Peripheral Central Catheter (PICC) Care

Ataturk University32 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

Conditions

NEWBORN Pain, Acute

Interventions

Eligibility

Sex: ALLMin age: 28 WeeksMax age: 36 Weeks

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Pain level

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.

Time frame: 8 months

Secondary Outcomes

Comfort

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.