Sağlıklı Term Bebeklerde Tıbbi İşlem Kaynaklı Akut Ağrı Yönetiminde Anne Kucağı ve Baba Kucağı

Yıl 2025, Cilt: 28 Sayı: 1, 48 - 55, 07.03.2025

Aynur Aytekin Özdemir , Fatma Yılmaz Kurt , Sibel Küçükoğlu , Selma Atay , Nesrin Aşki , Hakan Aylanç

https://doi.org/10.17049/jnursology.1450988

Öz

Amaç: Kucağa alma/ kucakta tutma pozisyonu, bebeklerde tıbbi işlemlerle ilişkili ağrıyı azaltmada etkili nonfarmakolojik yöntemlerden biridir. Çalışmalar sağlıklı term bebeklerde topuk kanı alma işlemi sırasında bebeğin anne kucağında tutulmasının etkisine odaklanmıştır. Bebeğin babasının kucağında olmasının tıbbi işlem kaynaklı ağrıya etkisini inceleyen sınırlı sayıda çalışma bulunmaktadır. Bu çalışma, sağlıklı term bebeklerde topuk kanı alma işlemi sırasında anne kucağı ve baba kucağında olma yöntemlerinin ağrı düzeyi ve ağlama süresi üzerine etkisini incelemek amacıyla yapıldı.
Yöntemler: Bu yarı deneysel çalışma, Türkiye’nin batısında bir üniversite hastanesinin kadın doğum kliniğinde yapıldı. Örneklemi, araştırma grubu seçim kriterlerini taşıyan 92 term bebek ve ebeveyni oluşturdu. Katılımcılar üç gruba atandı: Kontrol (n=32), anne kucağı (n=30) ve baba kucağı (n=30). Veriler Tanıtıcı Bilgi Formu, Yenidoğan Ağrı Ölçeği (NIPS) ve Yenidoğan Bebek İzlem Formu ile toplandı. Araştırmanın yapılabilmesi için etik onay, resmi izin ve ailelerden yazılı onam alındı.
Bulgular: İşlem sırasında ve sonrasında anne kucağı ve baba kucağı gruplarının NIPS puanları kontrol grubundan istatistiksel olarak daha düşüktü (P<,05). Anne kucağı ve baba kucağı gruplarının ağlama süresi kontrol grubundan istatistiksel olarak daha düşüktü (P<,05). Anne kucağı ve baba kucağı gruplarının NIPS puanları ve ağlama süreleri birbirine benzerdi (P>,05).
Sonuç: Topuk kanı alma işlemi sırasında anne veya babalarının kucağında tutulan term bebekler kontrol grubuna göre daha az ağrı yaşadı ve daha az ağladı. Hemşireler topuk kanı alma ile ilişkili ağrı yönetiminde anne kucağı ve baba kucağı yöntemlerini kullanabilirler.

Anahtar Kelimeler

Ebeveyn katılımı, hemşire, term bebek, tıbbi işlem ağrısı.

Proje Numarası

(Date: 03.02.2016 & No: 2016/13173).

Paternal and Maternal Holding-Cuddling for Procedural Pain in Healthy Term

Öz

Objective: Holding-cuddling helps reduce procedural pain. Studies have focused on the effect of the maternal holding-cuddling (MHC) method on heel prick pain in healthy-term neonates. However, there is limited study on the impact of paternal holding-cuddling (PHC) on procedural pain during heel pricks in neonates. This paper looked into the impact of MHC and PHC on heel prick pain and crying duration in healthy-term neonates.

Methods: This quasi-experimental study occurred in the obstetrics clinic of a university hospital in western Türkiye. The sample comprised 92 full-term neonates and their parents, divided into three groups: control (n=32), MHC (n=30), and PHC (n=30). The data were collected using a personal information form, a Neonatal Follow-up Form, and the Neonatal Infant Pain Scale (NIPS). The study received approval from an ethics committee.

Results: The MHC and PHC groups had a lower NIPS score than the control group during and after the procedure (P<.05). The MHC and PHC groups had a lower crying duration than the control group (P<.05). There was no difference in NIPS scores and crying duration between the MHC and PHC groups (P>.05).

Conclusion: Full-term infants held and cuddled by their parents tend to feel less pain and cry less during heel pricks. Nurses should use MHC and PHC to help infants have less pain during heel pricks.

Anahtar Kelimeler

Infant, Nurse, parent participation, procedural pain

Etik Beyan

Ethical Approval: The study was approved by the ethics committee of the Faculty of Medicine of Çanakkale Onsekiz Mart University (Date: 03.02.2016 & No: 2016/13173).

Destekleyen Kurum

The authors did not receive any financial support for the research, authorship and/or publication of this article.

Proje Numarası

(Date: 03.02.2016 & No: 2016/13173).

Teşekkür

We thank all neonates participating in the study and their respected families.

Kaynakça

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