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This prospective study is planned as a randomized controlled study with the purpose of determining the effect of kangaroo care and swaddling methods on pain levels and crying times by newborns during heel blood collection.
Among the non-pharmacological methods frequently used to reduce the effects of invasive interventions on the newborn; Practices such as reducing environmental stimuli, individualized developmental care, music therapy, breast milk, pacifier giving, sucrose, non-nutritive sucking, oral sucrose, kangaroo care, facilitated tucking position, and sweet solutions, massage and touching, positioning, nesting, kangaroo care, fetal positioning are included.
This study is a prospective, randomized and controlled trial. In this study aim, the effect of kangaroo care and swaddling methods applied during heel blood collection on the pain levels and crying times in newborns will be examined.
Sample of the study consisted of a total of 120 newborns who met the sample selection criteria and were selected via randomization method. Newborns were divided into three groups; kangaroo care group (n=40), swaddling group (n=40), and control group (n=40).
Data were collected using the Infant-family Information Form, NIPS - Neonatal Infant Pain Scale, and Crying Follow-up Form.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Kangaroo Care Group | Experimental | Kangaroo care will be applied so that the infant and mother will have skin-to-skin contact, and heel blood will be taken. |
|
| Swaddling Group | Experimental | Heel blood will be taken while the infant was swaddled in the maternal holding. |
|
| Control Group | No Intervention | In this group, infants received routine heel blood collection procedure. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Kangaroo Care | Behavioral | Kangaroo care will be applied so that the infant and mother will have skin-to-skin contact, and heel blood will be taken. |
|
| Measure | Description | Time Frame |
|---|---|---|
| NIPS (Neonatal Infant Pain Scale) | It was developed to evaluate interventional pain in newborns. Its Turkish adaptation was in 1999. NIPS is an assessment tool that focuses on six behavioral responses of newborns: facial expressions, crying, breathing, arm movements, leg movements, and arousal. A score between 0 and 7 is obtained from the scale, and as the score obtained from the scale increases, the pain of newborns also increases. In the Turkish adaptation study of the scale, the Cronbach's alpha value was calculated as 0.83 before the procedure, 0.83 during the procedure and 0.86 after the procedure. | during the heel blood collection procedures |
| Measure | Description | Time Frame |
|---|---|---|
| Crying times | Duration of crying were recorded. | during the heel blood collection procedures |
| Processing time | Duration of heel blood collection procedure were recorded. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Selda AteÅŸ BeÅŸirik, PhD. | Burdur Mehmet Akif Ersoy University | Principal Investigator |
| Emine Geçkil, Professor | Necmettin Erbakan University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Burdur Bucak State Hospital | Burdur | Bucak | 15030 | Turkey (Türkiye) |
Individual participant data that underlie the results reported in this study, after deidentification, will be shared with researchers who provide a methodologically sound proposal.
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D003448 | Crying |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009633 | Nonverbal Communication |
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| ID | Term |
|---|---|
| D060127 | Kangaroo-Mother Care Method |
| ID | Term |
|---|---|
| D056888 | Patient Positioning |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D007224 | Infant Care |
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| Swaddling | Behavioral | Heel blood will be taken while the infant was swaddled in the maternal holding. |
|
| during the heel blood collection procedures |
| D003142 | Communication |
| D001519 | Behavior |
| D002654 |
| Child Care |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |