The effect of nesting positions on pain, stress and comfort during heel lance in premature infants

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dc.contributor.authorKahraman, Ayse
dc.contributor.authorBasbakkal, Zumrut
dc.contributor.authorYalaz, Mehmet
dc.contributor.authorSozmen, Eser Y.
dc.date.accessioned2019-10-27T10:03:26Z
dc.date.available2019-10-27T10:03:26Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Nesting positions are commonly used in procedural analgesic administration in premature neonates. The effectiveness of nesting positions is questioned. The aim of the this study was to assess the pain, stress, comfort and salivary cortisol and melatonin values in nesting positions during the heel lance procedure in premature infants at the NICU. Methods: Experimental research; repeated measurement design. The sample comprised 33 premature neonates with gestational age of 31-35 weeks who had been hospitalized in the NICU. Nesting positions were given using linen or towels. The procedure of heel lance was recorded on camera. The camera recordings were evaluated according to the NIPS and the COMFORTneo scale. Saliva samples were obtained five minutes prior to and 30 min after the heel lance procedure. Salivary Cortisol and Melatonin were measured using the Salimetrics Cortisol Elisa Kit and the Salimetrics Melatonin Elisa Kit. Results: The crying time, the mean NIPS score, the COMFORTneo score, the COMFORTneo NRS-pain scores and the COMFORTneo NRS-distress scores for premature neonates who were in the prone position during the procedure were significantly lower than the scores in the supine position (p < 0.000). Furthermore, the level of salivary cortisol five minutes prior to and 30 min after the heel lance procedure had significantly decreased in the prone position; however, there were insignificant differences in the mean levels of salivary melatonin between the positions. Conclusions: Nesting in the prone position has a pain reducing effect, enhancing comfort and reducing stress in premature infants. Copyright (C) 2017, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC.en_US
dc.description.sponsorshipEge University Scientific Research Projects DirectorateEge University [2013/HYO/005]en_US
dc.description.sponsorshipWe acknowledge the financial support of the Ege University Scientific Research Projects Directorate (Project Grant Number: 2013/HYO/005).en_US
dc.identifier.doi10.1016/j.pedneo.2017.11.010en_US
dc.identifier.endpage359en_US
dc.identifier.issn1875-9572
dc.identifier.issn2212-1692
dc.identifier.issue4en_US
dc.identifier.pmid29248383en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage352en_US
dc.identifier.urihttps://doi.org/10.1016/j.pedneo.2017.11.010
dc.identifier.urihttps://hdl.handle.net/11454/30114
dc.identifier.volume59en_US
dc.identifier.wosWOS:000454041700005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Taiwanen_US
dc.relation.ispartofPediatrics and Neonatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectnesting positionsen_US
dc.subjectpainen_US
dc.subjectcomforten_US
dc.subjectstressen_US
dc.subjectcortisol levelen_US
dc.titleThe effect of nesting positions on pain, stress and comfort during heel lance in premature infantsen_US
dc.typeArticleen_US

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