protocol for the combined use of swaddling, facilitated tucking, expressed breast milk and sucrose administration methods in the orogastric tube (OGT) insertion procedure and evaluate its effectiveness.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>The randomized controlled trial was conducted in the Neonatal Intensive Care Unit between 15 February 2022 and 15 September 2022, with 175 preterms. Preterms at 32–34 gestational weeks were randomly allocated to five groups: routine care, swaddling + expressed breast milk, swaddling + sucrose, facilitated tucking + expressed breast milk and facilitated tucking + sucrose groups. The data were collected using the Preterm Descriptive Information Form, the Physiological Measurement Form, the COMFORTneo scale and the Premature Infant Pain Profile (PIPP).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The facilitated tucking + expressed breast milk method was found to be more effective than the routine care (<i>p</i><sub>distress</sub> < 0.001; <i>p</i><sub>pain</sub> = 0.031) and swaddling + expressed breast milk (<i>p</i><sub>distress</sub> = 0.004; <i>p</i><sub>pain</sub> = 0.015) methods in reducing the estimated distress and PIPP pain level of preterms during the procedure. Two minutes after the procedure, the facilitated tucking + expressed breast milk method was more effective than the routine care (<i>p</i> < 0.001), swaddling + expressed breast milk (<i>p</i> = 0.011) and swaddling + sucrose (<i>p</i> = 0.002) methods in reducing the comfort level score.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The facilitated tucking + expressed breast milk method is effective in reducing pain and distress and providing comfort during the OGT procedure.</p>\\n \\n <p>Clinical Trials ID: NCT05180058.</p>\\n </section>\\n </div>\",\"PeriodicalId\":14223,\"journal\":{\"name\":\"International Journal of Nursing Practice\",\"volume\":\"30 6\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-07-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/ijn.13293\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/ijn.13293","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Effectiveness of an atraumatic orogastric tube insertion protocol for the combined use of swaddling, facilitated tucking, breast milk and sucrose
Aim
The study aims to develop a protocol for the combined use of swaddling, facilitated tucking, expressed breast milk and sucrose administration methods in the orogastric tube (OGT) insertion procedure and evaluate its effectiveness.
Methods
The randomized controlled trial was conducted in the Neonatal Intensive Care Unit between 15 February 2022 and 15 September 2022, with 175 preterms. Preterms at 32–34 gestational weeks were randomly allocated to five groups: routine care, swaddling + expressed breast milk, swaddling + sucrose, facilitated tucking + expressed breast milk and facilitated tucking + sucrose groups. The data were collected using the Preterm Descriptive Information Form, the Physiological Measurement Form, the COMFORTneo scale and the Premature Infant Pain Profile (PIPP).
Results
The facilitated tucking + expressed breast milk method was found to be more effective than the routine care (pdistress < 0.001; ppain = 0.031) and swaddling + expressed breast milk (pdistress = 0.004; ppain = 0.015) methods in reducing the estimated distress and PIPP pain level of preterms during the procedure. Two minutes after the procedure, the facilitated tucking + expressed breast milk method was more effective than the routine care (p < 0.001), swaddling + expressed breast milk (p = 0.011) and swaddling + sucrose (p = 0.002) methods in reducing the comfort level score.
Conclusions
The facilitated tucking + expressed breast milk method is effective in reducing pain and distress and providing comfort during the OGT procedure.
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.
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