Effect analysis of embracing breast milk sucking to relieve pain of neonatal heel blood sampling: a randomized controlled trial

被引:17
作者
Wu, Hui [1 ]
Zhang, Jinyu [2 ]
Ding, Qipei [1 ]
Wang, Shengfeng [1 ]
Li, Jinyao [2 ]
机构
[1] Haian Peoples Hosp, Dept Obstet, Nantong, Peoples R China
[2] Nanjing Med Univ, Nanjing Matern & Child Hlth Care Hosp, Womens Hosp, Dept Obstet & Gynecol, 123 Tianfei Lane,Mochou Rd, Nanjing 210004, Peoples R China
关键词
Embracing breast milk sucking (EBMS); newborn; heel blood sampling; pain;
D O I
10.21037/apm-21-329
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Heel blood sampling of newborns plays an important role in the diagnosis of neonatal hypothyroidism, phenylketonuria, and other inherited metabolic diseases. Embracing breast milk sucking (EBMS) can increase the newborn's sense of security and can relieve pain. The purpose of the present study was to explore the effect of EBMS on alleviating the pain of neonatal heel blood sampling. Methods: A total of 96 neonates undergoing heel blood screening were selected from June 2019 to June 2020, and were randomly divided into 2 groups (n=48 in each group). The control group was given routine intervention, and the observation group was given EBMS intervention. The success rate and time-consuming of 1-time blood collection, heel congestion after blood collection, crying time and bleeding time of newborns, blood oxygen saturation and heart rate index, and pain were compared between the 2 groups. Results: The success rate of 1-time blood collection in the observation group was higher than that in the control group, and the blood collection time was shorter than that in the control group (P<0.05). The heel congestion in the observation group was better than that in the control group (P<0.05). The crying time and bleeding time of newborns in the observation group were significantly shorter than those in the control group (P<0.05). The blood oxygen saturation of the observation group was higher, and the heart rate was lower than the control group (P<0.05). The total Neonatal Infant Pain Scale (NIPS) score of the observation group was lower than that of the control group (P<0.05). Conclusions: EBMS can improve the success rate of 1-time blood collection; shorten the time of blood collection; ensure that blood oxygen saturation and heart rate are at normal values; and effectively reduce the occurrence of heel congestion after blood collection, crying time and bleeding time of newborn heel blood collection, and neonatal pain.
引用
收藏
页码:4384 / 4390
页数:7
相关论文
共 21 条
[1]   Cord blood versus heel-stick sampling for measuring thyroid stimulating hormone for newborn screening of congenital hypothyroidism [J].
Al Juraibah, Fahad ;
Alothaim, Ali ;
Al Eyaid, Wafa ;
AlMutair, Angham Nasser .
ANNALS OF SAUDI MEDICINE, 2019, 39 (05) :291-294
[2]  
Allaf Bichr, 2019, Rev Prat, V69, P411
[3]   Newborn Screening for Sickle Cell Disease Using Point-of-Care Testing in Low-Income Setting [J].
Alvarez, Ofelia A. ;
Hustace, Tally ;
Voltaire, Mimose ;
Mantero, Alejandro ;
Liberus, Ulrick ;
Saint Fleur, Rony .
PEDIATRICS, 2019, 144 (04)
[4]   Comparison of heel stick sample with placental blood sample for pretransfusion testing [J].
Aysola, Agnes E. ;
Duque, Miriam Andrea ;
Williams, Patty ;
Alissa, Rana .
TRANSFUSION, 2018, 58 (09) :2227-2231
[5]   Telomere length comparison between oral cells and blood cells among neonates [J].
Bhattacharya, Mandar ;
Bhaumik, Pranami ;
Kumar-Dey, Subrata .
TURKISH JOURNAL OF PEDIATRICS, 2019, 61 (04) :520-524
[6]   The effect of the facilitated tucking position on pain intensity during heel stick blood sampling in premature infants: a surprising result [J].
Davari, Samaneh ;
Borimnejad, Leili ;
Khosravi, Sharareh ;
Haghani, Hamid .
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2019, 32 (20) :3427-3430
[7]   Targeted newborn screening for sickle-cell anemia: Sickling test (Emmel test) boundaries in the prenatal assessment in West African area [J].
Diallo, D. A. ;
Guindo, A. ;
Toure, B. A. ;
Sarro, Y. S. ;
Sima, M. ;
Tessougue, O. ;
Baraika, M. A. ;
Guindo, P. ;
Traore, M. ;
Diallo, M. ;
Dorie, A. .
REVUE D EPIDEMIOLOGIE ET DE SANTE PUBLIQUE, 2018, 66 (03) :181-185
[8]   Screening for early onset neonatal sepsis: NICE guidance-based practice versus projected application of the Kaiser Permanente sepsis risk calculator in the UK population [J].
Goel, Nitin ;
Shrestha, Sudeep ;
Smith, Rhian ;
Mehta, Akshay ;
Ketty, Malini ;
Muxworthy, Helen ;
Abelian, Artur ;
Kirupaalar, Vickness ;
Saeed, Shakir ;
Jain, Shikha ;
Asokkumar, Amar ;
Natti, Murali ;
Barnard, Ian ;
Pitchaikani, Prem Kumar ;
Banerjee, Sujoy .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2020, 105 (02) :F118-F122
[9]  
Goodwin Sarah, 2019, Br J Nurs, V28, pS24, DOI 10.12968/bjon.2019.28.2.S24
[10]   Neonatal pain response to automatic lancet versus needle heel-prick blood sampling: A prospective randomized controlled clinical trial [J].
Goto, Tatenobu ;
Inoue, Takeshi ;
Kamiya, Chinami ;
Kawabe, Hiroyuki ;
Higuchi, Machiko ;
Suyama, Megumi ;
Goto, Tomoki ;
Koide, Wakato ;
Maki, Kanemasa ;
Ushijima, Katsumi ;
Ban, Kyoko ;
Yamada, Yasumasa .
PEDIATRICS INTERNATIONAL, 2020, 62 (03) :357-362