Effects of Yakson Method and Swaddling on Pain and Physiological Parameters
- Conditions
- Pain During Heal Lancing
- Interventions
- Other: Nonfarmacology method
- Registration Number
- NCT05518916
- Lead Sponsor
- Istanbul University - Cerrahpasa (IUC)
- Brief Summary
Type of Study: The study was planned to be conducted in a randomized controlled experimental design.
Place and Time of the Research: Institutional permission will be obtained from the Balcalı Training and Research Hospital in Adana for the collection of research data. Researchers commit to start data collection after obtaining institutional permission. The data collection process will take 1 year after obtaining the institutional permission.
48 newborns who are suited the inclusion criteria will be included in the study. Participants will be assigned to 3 groups according to randomization: Swaddling, Yakson Method, and Control.
- Detailed Description
Total processing time and baby's crying time are calculated by watching video recordings. In order to find the total procedure time, starting from the puncture of the baby's heel, the time until the dry cotton is placed on the baby's heel after the blood collection process is completed is calculated. The heart rate and SpO2 are noted by the investigator during the heel lancing procedure. Pain assessment of infants is done by two independent neonatal nurses, apart from the researcher, by watching video recordings. The scores given by the two observers will be evaluated by making inter-observer harmony. Before the evaluation, the nurses will be trained about the scale and its evaluation.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 48
Inclusion Criteria for Newborn:
- Born at term (38-42 weeks)
- Healthy newborn
- Absence of congenital anomaly
- No analgesic or sedative medication has been administered in the last 6 hours
- Parent's consent for inclusion in the study in accordance with the consent form
Inclusion Criteria for Mother:
- Mother's willingness to participate in the study
- The mother can be mobilized and not have a physical disability (so that she can appyl Yakson therapy for her baby)
- Being communicative
- Babies whose blood cannot be drawn on the first try
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Yakson Method Group Nonfarmacology method * The mother is informed about the benefits of the Yakson method. * Yakson method is taught practically to the mother. Education continues until the researcher is sure that the mother has done the method correctly. The mother starts the application 10 minutes before the heel lancing is done and continues for another 5 minutes after the heel lancing is done. During the application, the baby is recorded with the camera. Just before starting the Yakson method (initial assessment), at 10 minutes of the Yakson method (just before the heel lancing), during the heel lancing while the Yakson method is in progress, and 5 minutes after the procedure (just before the end of the tender touch), the newborn's pain and physiological parameters are evaluated. Evaluation results are recorded in the application observation form. Swaddling Group Nonfarmacology method * Parents are informed about the research and verbal consent is obtained. * Written consent is obtained with an informed consent form. * The Mother-Baby Information Form is filled. * Babies are fed 1 hour before blood collection. * And researher swaddling the baby
- Primary Outcome Measures
Name Time Method Neonatal Infant Pain Scale (NIPS): 1 year This scale was developed in 1993 by Lawrence et al. for premature and newborns. The scale measures the infant's response to pain behaviorally. The total score of the scale ranges from 0 to 7, and scores higher than 3 indicate the presence of pain.
- Secondary Outcome Measures
Name Time Method