ShotBlocker®和母乳喂养对新生儿足跟穿刺过程中疼痛和舒适度的影响：随机对照试验

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing Pub Date : 2025-07-26 DOI:10.1016/j.iccn.2025.104164

Canan Dinç , Gülçin Özalp Gerçeker , Oğuzhan Kalkanli

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引用次数: 0

摘要

背景：由于医疗需要，新生儿在生命早期遭受痛苦的尝试。母乳喂养和ShotBlocker®等创新设备用于减轻疼痛。目的探讨非药物治疗方法对新生儿足跟穿刺过程中疼痛和舒适度的影响。本研究为单中心、随机对照试验。本研究于2021年8月至2022年9月在一级新生儿重症监护病房进行。方法按纳入标准纳入96例新生儿。将新生儿随机分为四组：(a)母乳喂养，(b) ShotBlocker®，(c)母乳喂养+ ShotBlocker®，(d)标准护理。根据新生儿疼痛量表和新生儿舒适行为量表评估新生儿的疼痛和舒适水平。记录哭泣时间、心率和血氧饱和度。结果两组患儿平均哭泣时间（p = 0.001）和术后舒适度（p = 0.001）差异均有统计学意义。手术期间和手术后的疼痛没有差异。由于重复测量的多重方差分析，在群体、时间和群体时间互动方面发现了舒适度得分的差异(p <；0.05)。结论母乳喂养+ ShotBlocker®组平均哭泣时间最短。两组之间的手术相关疼痛评分没有差异。最舒适的组是母乳喂养组和母乳喂养+ ShotBlocker®组。对临床实践的启示：母乳喂养，目前的黄金非药物标准，增加了舒适度的脚跟穿刺过程中。母乳喂养+ ShotBlocker®显著减少了哭泣时间，显著提高了术后舒适度（临床试验编号：NCT05246787）。

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The effect of the ShotBlocker® and breastfeeding on pain and comfort level during heel lance procedure in newborns: randomized controlled trial

Background

Newborns are subjected to painful attempts in the early days of their lives due to medical requirements. Breastfeeding and innovative devices such as ShotBlocker® are used to alleviate pain.

Objectives

This study was planned to evaluate the effect of non-pharmacological methods on newborns’ pain and comfort level during the heel lance procedure in newborns.

Design

The study was a single-center, randomized controlled trial.

Setting

This study was conducted in the first-level neonatal intensive care unit between August 2021 and September 2022.

Methods

Ninety-six newborns were included in this study based on inclusion criteria. The newborns were randomly assigned to four groups: (a) breastfeeding, (b) ShotBlocker®, (c) breastfeeding + ShotBlocker®, and (d) standard care. Pain and comfort levels of newborns were evaluated according to the Neonatal Infant Pain Scale and the Newborn Comfort Behavior Scale before, during, and after the heel lance procedure. Crying time, heart rate, and oxygen saturation were recorded.

Results

The difference between the groups in terms of average crying time (p = 0.001) and comfort levels after the procedure (p = 0.001) was statistically significant. There was no difference in pain during and after the procedure. As a result of multiple analyses of variance in repeated measurements, a difference was found in comfort scores in terms of group, time, and group-time interaction (p < 0.05).

Conclusion

The breastfeeding + ShotBlocker® group had the lowest mean crying time. There was no difference in procedure-related pain scores between the groups. The most comfortable groups after heel lance were the breastfeeding and breastfeeding + ShotBlocker® groups.

Implication for clinical practice

Breastfeeding, currently the gold non-pharmacological standard, increased comfort levels during the heel lance procedure. The breastfeeding + ShotBlocker® had a significant reduction in crying time and a significantly greater post-procedural comfort level (Clinical Trials number: NCT05246787).

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来源期刊

Intensive and Critical Care Nursing NURSING-

CiteScore

6.30

自引率

15.10%

发文量

144

审稿时长

57 days

期刊介绍： The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.