The Effects of Kangaroo Mother Care and Swaddling on Venipuncture Pain in Premature Neonates: A Randomized Clinical Trial
نویسندگان
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3 Bushehr University of Medical Sciences, Bushehr, IR Iran
4 Nursing and Midwifery Faculty, Bushehr University of Medical Sciences, Bushehr, IR Iran
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چکیده
Hospitalized premature babies often undergo various painful procedures. Kangaroo mother care (KMC) and swaddlingare two pain reduction methods.Objectives: This study was undertaken to compare the effects of swaddling andKMCon pain during venous sampling in prematureneonates.Patients and Methods: This study was performed as a randomized clinical trial on 90 premature neonates. The neonates weredivided into three groups using a random allocation block. The three groups were group A (swaddling), group B (KMC), and groupC (control). In all three groups, the heart rate and arterial oxygen saturation were measured and recorded in time intervals of 30seconds before, during, and 30, 60, 90, and 120 seconds after blood sampling. The neonate’s face was video recorded and assessedusing the premature infant pain profile (PIPP) at time intervals of 30 seconds. The data was analyzed using the t-test, chi-square test,Repeated Measure analysis of variance (ANOVA), Kruskal-Wallis, Post-hoc, and Bonferroni test.Results: The findings revealed that pain was reduced to a great extent in the swaddling and KMC methods compared to the controlgroup. However, there was no significant difference between KMC and swaddling (P 0.05).Conclusions: The results of this study indicate that there is nomeaningful difference between swaddling andKMCon physiologicalindexes and pain in neonates. Therefore, the swaddling method may be a good substitute for KMC.