Yakson Dokunmanın Yenidoğanın Ağrı ve Fizyolojik Parametreleri Üzerine Etkisi

Öz

Giriş: Yenidoğanın karşılaştığı stresörler yenidoğanda ağrı algısı oluşturmakla birlikte duyu gelişimini, beyin gelişimini ve organizasyonunu doğrudan etkileyebilmektedir. Geleneksel Kore kültüründen gelen Yakson dokunmanın yenidoğanın ağrı tepkilerini azaltmada yardımcı olduğu bilinmektedir. Amaç: Bu çalışmanın amacı topuktan kan alınması sırasında yenidoğana uygulanan Yakson dokunmanın ağrı ve fizyolojik parametreler üzerine etkisinin incelenmesidir. Yöntem: Araştırma, randomize kontrollü deneysel desende (deney-kontrol) gerçekleştirilmiştir. Araştırmanın örneklemini, klinik koşuldaki bebeklerin uygunluğu düşünülerek 35-40 gestasyonel haftasına sahip toplam 80 yenidoğan (deney= 40, kontrol= 40) oluşturmuştur. Yakson, belirlenmiş on beş dakikalık bir protokolü olan sıcak, basınçsız, yavaş ve şefkatli dokunma tekniğidir. Deney grubuna topuk kanı alınmadan önce Yakson dokunma protokolüne başlanmıştır. Araştırma verileri Ebeveyn ve Bebek Bilgi Formu, Fizyolojik Parametreler Gözlem Formu ve Yenidoğan Bebek Ağrı Ölçeği kullanılarak elde edilmiştir. Verilerin analizi IBM SPSS V23 kullanılarak yapılmış ve anlamlılık düzey p < .05 olarak alınmıştır. Bulgular: Deney ve kontrol grupları arasında işlem öncesi, işlem sırası ve işlem sonrasında yenidoğanın oksijen satürasyonu, kalp hızı ve ağrı skoru açısından fark yoktu (p > .05). Topuk kanı alma işlemi öncesi ve sonrası ağlama süresi açısından iki grup arasında fark bulunmazken, topuk kanı alma işlemi sırasında deney grubu bebeklerin ağlama süresi kontrol grubundan daha düşük bulunmuştur (p = .007). Sonuç: İşlem sırasında Yakson dokunma uygulanan deney grubundaki yenidoğanların ağlama sürelerinin kontrol grubuna göre daha kısa olduğu görüldü. Yakson’ un topuktan kan alma sürecinde hemşirelik girişimlerine dahil edilmesi önerilir.

Anahtar Kelimeler

• Ağrı
• Yenidoğan
• Yakson Dokunma
• Topuk Kanı
• Hemşirelik

The Effect of Yakson Touch on Pain and Physiological Parameters of the Newborn

Öz

Background: The stressors faced by the newborn can directly affect the newborn’s sensory development, brain development and organization by causing pain in the newborn. Yakson touch, a traditional Korean cultural practice, is known to reduce the pain in the newborn. Aims: The aim of this study is to examine the effect of Yakson touch applied to the newborn on pain and physiological parameters during the heel prick procedure. Methods: The study was conducted using a randomized controlled trial design (experimental, control). The study sample consisted of 80 newborns (experimental group = 40, control group = 40), all born between 35-40 gestational weeks and considered suitable for clinical conditions. Yakson touch is a technique that involves warm, pressure less, slow, and compassionate touch, following a fixed fifteen-minute protocol. The Yakson touch protocol was initiated for the experimental group before the heel prick procedure. Research data were obtained using the Parent and Baby Information Form, Physiological Parameters Observation Form and Newborn Baby Pain Scale. Data analysis was performed using IBM SPSS V23 and the significance level was taken as p < .05. Results: There was no difference between the experimental and control groups in terms of neonatal oxygen saturation, heart rate, and pain score before, during, and after the procedure (p > .05). There was no difference in cry duration between the two groups before and after the heel prick procedure, but the newborns in the experimental group cried less during the heel prick procedure compared to the control group (p = .007). Conclusion: The newborns in the experimental group, who receives Yakson touch during the heel pricking procedure, had shorter crying times than those in the control group. Therefore, it is recommended to include Yakson touch in nursing interventions during this procedure.

Anahtar Kelimeler

• Pain
• Newborn
• Yakson Touch
• Heel Blood
• Nursing

Kaynakça

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