Pain Perception Associated With Orogastric Tube Insertion in Preterm Infants
- Conditions
- Orogastric Tube Insertion
- Interventions
- Other: White NoiseOther: Swaddling Method
- Registration Number
- NCT04678570
- Lead Sponsor
- Afyonkarahisar Health Sciences University
- Brief Summary
This study is a randomized controlled experimental study designed to examine the effect of white noise and swaddling methods in reducing the pain caused by orogastric tube insertion in preterm infants.
This study is planned to be conducted with 4 groups, consisting of 3 experimental groups and 1 control group. White noise, swaddling method, and white noise + swaddling methods will be the interventions during the study together with the standard care and procedures for the experimental groups, while the control group will only have standard care and procedures during the study.
- Detailed Description
This is a randomized controlled experimental study designed to examine the effect of white noise and swaddling methods in reducing the pain caused by orogastric tube insertion in preterm infants.
The study will be conducted between 01/01/2021-15/06/2021 in Usak Öztan Hospital Neonatal Intensive Care Unit.
The sample of the study is planned to have 132 participants with 33 of them in each of the 4 groups.
This study is planned to be conducted with 4 groups, consisting of 3 experimental groups and 1 control group. White noise, swaddling method, and white noise + swaddling methods will be the interventions during the study together with the standard care and procedures for the experimental groups, while the control group will only have standard care and procedures during the study.
The interventions that will be used in this study are emphasized in the literature as nonpharmacological methods in reducing and preventing pain.
In Usak Öztan Hospital Neonatal Intensive Care Unit, where the study is planned to be conducted, a pre-application will be performed with 10 preterm infants to evaluate the effect of white noise, swaddling, white noise, and swaddling methods on pain perception in preterm infants with an orogastric tube inserted.
As the video recordings will be used for the evaluation of the pain, the best area for the video recorder to be placed will be decided during this stage.
Insertion of the orogastric tube will be done by the same nurse, who will be briefed about the study concept and will be blinded to the control and the intervention groups, to manage standardization. There will be always a specialist doctor to monitor the infants during this stage for any possible complications.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 132
- With 32-34 weeks of gestation,
- With the postnatal age between 3-28 days,
- Birth weight is above 1000 grams,
- With the Apgar score ≥7 at 1st and 5th minutes,
- With stable vital signs,
- Without any congenital anomaly,
- Not receiving mechanical ventilator support and having spontaneous breathing,
- Requested by the physician to place an orogastric tube and fed with an orogastric tube,
- Breastfeeding (through an orogastric tube),
- Not experienced a painful procedure at least half an hour before the interventions,
- Without the use of opioid or non-opioid analgesic in their treatment,
- Without congenital or acquired malformation related to hearing,
- With parents written consent for the participation of their baby.
- With the postnatal age outside 3-28 days,
- Birth weight is ≤ 1000 grams,
- With the Apgar score <7 at 1st and 5th minutes,
- With unstable vital signs,
- With congenital anomaly in the face or the oral cavity,
- Being on mechanical ventilator support,
- With a congenital malformation that may affect respiration and cause asphyxia,
- With intracranial bleeding or risk of bleeding,
- With disorders affecting the cerebral circulation or cardiovascular system,
- Subjected to a painful procedure at least half an hour before the interventions,
- With opioid or non-opioid analgesic in their treatment,
- With the surgical history,
- With continuous sedative treatment,
- With congenital or acquired malformation related to hearing,
- Not being fed with an orogastric tube,
- With parent not giving consent for the participation of their baby
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Group- 3 Swaddling Method White Noise, swaddling method, and standard care, procedures will be applied. Intervention Group-1 White Noise White Noise intervention and standard care, procedures will be applied. Intervention Group- 2 Swaddling Method The swaddling method and standard care, procedures will be applied. Intervention Group- 3 White Noise White Noise, swaddling method, and standard care, procedures will be applied.
- Primary Outcome Measures
Name Time Method The Premature Infant Pain Profile-Revised (PIPP-R) Change 5 minutes, 3 minutes and 1 minute before the procedure. During the procedure. 1 minute, 3 minutes and 5 minutes after the procedure The PIPP-R scale includes 3 behavioral (brow bulge, eye squeeze, nasolabial-furrow), 2 physiological (heart rate and oxygen saturation) and 2 contextual (behavioral state and gestational age) items. Each item has a score from 0-3. The highest score that can be obtained from the PIPP-R scale for preterm infants is 21.The mean scores obtained from the PIPP-R scale reflects mild level of pain as mild if it is between 0-6 points, moderate if it is between 7-12 points and severe if it is between 13-21 points.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Uşak Öztan Hospital Neonatal Intensive Care Unit
🇹🇷Uşak, Turkey