High-risk neonates are forced to be separated from their parents due to hospitalization, and clinical medical treatment often causes pain and physical stress in high-risk newborns. Many literatures have confirmed that the mother's voice is positively helpful to the physiology of high-risk newborns, but few studies have been conducted on the father's voice. However, the parenting process is not only a link between the mother-child relationship, but also the impact of parental voice on high-risk newborns infants. Parent roles are expecting. The purpose of this study is to explore the effectiveness of parental voice intervention in high-risk newborns' heel puncture in reducing pain, and to further compare the mother and father's voice characteristics to the analysis of the pain degree of high-risk newborns.
This study is a kind of experimental research design. The subjects are 105 infants with gestational weeks of more than 32 weeks. Randomly allocated are divided into one group of 35 in control group and 35 in each experimental group. On the third day after the birth of the high-risk newborns infant, the heel puncture times is lasted three minutes before the heel puncture to ten minutes after the puncture. The control groups only received general routine care, while the two parental experimental groups received the intervention that recording of parents voice of reading children's book. In the three groups, the pain of high-risk newborns was measured with the Heartbeat, Respiration and Neonatal Infant Pain Scale (NIPS) in three minutes before the heel puncture, during the puncture, and the first, fifth and tenth minutes after the puncture. It is hoped that the results of this study can help high-risk newborns to reduce pain with non-drug measures, and understand the influence of different voice characteristics on the development of infants, so as to provide future care personnel assisting parental role expectation and reference of clinical care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
105
the intervention is recording of parents voice of reading children's book.
National Yang-Ming University
Taipei, Taiwan
Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the heart rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the heart rate at 3rd minute before the heel puncture
Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the heart rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture.
Time frame: Measure the heart rate during the heel puncture
Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the heart rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the heart rate at 1st minute after the heel puncture
Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the heart rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the heart rate at 5th minute after the heel puncture
Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the heart rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the heart rate at 10th minute after the heel puncture
Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the respiratory rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the respiratory rate at 3rd minute before the heel puncture
Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the respiratory rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the respiratory rate during the heel puncture
Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the respiratory rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the respiratory rate at 1st minute after the heel puncture
Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the respiratory rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the respiratory rate at 5th minute after the heel puncture
Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the respiratory rate at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the respiratory rate at 10th minute after the heel puncture
Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the oxygen saturation at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the oxygen saturation at 3rd minute before the heel puncture
Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the oxygen saturation at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the oxygen saturation during the heel puncture
Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the oxygen saturation at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the oxygen saturation at 1st minute after the heel puncture
Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the oxygen saturation at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the oxygen saturation at 5th minute after the heel puncture
Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
Measure the oxygen saturation at 3rd minute before the heel puncture, during, and at 1st, 5th and 10th minutes after the heel puncture
Time frame: Measure the oxygen saturation at 10th minute after the heel puncture
Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
Pain response assessed using the Neonatal Infants Pain Scale (NIPS), The evaluation indicators include 6 behavior indicators: facial expression, crying, breathing pattern, arms, legs and awakening status, except that the crying score is divided into three points (0, 1, 2 points), and the rest are two points (0 , 1 point), the total score is 0-7 points, the higher the score, the more serious the pain.
Time frame: Measure the NIPS at 3rd minute before the heel puncture
Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
Pain response assessed using the Neonatal Infants Pain Scale (NIPS), The evaluation indicators include 6 behavior indicators: facial expression, crying, breathing pattern, arms, legs and awakening status, except that the crying score is divided into three points (0, 1, 2 points), and the rest are two points (0 , 1 point), the total score is 0-7 points, the higher the score, the more serious the pain.
Time frame: Measure the NIPS during the heel puncture
Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
Pain response assessed using the Neonatal Infants Pain Scale (NIPS), The evaluation indicators include 6 behavior indicators: facial expression, crying, breathing pattern, arms, legs and awakening status, except that the crying score is divided into three points (0, 1, 2 points), and the rest are two points (0 , 1 point), the total score is 0-7 points, the higher the score, the more serious the pain.
Time frame: Measure the NIPS at 1st minute after the heel puncture
Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
Pain response assessed using the Neonatal Infants Pain Scale (NIPS), The evaluation indicators include 6 behavior indicators: facial expression, crying, breathing pattern, arms, legs and awakening status, except that the crying score is divided into three points (0, 1, 2 points), and the rest are two points (0 , 1 point), the total score is 0-7 points, the higher the score, the more serious the pain.
Time frame: Measure the NIPS at 5th minute after the heel puncture
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Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
Pain response assessed using the Neonatal Infants Pain Scale (NIPS), The evaluation indicators include 6 behavior indicators: facial expression, crying, breathing pattern, arms, legs and awakening status, except that the crying score is divided into three points (0, 1, 2 points), and the rest are two points (0 , 1 point), the total score is 0-7 points, the higher the score, the more serious the pain.
Time frame: Measure the NIPS at 10th minute after the heel puncture