Skin-to-Skin Contact (Kangaroo Care) Reduces Heel Stick Pain in Premature Infants: PIPP Results

2.50
Hdl Handle:
http://hdl.handle.net/10755/159017
Type:
Presentation
Title:
Skin-to-Skin Contact (Kangaroo Care) Reduces Heel Stick Pain in Premature Infants: PIPP Results
Abstract:
Skin-to-Skin Contact (Kangaroo Care) Reduces Heel Stick Pain in Premature Infants: PIPP Results
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Cong, Xiaomei, PhDc, RN
P.I. Institution Name:Case Western Reserve University
Title:Project Director
Contact Address:School of Nursing, 10900 Euclid Ave, Cleveland, OH, 44106, USA
Contact Telephone:216-368-3125
Co-Authors:Susan Ludington-Hoe, PhD, CNM, FAAN, Professor
Heel stick is the most common painful procedure in premature infants receiving about 72 heel sticks in the first week of life. Existing pain therapies have negative side-effects, but skin-to-skin contact (Kangaroo Care or KC) has no negative side-effects. Thus, 28 infants (30-32 weeks gestational age and 2-9 days old) were tested in a randomized (permuted block) cross-over design to test the effect of KC on heel stick pain (Premature Infant Pain Profile, PIPP). Group A received incubator care on Day1 with heel stick in incubator, then KC on Day2 with heel stick in KC; Group B received KC on Day1 then incubator care on Day2. The first 18 infants had 80-minutes of KC before heel warming and stick conducted by phlebotomist #1; the last 10 infants received 30-minutes of KC and stick conducted by phlebotomist #2. In the 80-minutes protocol, infants were in KC (beneath a blanket) or the incubator from 8:30-11:20 a.m.; in the 30-minutes protocol, KC and incubator care occurred from 9:20-11:20 am. Total PIPP scores, derived from behavioral (videotapes), physiological (pulse oximeter) and contextual (infant's record) data, were calculated every 30 seconds before, during and after heel stick and compared by repeated measures ANOVA controlling for previous pain experience and heel skin condition. During heel stick, in the 30-minutes protocol, pain scores were consistently lower in KC (range 4.00-10.60) than incubator (range 9.75-14.33) and the difference in scores was > 2 points, a clinically significant difference. In the 30-minute protocol, KC infants had less pain at 2.0, 3.5, 4.0 and 4.5 minutes of the recovery period, p<.05-.001. Infants from the 80-minutes and 30-minutes protocols combined had lower pain scores at 4.0 and 4.5 minutes of the recovery period, p<.05. KC reduces multiple pain response in preterm infants undergoing heel stick pain. [Poster Presentation]
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSkin-to-Skin Contact (Kangaroo Care) Reduces Heel Stick Pain in Premature Infants: PIPP Resultsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159017-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Skin-to-Skin Contact (Kangaroo Care) Reduces Heel Stick Pain in Premature Infants: PIPP Results</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cong, Xiaomei, PhDc, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Project Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 10900 Euclid Ave, Cleveland, OH, 44106, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216-368-3125</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">xxc11@cwru.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Susan Ludington-Hoe, PhD, CNM, FAAN, Professor</td></tr><tr><td colspan="2" class="item-abstract">Heel stick is the most common painful procedure in premature infants receiving about 72 heel sticks in the first week of life. Existing pain therapies have negative side-effects, but skin-to-skin contact (Kangaroo Care or KC) has no negative side-effects. Thus, 28 infants (30-32 weeks gestational age and 2-9 days old) were tested in a randomized (permuted block) cross-over design to test the effect of KC on heel stick pain (Premature Infant Pain Profile, PIPP). Group A received incubator care on Day1 with heel stick in incubator, then KC on Day2 with heel stick in KC; Group B received KC on Day1 then incubator care on Day2. The first 18 infants had 80-minutes of KC before heel warming and stick conducted by phlebotomist #1; the last 10 infants received 30-minutes of KC and stick conducted by phlebotomist #2. In the 80-minutes protocol, infants were in KC (beneath a blanket) or the incubator from 8:30-11:20 a.m.; in the 30-minutes protocol, KC and incubator care occurred from 9:20-11:20 am. Total PIPP scores, derived from behavioral (videotapes), physiological (pulse oximeter) and contextual (infant's record) data, were calculated every 30 seconds before, during and after heel stick and compared by repeated measures ANOVA controlling for previous pain experience and heel skin condition. During heel stick, in the 30-minutes protocol, pain scores were consistently lower in KC (range 4.00-10.60) than incubator (range 9.75-14.33) and the difference in scores was &gt; 2 points, a clinically significant difference. In the 30-minute protocol, KC infants had less pain at 2.0, 3.5, 4.0 and 4.5 minutes of the recovery period, p&lt;.05-.001. Infants from the 80-minutes and 30-minutes protocols combined had lower pain scores at 4.0 and 4.5 minutes of the recovery period, p&lt;.05. KC reduces multiple pain response in preterm infants undergoing heel stick pain. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T21:37:19Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:37:19Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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