Other Titles

Medication Related Research in the Clinical Setting

Abstract

Session presented on Saturday, July 26, 2014:

Purpose: To identify effective non-pharmacological interventions in the literature regarding Heel Stick Pain prevention and treatment in preterm neonates.

Methods: A literature search from 2007 to 2012 was conducted using MedLine, CINAHL, and the Cochrane Library databases, and was complemented by a search of known articles. Two independent reviewers extracted data and assessed methodological quality according to pre-defined criteria.

Results: We identified 14 randomized controlled studies that pertained to non-pharmacological pain management methods. The selected interventions were "non-nutritive sucking", "sucrose", "glucose", "sensorial saturation", "facilitated tucking", "kangaroo care", "sensorial saturation", "breast milk" and "incubator care (inclined, nested, and prone)". Some of the non-pharmacological interventions reduced changes in pulse rate, respiration and oxygen saturation, motor activity, and clinical excitation states during painful intervention.

Conclusion: Evidence supported "non-nutritive sucking", "sucrose", "glucose", "sensorial saturation", "facilitated tucking" and "kangaroo care" for their pain-alleviating effects on neonates. However, unambiguous evidence of their effects remains to be presented. Further research must use validated pain assessment instruments for the evaluation of the pain-alleviating effect of non-pharmacological interventions.

Author Details

Ming-Huei Lu, MS, RN; I-Chuan Li, PhD, RN

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Non-Pharmacological Management, Pre-Term Neonates, Heel-Stick Pain

Conference Name

25th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Hong Kong

Conference Year

2014

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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A systematic review of non-pharmacological management of heel-stick pain in the pre-term neonates

Hong Kong

Session presented on Saturday, July 26, 2014:

Purpose: To identify effective non-pharmacological interventions in the literature regarding Heel Stick Pain prevention and treatment in preterm neonates.

Methods: A literature search from 2007 to 2012 was conducted using MedLine, CINAHL, and the Cochrane Library databases, and was complemented by a search of known articles. Two independent reviewers extracted data and assessed methodological quality according to pre-defined criteria.

Results: We identified 14 randomized controlled studies that pertained to non-pharmacological pain management methods. The selected interventions were "non-nutritive sucking", "sucrose", "glucose", "sensorial saturation", "facilitated tucking", "kangaroo care", "sensorial saturation", "breast milk" and "incubator care (inclined, nested, and prone)". Some of the non-pharmacological interventions reduced changes in pulse rate, respiration and oxygen saturation, motor activity, and clinical excitation states during painful intervention.

Conclusion: Evidence supported "non-nutritive sucking", "sucrose", "glucose", "sensorial saturation", "facilitated tucking" and "kangaroo care" for their pain-alleviating effects on neonates. However, unambiguous evidence of their effects remains to be presented. Further research must use validated pain assessment instruments for the evaluation of the pain-alleviating effect of non-pharmacological interventions.