Comparison of pain response, skin injury, hemostasis time, and facial expression in newborns after heel puncture using an automated puncture device and a laser puncture device
- Conditions
- Certain conditions originating in the perinatal period
- Registration Number
- KCT0009201
- Lead Sponsor
- Inje University Haeundae Paik Hospital
- Brief Summary
The results verified the differences in the percentage of skin injury(erythema, edema, bruise, scar) according to the puncture method used. Significantly different scars were observed in one case(2.9%) with the laser puncture device and seven case(18.9%) with the automated puncture device at 3 minutes after the puncture(?²=4.52, p=.033). One case(2.9%) with the laser puncture device and 31 cases(83.78%) with the automated puncture device were significantly different(?²=46.77, p< .001) 24 hours after the puncture. The number of punctures showed a significant difference according to the puncture method(t=7.94, p<.001). The laser puncture device(2.41±1.05) showed a higher number of punctures than the automatic puncture device(1.03±0.16). Hemostasis with the laser puncture device(1.12±0.03) was significantly lower(t= 8.61, p<.001) than that with the automated puncture device(1.84 ±0.37). Correlations between anger, contempt, disgust, fear, happiness, neutral, sadness, and surprise in pain behavioral response and facial expression analysis were also conducted. Significant positive correlations were observed between pain behavioral responses and anger(r=.24, p=.045), disgust (r=.27, p=.023), fear(r=.29, p=.015), and sadness(r=.25, p=.017) in facial expression analysis. In addition, facial expression in the subcategory of pain behavioral response showed a significant positive correlation with anger(r=.12, p=.031). Crying a subcategory of pain behavioral response showed significant positive correlations with fear(r=.28, p=.019) and sadness(r=.26, p=.031) in facial expression analysis. Finally, no significant differences in pain behavioral responses(F=2.09, p= .153), heart rate(F=0.09, p=.760), and oxygen saturation(F= 0.15, p=.705) were observed according to the puncture method.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 84
The inclusion criteria for preterm babies were as follows: 1) gestational age of 32 - 37 weeks (moderate to late preterm baby based on the World Health Organization guideline), 2) requirement for blood sampling while in the NICU, 3) possible heel lance, 4) availability of hospital-approved blood sampling, and 5) written informed consent from the primary caregiver.
The exclusion criteria were: 1) having a blood coagulation disorder and 2) receiving analgesia/sedatives or anticoagulants within 24 h prior to heel lance.
Study & Design
- Study Type
- Observational Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Pain behavioral and physiological responses and facial expressions
- Secondary Outcome Measures
Name Time Method skin injury, hemostasis, the number of puncture