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The Effect of Breastfeeding, Kangaroo Care, and Facilitated Tucking Positioning in Reducing the Pain During Heel Stick in Neonates.
J Pediatr Nurs. 2021 Nov-Dec; 61:410-416.JP

Abstract

PURPOSE

Invasive intervention can negatively affect prognosis, behavior, environmental adaptation in neonates. Some nonpharmacological pain management methods are used for effective pain treatment. This study investigated the effect of breastfeeding, kangaroo care, and facilitated tucking positioning on heel-stick pain in neonates.

DESIGN

A quasi-experimental design was employed. The study was conducted in three family health centers in Kütahya/Turkey. The sample consisted of 140 healthy neonates with the gestational age of 37 weeks or more, birth weight greater than 2500 g, and no sucking problems. The sample was divided into four groups (breastfeeding, kangaroo care, facilitated tucking position, and control). Data were collected using a Baby-Mother Characteristics Questionnaire, a Physiological Parameter Follow-up Form, and the Neonatal Infant Pain Scale. Data were analyzed using chi-square, the one-way analysis of variance (ANOVA), Kruskal-Wallis, Student t-test, and Mann-Whitney U tests. The research adhered to ethical principles.

RESULTS

The facilitated tucking position group cried less and experienced less pain during heel stick than the other groups (p < 0.05). Breastfeeding, kangaroo care, and facilitating tucking help reduce heel-stick pain but facilitating tucking causes less crying and imposes less pain on neonates than the other methods.

CONCLUSION

Facilitated tucking position may be preferred to reduce pain during heel stick.

PRACTICE IMPLICATIONS

Using facilitated tucking positions and breastfeeding methods can assist healthcare professionals as supportive methods in pain management.

Authors+Show Affiliations

Yalova University, Termal Vocational School, Turkey.Selcuk University, Faculty of Nursing, Department of Child Health and Disease Nursing, Turkey. Electronic address: sibel.kucukoglu@selcuk.edu.tr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34687988

Citation

Avcin, Emel, and Sibel Kucukoglu. "The Effect of Breastfeeding, Kangaroo Care, and Facilitated Tucking Positioning in Reducing the Pain During Heel Stick in Neonates." Journal of Pediatric Nursing, vol. 61, 2021, pp. 410-416.
Avcin E, Kucukoglu S. The Effect of Breastfeeding, Kangaroo Care, and Facilitated Tucking Positioning in Reducing the Pain During Heel Stick in Neonates. J Pediatr Nurs. 2021;61:410-416.
Avcin, E., & Kucukoglu, S. (2021). The Effect of Breastfeeding, Kangaroo Care, and Facilitated Tucking Positioning in Reducing the Pain During Heel Stick in Neonates. Journal of Pediatric Nursing, 61, 410-416. https://doi.org/10.1016/j.pedn.2021.10.002
Avcin E, Kucukoglu S. The Effect of Breastfeeding, Kangaroo Care, and Facilitated Tucking Positioning in Reducing the Pain During Heel Stick in Neonates. J Pediatr Nurs. 2021 Nov-Dec;61:410-416. PubMed PMID: 34687988.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Effect of Breastfeeding, Kangaroo Care, and Facilitated Tucking Positioning in Reducing the Pain During Heel Stick in Neonates. AU - Avcin,Emel, AU - Kucukoglu,Sibel, Y1 - 2021/10/20/ PY - 2021/04/21/received PY - 2021/09/26/revised PY - 2021/10/04/accepted PY - 2021/10/24/pubmed PY - 2021/10/24/medline PY - 2021/10/23/entrez KW - Breastfeeding KW - Facilitating tucking KW - Heel-stick procedure KW - Kangaroo care KW - Neonate KW - Nursing KW - Pain SP - 410 EP - 416 JF - Journal of pediatric nursing JO - J Pediatr Nurs VL - 61 N2 - PURPOSE: Invasive intervention can negatively affect prognosis, behavior, environmental adaptation in neonates. Some nonpharmacological pain management methods are used for effective pain treatment. This study investigated the effect of breastfeeding, kangaroo care, and facilitated tucking positioning on heel-stick pain in neonates. DESIGN: A quasi-experimental design was employed. The study was conducted in three family health centers in Kütahya/Turkey. The sample consisted of 140 healthy neonates with the gestational age of 37 weeks or more, birth weight greater than 2500 g, and no sucking problems. The sample was divided into four groups (breastfeeding, kangaroo care, facilitated tucking position, and control). Data were collected using a Baby-Mother Characteristics Questionnaire, a Physiological Parameter Follow-up Form, and the Neonatal Infant Pain Scale. Data were analyzed using chi-square, the one-way analysis of variance (ANOVA), Kruskal-Wallis, Student t-test, and Mann-Whitney U tests. The research adhered to ethical principles. RESULTS: The facilitated tucking position group cried less and experienced less pain during heel stick than the other groups (p < 0.05). Breastfeeding, kangaroo care, and facilitating tucking help reduce heel-stick pain but facilitating tucking causes less crying and imposes less pain on neonates than the other methods. CONCLUSION: Facilitated tucking position may be preferred to reduce pain during heel stick. PRACTICE IMPLICATIONS: Using facilitated tucking positions and breastfeeding methods can assist healthcare professionals as supportive methods in pain management. SN - 1532-8449 UR - https://www.unboundmedicine.com/medline/citation/34687988/The_Effect_of_Breastfeeding_Kangaroo_Care_and_Facilitated_Tucking_Positioning_in_Reducing_the_Pain_During_Heel_Stick_in_Neonates_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0882-5963(21)00299-2 DB - PRIME DP - Unbound Medicine ER -