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Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.1333089

Infant and Child Health Neonatology

Bebek ve Çocuk Sağlığı Yenidoğan

PREMATÜRE RETİNOPATİSİ MUAYENESİNDE ÇOKLU DUYUSAL UYARIMIN YENİDOĞAN GİRİŞİMSEL AĞRISI ÜZERİNDEKİ ETKİSİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

THE EFFECT OF MULTI-SENSORY STIMULATION ON NEONATAL INTERVENTIONAL PAIN IN EXAMINATION FOR PREMATURE RETINOPATHY: A RANDOMIZED CONTROLLED TRIAL

https://orcid.org/0000-0001-9893-356X

Taşdemir

Halil İbrahim

BURDUR MEHMET AKİF ERSOY ÜNİVERSİTESİ

12 30 2023

30 4 620 629 07 26 2023 12 04 2023

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

AmaçPrematüre yenidoğanlarda sıkça uygulanan girişimlerdenbiri de prematüre retinopatisi muayenesidir. Bumuayenenin yenidoğanlar için ağrılı bir işlem olduğu,prematüre yenidoğanlarda ağrıya bağlı bir takım fizyolojikve davranışsal değişikliklere yol açabileceğibilinmektedir. Bu çalışmada, prematüre yenidoğanlardaprematüre retinopati taraması amacıyla uygulanangöz muayenesi sırasında uygulanabilecek olan çokluduyusal uyarımın girişimsel ağrı üzerindeki etkisini ortayakoymak amaçlanmıştır.Gereç ve YöntemBu çalışma uygulayıcı ve değerlendirici kör, randomizekontrollü bir klinik çalışma olarak tasarlanmıştır.Çalışma toplamda 60 prematüre yenidoğanla yürütülmüştür.Müdahale grubuna göz muayenesi başlamadanüç dakika önce çoklu duyusal uyarım programıuygulanırken, kontrol grubuna ek bir girişim uygulanmaksızınrutin bakım uygulanmıştır. Birincil sonuçölçütü için Yenidoğan Ağrı Profili kullanılmıştır. İkincilsonuç ölçütleri ise kalp atım hızı ve oksijen doygunluğunuiçermektedir. Veriler SPSS yazılımı (sürüm 23)kullanılarak analiz edilmiştir.BulgularÇalışmada müdahale öncesi her iki grupta da ağrıskorları istatistik olarak benzer bulundu (Kontrol grubu:3,6 ± 1,7, Girişim grubu: 3,2 ± 1,4, p=0,401) Gözmuayenesi sırasında ve muayene sonrasında ağrıskorları açısından iki grubun faklı olduğu saptandı(p

ObjectiveOne of the most frequently performed interventions inpremature newborns is the examination for retinopathyof prematurity. It is known that this examination isa painful procedure for newborns and may causesome physiological and behavioral changes relatedto pain in premature newborns. This study aimedto reveal the effect of multi-sensory stimulation oninterventional pain, which will be applied during theeye examination for premature retinopathy screeningin premature newborns.Material and MethodThis study was designed as a practitioner- andassessor-blind randomized controlled clinical trial. Thestudy was conducted with 60 premature newborns intotal. While the multi-sensory stimulation program wasapplied to the intervention group three minutes beforethe eye examination, routine care was applied to thecontrol group without any additional intervention.The Neonatal Pain Profile was used as the primaryoutcome measure. Secondary outcome measuresinclude heart rate and oxygen saturation. Data wereanalyzed using SPSS (version 23) software.ResultsIn the study, pain scores in both groups were foundto be statistically similar before the intervention(Control group: 3.6 ± 1.7, Intervention group: 3.2 ±1.4, p=0.401) It was determined that the two groupswere different in terms of pain scores during and afterthe eye examination (p

Ağrı Çoklu duyusal uyarım Prematüre retinopatisi Yaşam bulgusu

Multi-sensory stimulations pain vital signs retinopathy of prematurity

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