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The effect of regional massage performed before blood collection on pain and vital signs in newborns.

Journal of paediatrics and child health
April 1, 2023
Ayşe Küçüktepe et al. (2 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether regional massage before blood collection reduces pain and improves vital signs in term newborns.

Results Summary

The study found that newborns receiving massage had significantly shorter crying times, lower pain levels, lower heart rate, and higher oxygen saturation compared to the control group. The intervention effectively reduced pain in term newborns.

Population

Term newborns in the neonatal intensive care unit (NICU).

Effective Dosage

2 minutes of massage on the blood collection region.

Duration

Single session (2 minutes).

Interactions

None mentioned.

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
regional massage performed before blood collection
decrease
pain
term newborns
-
reduced
#1
regional massage performed before blood collection
decrease
crying time
term newborns
30.6 ± 29.3 s vs 56.9 ± 25.4 s
significantly shorter
#2
regional massage performed before blood collection
decrease
pain levels
term newborns
-
lower
#3
regional massage performed before blood collection
decrease
heart rate
term newborns
-
lower
#4
regional massage performed before blood collection
increase
oxygen saturation
term newborns
-
higher
#5
Abstract

AIM: This randomised-controlled trial aims to examine the effect of regional massage performed before blood collection on pain and vital signs in term newborns. METHODS: The study sample consisted of a total of 96 term newborns, 49 in the experimental group and 47 in the control group, in the neonatal intensive care unit (NICU). Before the blood collection process, those in the experimental group received two (2) minutes of massage on their blood collection region, and their pain levels and vital signs were observed. Data were collected using a newborn information form, an intervention follow-up form, and the Neonatal Infant Pain Scale (NIPS). Statistical analyses of the collected data included descriptive statistics, Chi-squared test, independent-samples t test, paired-samples t test and Cohen's kappa statistic. A value of P < 0.05 was considered statistically significant. RESULTS: While 51% (n = 49) of the newborns were included in the experimental group, 38.5% (n = 37) were born at the 38th gestational week. Their mean post-natal age was 4.82 ± 4.04 days. The newborns in the experimental and control groups had similar demographic characteristics and blood collection experiences, and there was no statistically significant difference between them (P > 0.05). The mean crying time in the control group (56.9 ± 25.4 s) was significantly longer than that in the experimental group (30.6 ± 29.3 s) (P < 0.05). The newborns in the experimental group had shorter crying times, lower pain levels and heart rate, and higher oxygen saturation than those in the control group. CONCLUSION: The regional massage intervention reduced pain in term newborns. Therefore, neonatal nurses can be trained to use massage as an alternative infant care practice.

Medical Subject Headings (MeSH)
InfantInfant, NewbornHumansPainVital SignsPain ManagementHeart RateMassage
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
0
Research Impact Scores
APT Score0.05
Weight Score2.28
Normalized Score0.70
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