Observation on the Clinical Efficacy of Two Intervention Methods in Alleviating Venipuncture Pain for Premature Infants_West China Medical Journal

Authors：

 DaiShufang ¹ , ZhouFuxia ² , CaiHaiyan ¹ , LiXuechao ³

1. Department of Neonatology, Maternal and Child Health Care Center, Qinhuangdao, Hebei 066000, P. R. China;
2. Nursing Department, Maternal and Child Health Care Center, Qinhuangdao, Hebei 066000, P. R. China;
3. Department of Pediatrics, Maternal and Child Health Care Center, Qinhuangdao, Hebei 066000, P. R. China;

Corresponding?author：

Keywords：

Premature infants; Venipuncture; Pain; Intervention

DOI：

10.7507/1002-0179.201600346

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To observe the clinical efficacy of non-nutritional sucking and 10% glucose water plus non-nutritional sucking in relieving the venipuncture pain for premature infants. Method A total of 167 premature infants between April and December 2014 were selected as our study subjects, and they were randomly divided into three groups:intervention group Ⅰ (n=53), intervention group Ⅱ (n=58), and the control group (without any intervention, n=56). Two minutes before venous indwelling needle puncture, blood oxygen saturation and heart rate of the infants were recorded during their quiet state. In the process of venipuncture, the intervention group Ⅰ was given non-nutritional sucking, intervention group Ⅱ was given 10% glucose water plus non-nutritional sucking, and the control group did not accept any intervention. Premature pain rating scale (PIPP) was used to compare the three groups of infants in terms of pain score, heart rate and blood oxygen saturation 1 minute and 5 minutes after intravenous indwelling needle puncture. SPSS 17.0 software was applied for statistical analysis. Results Of the 167 premature infants, one-time puncture was successful in 152 infants, with 46 in intervention group Ⅰ, 54 in intervention group Ⅱ, and 52 in control group. One minute after intravenous indwelling needle puncture, PIPP score of intervention group Ⅰ and Ⅱ was significantly lower than that of the control group (P<0.05). The PIPP score of intervention group Ⅱ was significantly lower than that of intervention group Ⅰ (P<0.05). One minute and 5 minutes after intravenous indwelling needle puncture, heart rate in the intervention groups was significantly lower than that in the control group (P<0.05), blood oxygen saturation in the intervention groups was signficantly higher than that in the control group (P<0.05), and they were significantly lower in intervention group Ⅱ than in intervention group Ⅰ (P<0.05). Conclusions Non-nutritional sucking is effective in alleviating venipuncture pain for premature infants, especially when it is used together with 10% glucose water. The method is worthy of clinical promotion.

Citation： DaiShufang, ZhouFuxia, CaiHaiyan, LiXuechao. Observation on the Clinical Efficacy of Two Intervention Methods in Alleviating Venipuncture Pain for Premature Infants. West China Medical Journal, 2016, 31(7): 1273-1276. doi: 10.7507/1002-0179.201600346 Copy

1.	胡冠瓊, 黃小夏. 護理干預對新生兒疼痛影響的觀察[J]. 護理與康復, 2009, 8(7):550-551.
2.	Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units[J]. JAMA, 2008, 300(1):60-70.
3.	邵肖梅, 葉鴻瑁, 丘小汕. 實用新生兒學[M]. 4版. 北京:人民衛生出版社, 2011:74.
4.	陳麗蓮, 熊小云, 余霞娟, 等. 兩種非藥物性干預法緩解早產兒靜脈穿刺疼痛的效果觀察[J]. 護理研究, 2016, 7(7):871-873.
5.	Milena L. Pain management for children:the OPBG experience newborn pain[J]. J Paediatr Child Health, 2007, 17(Suppl 1):71-72.
6.	Merkel S, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children:the FLACC scale[J]. Am J Nurs, 2002, 102(10):55-58.
7.	胡素君, 賀瀟影, 王丹, 等. 兩種方式緩解早產兒足跟采血疼痛的療效觀察[J]. 中國婦幼保健, 2014, 29(1):72-74.
8.	Carbajal R, Chauvet X, Couderc S, et al. Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates[J]. BMJ, 1999, 319(7222):1393-1397.
9.	Blass E, Fitzgerald E, Kehoe P. Interactions between sucrose, pain and isolation distress[J]. Pharmacol Biochem Behav, 1987, 26(3):483-489.
10.	周紅, 王國民, 劉浪. 口服葡萄糖緩解新生兒疼痛的臨床研究[J]. 兒科藥學雜志, 2011, 17(4):21-22.
11.	Ramenghi LA, Evans DJ, Levene MI. Sucrose analgesia:absorptive mechanism or taste perception?[J]. Arch Dis Child Fetal Neonatal Ed, 1999, 80:146-147.
12.	王欣. 不同吸吮物緩解早產兒靜脈穿刺疼痛效果的研究[D]. 長春:吉林大學, 2013.
13.	薛松梅, 朱麗麗. 非藥物療法緩解新生兒疼痛的管理[J]. 中國疼痛醫學雜志, 2010, 16(1):37-39.
14.	Gibbins S, Stevens B, Hodnett E, et al. Efficacy and safety of sucrose for procedural pain relief in preterm and term neonates[J]. Nurs Res, 2002, 51(6):375-382.
15.	Joanna G, Peter W, Trudy L, et al. Can oral sucrose reduce the pain and distress associated with screening for retinopathy of prematurity?[J]. J Perinat, 2005, 25(1):33-35.
16.	劉曉聰, 林素芳, 黃碟卿, 等. 安撫奶嘴加體位支持減輕新生兒靜脈穿刺疼痛的效果觀察[J]. 護理學報, 2010, 17(2B):54-55.
17.	Johnston CC, Filion F, Snider L, et al. Routine sucrose analgesia during the first week of life neonates younger than 31 weeks' postconceptional age[J]. Pediatrics, 2002, 110(3):523-528.

1. 胡冠瓊, 黃小夏. 護理干預對新生兒疼痛影響的觀察[J]. 護理與康復, 2009, 8(7):550-551.
2. Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units[J]. JAMA, 2008, 300(1):60-70.
3. 邵肖梅, 葉鴻瑁, 丘小汕. 實用新生兒學[M]. 4版. 北京:人民衛生出版社, 2011:74.
4. 陳麗蓮, 熊小云, 余霞娟, 等. 兩種非藥物性干預法緩解早產兒靜脈穿刺疼痛的效果觀察[J]. 護理研究, 2016, 7(7):871-873.
5. Milena L. Pain management for children:the OPBG experience newborn pain[J]. J Paediatr Child Health, 2007, 17(Suppl 1):71-72.
6. Merkel S, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children:the FLACC scale[J]. Am J Nurs, 2002, 102(10):55-58.
7. 胡素君, 賀瀟影, 王丹, 等. 兩種方式緩解早產兒足跟采血疼痛的療效觀察[J]. 中國婦幼保健, 2014, 29(1):72-74.
8. Carbajal R, Chauvet X, Couderc S, et al. Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates[J]. BMJ, 1999, 319(7222):1393-1397.
9. Blass E, Fitzgerald E, Kehoe P. Interactions between sucrose, pain and isolation distress[J]. Pharmacol Biochem Behav, 1987, 26(3):483-489.
10. 周紅, 王國民, 劉浪. 口服葡萄糖緩解新生兒疼痛的臨床研究[J]. 兒科藥學雜志, 2011, 17(4):21-22.
11. Ramenghi LA, Evans DJ, Levene MI. Sucrose analgesia:absorptive mechanism or taste perception?[J]. Arch Dis Child Fetal Neonatal Ed, 1999, 80:146-147.
12. 王欣. 不同吸吮物緩解早產兒靜脈穿刺疼痛效果的研究[D]. 長春:吉林大學, 2013.
13. 薛松梅, 朱麗麗. 非藥物療法緩解新生兒疼痛的管理[J]. 中國疼痛醫學雜志, 2010, 16(1):37-39.
14. Gibbins S, Stevens B, Hodnett E, et al. Efficacy and safety of sucrose for procedural pain relief in preterm and term neonates[J]. Nurs Res, 2002, 51(6):375-382.
15. Joanna G, Peter W, Trudy L, et al. Can oral sucrose reduce the pain and distress associated with screening for retinopathy of prematurity?[J]. J Perinat, 2005, 25(1):33-35.
16. 劉曉聰, 林素芳, 黃碟卿, 等. 安撫奶嘴加體位支持減輕新生兒靜脈穿刺疼痛的效果觀察[J]. 護理學報, 2010, 17(2B):54-55.
17. Johnston CC, Filion F, Snider L, et al. Routine sucrose analgesia during the first week of life neonates younger than 31 weeks' postconceptional age[J]. Pediatrics, 2002, 110(3):523-528.

West China Medical Journal

Observation on the Clinical Efficacy of Two Intervention Methods in Alleviating Venipuncture Pain for Premature Infants

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content