Peripheral Central Catheter (PICC) Care

Not Applicable

Completed

• Conditions: Pain, Acute; NEWBORN
• Interventions: Other: Palmar grasp reflex stimulation

• Registration Number: NCT06352918
• Lead Sponsor: Ataturk University

Brief Summary

Peripheral Central Catheter (PICC) is one of the painful interventions that are routinely performed repeatedly to establish a safe venous access in preterm babies.Nurses should reduce the pain of babies and ensure their comfort during interventions arising from the necessity of care processes.

Today, it is accepted that tactile stimuli, which have a pain-reducing effect on babies, should be used as a complementary treatment and care method. Palmar grasp reflex is one of the important tactile stimuli to reduce pain and provide comfort in babies. This research will be conducted to examine the effect of palmar grasp reflex stimulation on pain and comfort levels in PICC care in preterm babies.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-05-01
• Primary Completion: 2023-11-30
• Study Completion: 2023-12-31
• Status Verified: 2024-04
• Study First Submitted: 2024-04-03
• Study First Submitted QC: 2024-04-03
• Last Update Submitted: 2024-04-03
• Study First Posted: 2024-04-08
• Last Update Posted: 2024-04-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Without congenital defects,
• Not receiving sedation at least 3 hours before PICC care,
• No unexplained crying,
• Without neurological problems,
• Not undergoing surgical intervention,
• Babies with PICC insertion

Exclusion Criteria

• Having had a painful procedure (invasive procedure, etc.) within the last hour,
• Babies for whom permission was not obtained from the parent through an informed voluntary consent form

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Experimental group	Palmar grasp reflex stimulation	Along with the NICU PICC care application procedures, palmar grasp reflex stimulation was performed on all babies by the same researcher, starting one minute before the procedure.

Primary Outcome Measures

Name	Time	Method
Pain level	8 months	Premature Infant Pain Scale-Revision (PIPP-R): It is defined as the gestational age of preterm babies, change in heart rate, change in SPO2 level, initial behavioral state, frowning, squeezing eyes, nasolabial groove.

Secondary Outcome Measures

Name	Time	Method
Comfort	8 months	COMFORT neo: Consists of 7 sections: alertness, calmness/agitation, respiratory status, physical movements, muscle tone, facial expression and average heart rate. Each section has 5 items with 1 to 5 points. The cut-off point is 17 points on the comfort scale, with a minimum of 7 and a maximum of 35.

Trial Locations

Locations (1)

Ataturk University; 🇹🇷 Erzurum, Turkey