Research Article
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Bebeklerde Kanguru Bakımının Ağrı Üzerine Etkisi: Randomize Kontrollü Çalışma

Year 2025, Volume: 4 Issue: 1, 1 - 9, 18.04.2025
https://doi.org/10.59398/ahd.1575658

Abstract

Amaç: Bu çalışma bebeklerde aşılama sırasında uygulanan kanguru bakımının ağrı üzerine etkisini belirlemek amacıyla yapılmıştır.
Yöntem: Araştırma, 128 sağlıklı 1 aylık bebek ve anneleri ile randomize kontrollü olarak yapılmıştır. Verilerin toplanmasında; sosyodemografik bilgi formu, Yenidoğan Bebek Ağrı Ölçeği, nabız oksimetresi ve kronometre kullanılmıştır.
Bulgular: Aşılama öncesinde, sırasında ve sonrasında gruplar arasında; NIPS skorları, oksijen satürasyon oranları ve ağlama süreleri açısından istatistiksel olarak anlamlı farklılıklar tespit edilmiştir. Aşılama işlemi öncesinde ve sırasında gruplar arasında kalp atım hızı açısından anlamlı bir fark bulunmazken, aşılama sonrasında istatistiksel olarak anlamlı bir fark tespit edilmiştir.
Sonuç: Kanguru bakımını aşılanan bebeklerde ağlama süresini, kalp atım hızını ve ağrıyı azalttığı, buna karşın kandaki oksijen satürasyon düzeylerini artırdığı belirlenmiştir.

Project Number

DPÜ-BAB No.2016-28

References

  • Olsson E, Ahl H, Bengtsson K, Vejayaram DN, Norman E, Bruschettini M, et. al. The use and reporting of neonatal pain scales: a systematic review of randomized trials. Pain 2021; 162(2): 353-360.
  • Zhao Y, Dong Y, Cao, J. Kangaroo care for relieving neonatal pain caused by invasive procedures: A systematic review and meta‐analysis. Computational Intelligence and Neuroscience 2022; 2022(1): 2577158.
  • Sharma H, Ruikar M. Kangaroo mother care (KMC) for procedural pain in infants: A meta- analysis from the current evidence of randomized control trials and cross-over trials. Journal of Family Medicine and Primary Care 2022; 11(4): 1250-1256.
  • Sen E, Manav G. Effect of kangaroo care and oral sucrose on pain in premature infants: A randomized controlled trial (Prematüre bebeklerde kanguru bakımı ve oral sukrozun ağrı üzerine etkisi: Randomize kontrollü bir çalışma). Pain Management Nursing 2020; 21(6): 556-564.
  • Jajoo M, Mittal M, Saikia D, Kumar N. Impact of kangaroo mother care on heart rate variability and pain score with heel lance pain in preterm neonates: A cross-over randomized controlled trial. Journal of Neonatology 2024; 38(2).
  • Hartley KA, Miller CS, Gephart SM. Facilitated tucking to reduce pain in neonates: Evidence for best practice. Advances in Neonatal Care 2015; 15(3): 201-208.
  • Hills E, Rosenberg J, Banfield N, Harding C. A multidisciplinary approach to the implementation of non-pharmacological strategies to manage infant pain. Infant 2020; 16(2): 78-81.
  • Weng Y, Zhang J, Chen Z. Effect of non-pharmacological interventions on pain in preterm infants in the neonatal intensive care unit: A network meta-analysis of randomized controlled trials. BMC Pediatrics 2024; 24(1), 9.
  • Shiff I, Bucsea O, Pillai Riddell R. Psychosocial and neurobiological vulnerabilities of the hospitalized preterm infant and relevant non-pharmacological pain mitigation strategies. Frontiers in Pediatrics 2021; 9: 568755.
  • Cho ES, Kim SJ, Kwon MS, Cho H, Kim EH, Jun EM, et al. The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal–infant attachment, and maternal stress. Journal of Pediatric Nursing 2016; 31(4): 430-438.
  • Kostandy RR, Ludington-Hoe SM. Clustered pain procedures in skin-to-skin contact (SSC) position for full term newborns. World Journal of Neuroscience 2017; 7(1): 38.
  • Bera A, Ghosh J, Singh AK, Hazra A, Som T, Munian D. Effect of kangaroo mother care on vital physiological parameters of the low birth weight newborn. Indian Journal of Community Medicine 2014; 39(4): 245-249.
  • Sutar R, Baraha S, Mummidi PS. Effects of kangaroo mother care on common vital parameters of preterm infants. IJSR 2015; 4(12): 345-7.
  • World Health Organization (WHO). Kangaroo mother care: A practical guide, 2003. Available at https://www.who.int/maternal_child_adolescent/ documents/9241590351/en/. Accessed February 18, 2022.
  • Saeidi R, Asnaashari Z, Amirnejad M, Esmaeili H, Robatsangi MG. Use of “Kangaroo Care” to alleviate the intensity of vaccination pain in newborns. Iranian Journal of Pediatrics 2011; 21(1), 99.
  • Lawrence J, Alcock D, McGrath P, Kay J, Mac- Murray SB, Dulberg C. The development of a tool to assess neonatal pain. Neonatal network: NN 1993; 12(6): 59-66.
  • Akdovan T, Yıldırım Z. Sağlıklı yenidoğanlarda ağrının değerlendirilmesi, emzik verme ve kucağa alma yönteminin etkisinin incelenmesi. Perinatal Journal 1999; 7: 107.
  • Akyurek B, Conk Z. Yenidoğan bebeklere uygulanan iğneli girişimlerde non-farmakolojik ağri giderme yöntemlerinin etkisinin incelenmesi. Journal of Ege University Faculty of Nursing 2006; 22(1): 1-17.
  • Yucel G, Sari HY, Olukman O. Yenidoğanlarda tekrarlayan topuk kan alımı sırasında uygulanan kanguru bakımının ağrı puanına etkisi. Journal of Dr. Behcet Uz Children’s Hospital 2020; 10(2).
  • Okan F, Ozdil A, Bulbul A, Yapici Z, Nuhoglu A. Analgesic effects of skin-to-skin contact and breastfeeding in procedural pain in healthy term neonates (Sağlıklı term yenidoğanlarda ciltten cilde temasın ve emzirmenin prosedürel ağrıda analjezik etkileri). Annals of Tropical Paediatrics 2010; 30(2): 119-128.
  • Johnston C, Campbell‐Yeo M, Disher T, Benoit B, Fernandes A, Streiner D, et al. Skin‐to‐skin care for procedural pain in neonates. Cochrane Database of Systematic Reviews 2017; (2).
  • Sajedi F, Kashaninia Z, Rahgozar M, Asadi NF. The effect of kangaroo care on physiologic responses to pain of an intramuscular injection in neonates. Iranian Journal of Pediatrics 2007; 17(4): 339-344.
  • Simsek DC, Gunay U, Polat S. Term ve preterm yenidoğanda kanguru bakımına yönelik kanıta dayalı uygulamalar. Türkiye Clinics Pediatric Nursing-Special Topics 2021; 7(2): 53-57.
  • Nimbalkar SM, Chaudhary NS, Gadhavi KV, Phatak A. Kangaroo mother care in reducing pain in preterm neonates on heel prick. The Indian Journal of Pediatrics 2013; 80: 6-10.
  • Dezhdar S, Jahanpour F, Bakht SF, Ostovar A. The effects of kangaroo mother care and swaddling on venipuncture pain in premature neonates: a randomized clinical trial. Iranian Red Crescent Medical Journal 2016; 18(4).
  • Stuard W. The effects of kangaroo care on a newborn development and vital physiology. Clinics Mother Child Health 2016; 13(1): 2-4.
  • Kemer D, Isler, A. Yenidoğanlarda ağrı yönetiminde kullanılan kanıt temelli nonfarmakolojik hemşirelik uygulamaları. Balikesir Journal of Health Sciences 2020; 9(3): 197-204.
  • Gray L, Watt L, Blass EM. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics 2000; 105(1): e14-e14.
  • Choudhary M, Dogiyal H, Sharma D, Datt Gupta B, Madabhavi I, Choudhary JS, et al. To study the effect of kangaroo mother care on pain response in preterm neonates and to determine the behavioral and physiological responses to painful stimuli in preterm neonates: A study from western Rajasthan. The Journal of Maternal- Fetal & Neonatal Medicine 2016; 29(5): 826- 831.
  • Moore ER, Bergman N, Anderson GC, Medley N. Early skin‐to‐skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2016; (11).
  • Gurbuz F, Koyuncu NE. Bebeklerde aşı uygulamaları sırasında oluşan ağrının yönetiminde kullanılan non-farmakolojik fiziksel yöntemler. KTO Karatay University Health Sciences Journal 2024; 5(1): 97-107.

Effect of Kangaroo Care on Pain in Infants: A Randomized Controlled Trial

Year 2025, Volume: 4 Issue: 1, 1 - 9, 18.04.2025
https://doi.org/10.59398/ahd.1575658

Abstract

Aim
This study was conducted to determine the effect of kangaroo care on pain during vaccination in infants.
Method
The study was conducted as a randomised controlled trial with 128 healthy one-month-old infants and their mothers. Sociodemographic information form, Neonatal Infant Pain Scale, pulse oximetry and stopwatch were used for data collection.
Results
Statistically significant differences were found between the groups before, during and after vaccination in terms of Neonatal Infant Pain Scale scores, oxygen saturation rates and crying times. While there was no significant difference between the groups in terms of heart rate before and during the vaccination procedure, a statistically significant difference was found after vaccination.
Conclusion
Kangaroo care has been found to decrease crying time, heart rate and pain in vaccinated infants, while also increasing blood oxygen saturation levels.

Ethical Statement

Dumlupinar University Clinical Studies Ethics Board14.04.2016/issue 2016-5-7

Supporting Institution

This study was supported by Dumlupinar University Scientific Research Projects Unit (DPÜ-BAB No.2016-28).

Project Number

DPÜ-BAB No.2016-28

Thanks

We thank all the doctors, staff of public health centers, and interviewees who participated in the study.

References

  • Olsson E, Ahl H, Bengtsson K, Vejayaram DN, Norman E, Bruschettini M, et. al. The use and reporting of neonatal pain scales: a systematic review of randomized trials. Pain 2021; 162(2): 353-360.
  • Zhao Y, Dong Y, Cao, J. Kangaroo care for relieving neonatal pain caused by invasive procedures: A systematic review and meta‐analysis. Computational Intelligence and Neuroscience 2022; 2022(1): 2577158.
  • Sharma H, Ruikar M. Kangaroo mother care (KMC) for procedural pain in infants: A meta- analysis from the current evidence of randomized control trials and cross-over trials. Journal of Family Medicine and Primary Care 2022; 11(4): 1250-1256.
  • Sen E, Manav G. Effect of kangaroo care and oral sucrose on pain in premature infants: A randomized controlled trial (Prematüre bebeklerde kanguru bakımı ve oral sukrozun ağrı üzerine etkisi: Randomize kontrollü bir çalışma). Pain Management Nursing 2020; 21(6): 556-564.
  • Jajoo M, Mittal M, Saikia D, Kumar N. Impact of kangaroo mother care on heart rate variability and pain score with heel lance pain in preterm neonates: A cross-over randomized controlled trial. Journal of Neonatology 2024; 38(2).
  • Hartley KA, Miller CS, Gephart SM. Facilitated tucking to reduce pain in neonates: Evidence for best practice. Advances in Neonatal Care 2015; 15(3): 201-208.
  • Hills E, Rosenberg J, Banfield N, Harding C. A multidisciplinary approach to the implementation of non-pharmacological strategies to manage infant pain. Infant 2020; 16(2): 78-81.
  • Weng Y, Zhang J, Chen Z. Effect of non-pharmacological interventions on pain in preterm infants in the neonatal intensive care unit: A network meta-analysis of randomized controlled trials. BMC Pediatrics 2024; 24(1), 9.
  • Shiff I, Bucsea O, Pillai Riddell R. Psychosocial and neurobiological vulnerabilities of the hospitalized preterm infant and relevant non-pharmacological pain mitigation strategies. Frontiers in Pediatrics 2021; 9: 568755.
  • Cho ES, Kim SJ, Kwon MS, Cho H, Kim EH, Jun EM, et al. The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal–infant attachment, and maternal stress. Journal of Pediatric Nursing 2016; 31(4): 430-438.
  • Kostandy RR, Ludington-Hoe SM. Clustered pain procedures in skin-to-skin contact (SSC) position for full term newborns. World Journal of Neuroscience 2017; 7(1): 38.
  • Bera A, Ghosh J, Singh AK, Hazra A, Som T, Munian D. Effect of kangaroo mother care on vital physiological parameters of the low birth weight newborn. Indian Journal of Community Medicine 2014; 39(4): 245-249.
  • Sutar R, Baraha S, Mummidi PS. Effects of kangaroo mother care on common vital parameters of preterm infants. IJSR 2015; 4(12): 345-7.
  • World Health Organization (WHO). Kangaroo mother care: A practical guide, 2003. Available at https://www.who.int/maternal_child_adolescent/ documents/9241590351/en/. Accessed February 18, 2022.
  • Saeidi R, Asnaashari Z, Amirnejad M, Esmaeili H, Robatsangi MG. Use of “Kangaroo Care” to alleviate the intensity of vaccination pain in newborns. Iranian Journal of Pediatrics 2011; 21(1), 99.
  • Lawrence J, Alcock D, McGrath P, Kay J, Mac- Murray SB, Dulberg C. The development of a tool to assess neonatal pain. Neonatal network: NN 1993; 12(6): 59-66.
  • Akdovan T, Yıldırım Z. Sağlıklı yenidoğanlarda ağrının değerlendirilmesi, emzik verme ve kucağa alma yönteminin etkisinin incelenmesi. Perinatal Journal 1999; 7: 107.
  • Akyurek B, Conk Z. Yenidoğan bebeklere uygulanan iğneli girişimlerde non-farmakolojik ağri giderme yöntemlerinin etkisinin incelenmesi. Journal of Ege University Faculty of Nursing 2006; 22(1): 1-17.
  • Yucel G, Sari HY, Olukman O. Yenidoğanlarda tekrarlayan topuk kan alımı sırasında uygulanan kanguru bakımının ağrı puanına etkisi. Journal of Dr. Behcet Uz Children’s Hospital 2020; 10(2).
  • Okan F, Ozdil A, Bulbul A, Yapici Z, Nuhoglu A. Analgesic effects of skin-to-skin contact and breastfeeding in procedural pain in healthy term neonates (Sağlıklı term yenidoğanlarda ciltten cilde temasın ve emzirmenin prosedürel ağrıda analjezik etkileri). Annals of Tropical Paediatrics 2010; 30(2): 119-128.
  • Johnston C, Campbell‐Yeo M, Disher T, Benoit B, Fernandes A, Streiner D, et al. Skin‐to‐skin care for procedural pain in neonates. Cochrane Database of Systematic Reviews 2017; (2).
  • Sajedi F, Kashaninia Z, Rahgozar M, Asadi NF. The effect of kangaroo care on physiologic responses to pain of an intramuscular injection in neonates. Iranian Journal of Pediatrics 2007; 17(4): 339-344.
  • Simsek DC, Gunay U, Polat S. Term ve preterm yenidoğanda kanguru bakımına yönelik kanıta dayalı uygulamalar. Türkiye Clinics Pediatric Nursing-Special Topics 2021; 7(2): 53-57.
  • Nimbalkar SM, Chaudhary NS, Gadhavi KV, Phatak A. Kangaroo mother care in reducing pain in preterm neonates on heel prick. The Indian Journal of Pediatrics 2013; 80: 6-10.
  • Dezhdar S, Jahanpour F, Bakht SF, Ostovar A. The effects of kangaroo mother care and swaddling on venipuncture pain in premature neonates: a randomized clinical trial. Iranian Red Crescent Medical Journal 2016; 18(4).
  • Stuard W. The effects of kangaroo care on a newborn development and vital physiology. Clinics Mother Child Health 2016; 13(1): 2-4.
  • Kemer D, Isler, A. Yenidoğanlarda ağrı yönetiminde kullanılan kanıt temelli nonfarmakolojik hemşirelik uygulamaları. Balikesir Journal of Health Sciences 2020; 9(3): 197-204.
  • Gray L, Watt L, Blass EM. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics 2000; 105(1): e14-e14.
  • Choudhary M, Dogiyal H, Sharma D, Datt Gupta B, Madabhavi I, Choudhary JS, et al. To study the effect of kangaroo mother care on pain response in preterm neonates and to determine the behavioral and physiological responses to painful stimuli in preterm neonates: A study from western Rajasthan. The Journal of Maternal- Fetal & Neonatal Medicine 2016; 29(5): 826- 831.
  • Moore ER, Bergman N, Anderson GC, Medley N. Early skin‐to‐skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2016; (11).
  • Gurbuz F, Koyuncu NE. Bebeklerde aşı uygulamaları sırasında oluşan ağrının yönetiminde kullanılan non-farmakolojik fiziksel yöntemler. KTO Karatay University Health Sciences Journal 2024; 5(1): 97-107.
There are 31 citations in total.

Details

Primary Language English
Subjects Pediatric Health and Illnesses Nursing
Journal Section Research Articles
Authors

Deniz Yiğit 0000-0001-5627-7963

Emel Sezici 0000-0002-6325-6607

Project Number DPÜ-BAB No.2016-28
Publication Date April 18, 2025
Submission Date October 29, 2024
Acceptance Date February 18, 2025
Published in Issue Year 2025 Volume: 4 Issue: 1

Cite

Vancouver Yiğit D, Sezici E. Effect of Kangaroo Care on Pain in Infants: A Randomized Controlled Trial. Akd Nurs J. 2025;4(1):1-9.