The Effects on Pain of Acupressure and Foot Reflexology Before Heel Lancing in Newborns

Eskisehir Osmangazi University105 enrolled

Overview

This study aimed to determine the effects of foot reflexology and acupressure on the KI3 and St36 points on pain during interventions when these procedures were administered before heel lancing in term newborns.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

105

Conditions

Interventions Pain

Interventions

Acupressure methodsOTHER

Acupressure on the KI3 and St36 points applied to the babies in the acupressure group for a total of 7 minutes before the heel prick

Foot Reflexology MethodsOTHER

Foot reflexology was applied to the babies in the foot reflexology group for a total of 7 minutes before the heel prick

Control GrupOTHER

No pre-application was made to the babies in the control group as a routine procedure.

Eligibility

Sex: ALLMin age: 24 HoursHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Being born by cesarean section, 2. Being a term newborn, 3. Being completed the 24th hour of the postnatal period, 4. Staying with birth mother, 5. Being fed in the last half hour before the procedure, 6. Having a heel prick performed by the same nurse, 7. Giving blood on the first try (because pain level may change on the second try), 8. Having a mother who gave written informed consent Exclusion Criteria: 1. Having no health problem, 2. Being underwent more than 2 invasive interventions, 3. Receiving an analgesic/sedative drug in the 8 hours before the application.

Locations (1)

Afyonkarahisar Public Hospital

Afyonkarahisar, Turkey (Türkiye)

Outcomes

Primary Outcomes

Pain levels of the newborns

The N-PASS was developed by Hummel et al. in 2003 to be used in all full-term and preterm neonates. The scale was revised by Hummel on October 2, 2009 and adapted to Turkish by Açıkgöz et al. in 2011 The Cronbach's alpha internal consistency coefficient of the scale was found to be 0.779 for preintervention and 0.917 for postintervention (Açıkgöz et al., 2017). The N-PASS consists of five sub-dimensions: crying and irritability, behavior-state, facial expression, extremities tone, and vital signs. The sub-dimension of vital signs was evaluated according to infants' heart rates and oxygen saturation values. The total pain score that can be obtained from the scale ranges between 0 and +10. A higher score indicates that the severity of pain is high. The goal of pain therapy is to keep the score at or below 3 (Hummel et al., 2008; Hummel et al., 2010).

Time frame: Before the pain procedure, during the pain procedure (the pain levels of the infants when the needle pricked the heel were evaluated using the N-PASS) and After the pain procedure. (Having completed the 24th hour of the postnatal period)

Secondary Outcomes

Changes in oxygen saturation

Recorded the changes in oxygen saturation (SpO2) of newborns (Having completed the 24th hour of the postnatal period) before (A pulse oximeter was attached to the infants two minutes before the procedure), during and after pain procedure

Time frame: 2 Minutes

Changes in heart rates

Recorded the changes in Heart rate of newborns (Having completed the 24th hour of the postnatal period) before (A pulse oximeter was attached to the infants two minutes before the procedure), during and after pain procedure

Time frame: 2 Minutes

Percentage of crying during heel prick in healthy term neonates

Percentage of crying in 3 groups were applied during heel prick and immediately after intervention. Results are shown as mean.

Time frame: During heel prick and immediately after intervention

Data from ClinicalTrials.gov

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