Yenidoğanlara Venöz Kan Alma Girişimi Sırasında Dinletilen Anne Sesi, Müzik Sesi ve Beyaz Gürültünün Ağrı Düzeyi ve Fizyolojik Parametrelere Etkisi: Randomize Kontrollü Çalışma
Abstract
Amaç: Araştırma, yenidoğanlara venöz kan alma girişimi sırasında dinletilen anne sesi, müzik sesi ve beyaz gürültü yöntemlerinin ağrı düzeyi ve fizyolojik parametrelere etkisini belirlemek amacı ile yapılmıştır.
Gereç ve Yöntemler: Araştırma randomize kontrollü deneysel çalışmadır. Araştırmanın örneklemini yapılan güç analizi sonucuna göre 80 yenidoğan (anne sesi grubu=20, müzik sesi grubu=20, beyaz gürültü=20, kontrol grubu=20) oluşturmuştur. Girişim grubundaki yenidoğanlara kan alma işlemi sırasında kayıtlı anne sesi, müzik sesi ve beyaz gürültü dinletilirken, kontrol grubundaki yenidoğanlara sadece rutin kan alma işlemi gerçekleştirilmiştir.
Bulgular: Araştırma sonuçları değerlendirildiğinde, kayıtlı anne sesi, müzik sesi ve beyaz gürültü gruplarındaki yenidoğanların işlem sırasında ve sonrasındaki ağrı düzeylerinin kontrol grubuna göre anlamlı derecede düşük olduğu belirlenmiştir (p<0,05). Anne sesi grubunun ağrı düzeyi, müzik sesi ve beyaz gürültü grubuna göre anlamlı derecede düşük bulunmuştur (p<0,05). Fizyolojik parametre sonuçları değerlendirildiğinde, solunum değerlerinde en olumlu sonucun beyaz gürültü grubunda olduğu belirlenmiştir (p<0,05).
Sonuç: Yenidoğanlarda kan alma girişimi sırasında oluşan ağrıyı azaltmada ve fizyolojik parametre değerlerini düzenlemede anne sesi, müzik sesi ve beyaz gürültü yöntemlerinin etkili olduğu görülmüştür. Bu sonuçlar doğrultusunda, yenidoğan sağlık çalışanlarının anne sesi, müzik sesi ve beyaz gürültüyü farmakolojik olmayan yöntemler olarak kullanması önerilmektedir.
Keywords
References
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- Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. European Journal of Pain. 2016; 20(4): 489-98. https://doi.org/10.1002/ejp.757
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- Midilli TS, Ergin E. The effect of white noise and Brahms’ lullaby on pain in infants during intravenous blood draw: a randomized controlled study. Alternative Therapies in Health and Medicine. 2023;6(11):1-8.
- Pacheco A, Fernandes R, Marques G. The pain control in newborns and infants using music: Scoping review. Journal of Neonatal Nursing. 2024; 30: 200-4. https://doi.org/10.1016/j.jnn.2023.11.001
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- Akdovan T, Yıldırım Z. Assessment of pain in healthy neonates, investigation of the effects of pacifying and holding in the arms. Perinatal J. 1999; 7(2): 107.
- İmseytoğlu D, Yıldız S. Music therapy in neonatal intensive care unit. Florence Nightingale Journal of Nursing. 2012; 20(2): 160-65.
- Karakoç A, Türker F. Effects of white noise and holding on pain perception in newborns. Pain Management Nursing. 2014; 15(4): 864-70.
- Eriksson M, Campbell Yeo M. Assessment of pain in newborn infants. Seminars in Fetal and Neonatal Medicine. 2019; 24(4): 101003. https://doi.org/10.1016/j.siny.2019.04.003.
- Fitri SYR, Lusmilasari L, Juffrie M, Rakhmawati W. Pain in neonates: a concept analysis. Anesthesiology and Pain Medicine. 2019; 9(4): e92455. https://doi.org/10.5812/aapm.92455
- Büyükgönenç L, Törüner EK. Pain and Nursing Management in Childhood. In: Pediatric Nursing. Ed. Conk, Z., Başbakkal, Z., Yılmaz, H.B, Bolışık, B. (pp. 893-911). Ankara: Akademisyen Publishing, 2018.
- Kucukoglu S, Aytekin A, Celebioglu A, Celebi A, Caner I, Maden R. Effect of white noise in relieving vaccination pain in premature infants. Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses. 2016; 17(6): 392-400. https://doi.org/10.1016/j. pmn.2016.08.006
- Chen Y, Zhou L, Tan Y. The effect of maternal voice and non-nutritional sucking on repeated procedural pain of heel prick in neonates: a quasi-experimental study. BMC Pediatrics. 2024; 24(1): 256. https://doi.org/10.1186/s12887-024-047 38-7
- Yu WC, Chiang MC, Lin KC, Chang CC, Lin KH, Chen CW. Effects of maternal voice on pain and mother–Infant bonding in premature infants in Taiwan: A randomized controlled trial. Journal of Pediatric Nursing. 2022; 63: e136-e142. https://doi.org/10.1016/j.pedn.2021.09.022
- Ju M. Effectiveness of white noise intervention for relieving pain levels in neonatal heel blood collection. International Journal of Nursing, 2019; 24: 4186-7. https://doi.org/10.3760/cma.j.issn.167 3-4351.2019.24.045
The Effect of Mother's Voice, Music Voice and White Noise Methods on Pain and Physical Parameters during Venipuncture in Newborn: A Randomized Controlled Study
Abstract
Aim: The study was conducted to determine the effect of recorded mother's voice, music voice and white noise methods during the venipuncture procedure on pain level and physiological parameters in newborns.
Material and Methods: The study was a randomized controlled trial. The sample of the study consist of 80 newborns (recorded mother’s voice group=20, music voice group=20, white noise=20, control group=20), according to the result of the power analysis. During the venipuncture process, the newborns in the experimental group were listened to the recorded mother's voice, music voice and white noise, while the newborns in the control group were only given routine venipuncture.
Results: When the research results were evaluated, it was determined that the pain levels of the newborns in the recorded mother's voice, music voice and white noise groups were significantly lower during and after the procedure compared to the control group (p<0.05). Pain levels of the recorded mother's voice group were significantly lower than those of the music voice and white noise (p<0.05). When the physiological parameter results were evaluated, it was determined that the most positive result in respiration values were in the white noise group (p<0.05).
Conclusion: It was observed that mother's voice, music voice and white noise methods are effective in reducing pain and regulating physiological parameter values during venipuncture in newborns. In line with these results, it is recommended that neonatal healthcare professionals use mother's voice, music sound, and white noise methods as non-pharmacological techniques.
Keywords
References
- Chen Y, Li Y, Sun J, Han D, Feng S, Zhang X. The effect of maternal voice on venipuncture induced pain in neonates: a randomized study. Pain Manag Nurs. 2021; 22(5): 668-73. https://doi.org/10.1016/j.pmn.2021.01.002
- Kudubeş AA, Bektaş İ, Bektaş M. Nursing role in children pain management. J Educ Res Nurs. 2021; 18(1): 107-13. https://doi.org/10.5152/jern.2021.91489
- Viana TRF, Melo GMD, Cardoso MV LML, Almeida PCD, Oliveira LMD, Santos DADS. Pain in full term newborns submitted to music and swaddling during venipunctures. Rev Rene. 2020; 21(1): 1-8. https://doi.org/10.15253/2175-6783.202 02143904
- Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. European Journal of Pain. 2016; 20(4): 489-98. https://doi.org/10.1002/ejp.757
- Williams MD, Lascelles BDX. Early neonatal pain—a review of clinical and experimental implications on painful conditions later in life. Frontiers in pediatrics. 2020; 8(30): 1-18. https://doi.org/10.3389/fped.2020.00030
- Salekin MS, Mouton PR, Zamzmi G, Patel R, Goldgof D, Kneusel M, et al. Future roles of artificial intelligence in early pain management of newborns. Paediatric and Neonatal Pain. 2021; 3(3): 134-45. https://doi.org/10.1002/pne2.12060.
- Midilli TS, Ergin E. The effect of white noise and Brahms’ lullaby on pain in infants during intravenous blood draw: a randomized controlled study. Alternative Therapies in Health and Medicine. 2023;6(11):1-8.
- Pacheco A, Fernandes R, Marques G. The pain control in newborns and infants using music: Scoping review. Journal of Neonatal Nursing. 2024; 30: 200-4. https://doi.org/10.1016/j.jnn.2023.11.001
- Ye X, Chen JQ, Zhu LL, Chui LB, Xu HZ. Intervention strategies for white noise alleviating procedural pain in newborns: A systematic review. J Clin Nurs. 2023; 32: 4265-82. https://doi.org/10.1111/jocn.16601
- Shen Q, Huang Z, Leng H, Luo X, Zheng X. Efficacy and safety of non-pharmacological interventions for neonatal pain: An overview of systematic reviews. BMJ Open. 2022; 12(9): e062296. https://doi.org/10.1136/ bmjopen -2022-062296
- Pekyigit A, Açıkgöz A. Effects of white noise and facilitated tucking during heel stick sampling on the pain response of healthy term newborns: A randomized controlled study. Journal of Pediatric Research. 2023; 10(1): 43-54. https://doi.org/10.4274/jpr.galenos.2022. 67799
- Jin L, Zhang J, Yang X, Rong H. Maternal voice reduces procedural pain in neonates: A meta-analysis of randomized controlled trials. Medicine, 2023; 102(12): e33060. https://doi.org/10.1097/ MD.0000000000033060
- Ding S, Huang X, Li X, Shen Y, Yang L. Effects of maternal voice on painful procedures in preterm and full‐term infants: A systematic review and meta‐analysis. Nursing in Critical Care. 2023; 28(3): 454-64. https://doi.org/10.1111/nicc.128 11
- Lin CW, Liu HM, Liu CY, Chu YH, Wang ST, Chen, CW. Effects of parents' voice on reducing heel puncture pain in high‐risk newborns: A randomized controlled trial. Nursing in Critical Care. 2024; 29(3): 521-31.
- Papatzikis E, Agapaki M, Selvan RN, Hanson-Abromeit D, Gold C, Epstein S, Lok WV, Barda E, Pandey, V. Music medicine and music therapy in neonatal care: a scoping review of passive music listening research applications and findings on infant development and medical practice. BMC Pediatrics. 2024; 24(1): 829. https://doi.org/10.1186/s12887-024-05275-z
- Çantaş Ayar A, Kahriman İ, Küçük Alemdar D, Özoran Y. Effect of using white noise, embracing and facilitated tucking on pain during heel lance blood sampling in newborns. Early Child Development and Care. 2023; 193(4): 547-58.
- Lawrence J, Alcock D, McGrath P, Kay J, MacMurray SB, Dulberg C. The development of a tool to assess neonatal pain. Neonatal Network. 1993; 12(6): 59-66.
- Akdovan T, Yıldırım Z. Assessment of pain in healthy neonates, investigation of the effects of pacifying and holding in the arms. Perinatal J. 1999; 7(2): 107.
- İmseytoğlu D, Yıldız S. Music therapy in neonatal intensive care unit. Florence Nightingale Journal of Nursing. 2012; 20(2): 160-65.
- Karakoç A, Türker F. Effects of white noise and holding on pain perception in newborns. Pain Management Nursing. 2014; 15(4): 864-70.
- Eriksson M, Campbell Yeo M. Assessment of pain in newborn infants. Seminars in Fetal and Neonatal Medicine. 2019; 24(4): 101003. https://doi.org/10.1016/j.siny.2019.04.003.
- Fitri SYR, Lusmilasari L, Juffrie M, Rakhmawati W. Pain in neonates: a concept analysis. Anesthesiology and Pain Medicine. 2019; 9(4): e92455. https://doi.org/10.5812/aapm.92455
- Büyükgönenç L, Törüner EK. Pain and Nursing Management in Childhood. In: Pediatric Nursing. Ed. Conk, Z., Başbakkal, Z., Yılmaz, H.B, Bolışık, B. (pp. 893-911). Ankara: Akademisyen Publishing, 2018.
- Kucukoglu S, Aytekin A, Celebioglu A, Celebi A, Caner I, Maden R. Effect of white noise in relieving vaccination pain in premature infants. Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses. 2016; 17(6): 392-400. https://doi.org/10.1016/j. pmn.2016.08.006
- Chen Y, Zhou L, Tan Y. The effect of maternal voice and non-nutritional sucking on repeated procedural pain of heel prick in neonates: a quasi-experimental study. BMC Pediatrics. 2024; 24(1): 256. https://doi.org/10.1186/s12887-024-047 38-7
- Yu WC, Chiang MC, Lin KC, Chang CC, Lin KH, Chen CW. Effects of maternal voice on pain and mother–Infant bonding in premature infants in Taiwan: A randomized controlled trial. Journal of Pediatric Nursing. 2022; 63: e136-e142. https://doi.org/10.1016/j.pedn.2021.09.022
- Ju M. Effectiveness of white noise intervention for relieving pain levels in neonatal heel blood collection. International Journal of Nursing, 2019; 24: 4186-7. https://doi.org/10.3760/cma.j.issn.167 3-4351.2019.24.045
Details
| Primary Language | English |
|---|---|
| Subjects | Nursing (Other) |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | May 22, 2025 |
| Submission Date | January 9, 2025 |
| Acceptance Date | March 18, 2025 |
| Published in Issue | Year 2025 Volume: 15 Issue: 2 |
