Effects of White Noise and Facilitated Tucking During Heel Stick Sampling on the Pain Response of Healthy Term Newborns: A Randomized Controlled Study

Abstract

Aim:Painful procedures in the newborn begin with injections. Controlling painful practices in the newborn is of great importance. Nurses should be familiar with evidence-based non-pharmacological methods to reduce pain. This study was performed to compare the effect of white noise, facilitated tucking, and their concerted application during heel-stick sampling on pain in term babies.Materials and Methods:A randomized controlled trial was conducted. The study was conducted on 90 newborns. Using stratification and the blocking method, 30 newborns were included in the white noise group (Group 1), 30 in the facilitated tucking group (Group 2), and 30 in the white noise + facilitated tucking group (Group 3). Pain scores of the newborns in all groups before, during, and after the procedure were evaluated by two nurses independent of each other using the neonatal infant pain scale (NIPS).Results:When the NIPS scores of the neonates during the heel-stick sampling procedure were compared, a significant difference was detected between the groups (p<0.001).Conclusion:The pain score of the group that was made to listen to white noise and had been placed in the facilitated tucking position during the application was significantly lower than in the other two groups.

Keywords

• facilitated tucking
• newborn
• pain
• white noise