Integration of Different Sensory Interventions from Mother’s Breast Milk for Preterm Infant Pain During Peripheral Venipuncture Procedures: A Prospective Randomized Controlled Trial

doi:10.1111/jnu.12530

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Title:	Integration of Different Sensory Interventions from Mother’s Breast Milk for Preterm Infant Pain During Peripheral Venipuncture Procedures: A Prospective Randomized Controlled Trial
Authors:	Wu, Hsiang-Ping;Yang, Luke;Lan, Hsiang-Yun;Peng, Hsueh-Fang;Chang, Yue-Cune;Jeng, Mei-Jy;Liaw, Jen-Jiuan
Keywords:	Mother’s breast milk;preterm infant pain;sensory intervention;venipuncture
Date:	2019-09-30
Issue Date:	2020-07-04 12:10:15 (UTC+8)
Abstract:	Purpose: To compare the effects of integrating mother’s breast milk (BM) with three different combinations of sensory stimuli on preterm infant pain during peripheral venipuncture procedures.Design: A prospective, repeated-measures randomized controlled trial.Methods: Preterm infants (gestational age between 28 and 37 weeks, and in stable condition) needing venipuncture were recruited by convenience sampling (N = 140) and randomly assigned to four treatment conditions: (a) routine care (condition 1); (b) BM odor or taste (condition 2); (c) BM odor or taste + heartbeat sounds (HBs; condition 3), and (d) BM odor or taste + HBs + non-nutritive sucking (NNS; condition 4). Pain scores were assessed based on the Premature Infant Pain Prole-Revised (PIPP-R) over nine phases: baseline (phase 0, 5 min without stimuli before venipuncture), disinfecting (phase 1), during venipuncture (phase 2), and a 10-min re-covery (phases 3–8).Findings: Infants who received BM odor or taste + HBs + NNS had sig-nicantly lower increases in pain scores from baseline compared with con-trols across phases 1 through 8. Infants treated with either condition 2 or 3 demonstrated signicant reductions in mild pain during disinfecting and recovery phases, as compared with the controls. When condition 2 was used as the reference, there were no signicant differences in pain scores between the infants receiving condition 3 across the nine phases, suggest-ing mothers’ HBs have only mild analgesic effects on venipuncture pain.Conclusions: Integration of mother’s BM odor or taste, HBs, and tactile NNS should be considered as an intervention for alleviation of procedural pain for preterm infants.Clinical Relevance: Clinicians should incorporate the integrated sensory intervention into caregiving support for preterm infants undergoing short painful procedures
Relation:	Journal of Nursing Scholarship 52(1), p.75-84
DOI:	10.1111/jnu.12530
Appears in Collections:	[Graduate Institute & Department of Mathematics] Journal Article

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