Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant behavioural states across heel-stick procedures: A prospective, randomised controlled trial
學年 101
學期 2
出版(發表)日期 2013-07-01
作品名稱 Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant behavioural states across heel-stick procedures: A prospective, randomised controlled trial
作品名稱(其他語言)
著者 Liaw, Jen-Jiuan; Yang, Luke; Lee, Chuen-Ming; Fan, Hueng-Chuen; Chang, Yue-Cune; Li-Ping Cheng
單位 淡江大學數學學系
出版者 Bromley: Elsevier Ltd
著錄名稱、卷期、頁數 International Journal of Nursing Studies 50(7), pp.883-894
摘要 Background Pain and stress agitate preterm infants, interrupting their sleep. Frequent high arousal states may affect infants’ brain development and illness recovery. Preserving infants’ sleep and relieving their pain during painful procedures are both important for their health. Objectives To compare the effectiveness of different combinations of non-nutritive sucking (sucking), oral sucrose, and facilitated tucking (tucking) with routine care on infants’ sleep–wake states before, during, and after heel-stick procedures. Design Prospective, randomised controlled trial. Setting Level III Neonatal Intensive Care Unit in Taipei. Method A convenience sample of 110 infants (gestational age 26.4–37 weeks) needing heel sticks were randomly assigned to five combinations of non-pharmacological treatments: sucking–oral sucrose–tucking; sucking–oral sucrose; oral sucrose–tucking; sucking–tucking; and routine care. Infant states, measured by a state-coding scheme, included quiet sleep, active sleep, transition, quiet awake, active awake, and fussing or crying. All states were recorded at 1-min intervals during four phases: baseline, intervention, heel-stick procedures, and recovery. Results Infants receiving sucking–oral sucrose–tucking or sucking–oral sucrose experienced 52.8% (p = 0.023) and 42.6% (p = 0.063) more quiet-sleep occurrences than those receiving routine care after adjusting for phase, baseline states, non-treatment sucking during baseline and recovery, positioning, and infants’ characteristics. Infants receiving oral sucrose–tucking, sucking–oral sucrose, sucking–oral sucrose–tucking, and sucking–tucking experienced 77.3% (p < 0.001), 72.1% (p = 0.008), 51.5% (p = 0.017), and 33.0% (p = 0.105) fewer occurrences of fussing or crying, respectively, than those receiving routine care after adjusting for related factors. Conclusions The four treatment combinations differentially reduced infants’ high arousal across heel-stick procedures. The combined use of oral sucrose–tucking, sucking–oral sucrose, and sucking–oral sucrose–tucking more effectively reduced occurrences of infant fussing or crying than routine care. Treatment combinations of sucking–oral sucrose–tucking and sucking–oral sucrose also better facilitated infants’ sleep than routine care. To preserve infants’ sleep, clinicians should use combinations of non-nutritive sucking, oral sucrose, and facilitated tucking to reduce agitation during painful procedures.
關鍵字 Behavioural states;Facilitated tucking;Non-nutritive sucking;Oral sucrose;Infants;pain
語言 en
ISSN 1873-491X 0020-7489
期刊性質 國外
收錄於 SCI
產學合作
通訊作者
審稿制度
國別 GBR
公開徵稿
出版型式 ,電子版,紙本
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