Kangaroo Mother Care Effect on Crying Time during Clustered Painful Procedures in Full Term Neonates

2.50
Hdl Handle:
http://hdl.handle.net/10755/603089
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Kangaroo Mother Care Effect on Crying Time during Clustered Painful Procedures in Full Term Neonates
Other Titles:
Perinatal Innovations in Healthcare Promotion [Session]
Author(s):
Kostandy, Raouth R.
Lead Author STTI Affiliation:
Delta Omega
Author Details:
Raouth R. Kostandy, RN, rrkostandy@yahoo.com
Abstract:
Session presented on Tuesday, November 10, 2015: Background: Full term neonates face many painful procedures shortly after birth. Repeated unrelieved procedural pain is related to detrimental physiologic and behavioral outcomes including long-term heightened pain or hyperalgesia, increased stress sensitivity, altered neurobehavioral development, and life threatening physiological reactivity. Pain management for full term neonates undergoing clustered painful procedures has not been tested. The Joint Commission mandates that interventions to reduce procedural pain in neonates be administered. One such intervention is Kangaroo Mother Care (KMC). The purpose of this study was to test the effect of KMC on crying time during clustered painful procedures (Hepatitis B vaccine injection and metabolic screening heel stick) in healthy full term neonates. Design and setting: A pilot randomized controlled trial was conducted in the postnatal department of a tertiary urban hospital. Sample: Sixteen healthy full term neonates were randomly assigned to either the intervention group (being with the mother in KMC before, during, and after the clustered painful procedures) or the control group (the neonate were in the crib in the nursery before, during, and after the clustered painful procedures). Methods: After obtaining the IRB approval, the department case manager daily screened the unit for the neonates who met the study inclusion criteria. The case manager recruited and provided the mothers with a brief explanation of the study. When a mother agreed on learning more about the study, the case manager contacted the researcher who visited the mother and provided a full explanation of the study. After the mothers signed the consent forms they were provided with a pre-sealed envelope that contained the study group in which the neonate will be assigned to. Intervention group neonates were held in KMC position before (10-15 minutes), during (injection and heel stick), and after (30 minutes) the clustered painful procedures. Control neonates were taken in their cribs to the nursery before (10-15 minutes), during (injection and heel stick), after (30 minutes) the clustered painful procedures. One staff nurse administered all painful procedures for neonates in both groups. A video camera was set up to record the whole procedure. For the intervention group, the camera was set up in the mother’s room. For the control group, the camera was set up in the nursery. After data collection was done, a research assistant viewed all the video tapes and recorded the crying time in seconds for each phase of the study using a stop watch. Data were entered to the SPSS for data analysis. Descriptive tests will be completed to provide a description of the sample. An independent t -test will be conducted to investigate the differences in the mean crying time between the two groups. Conclusion: KMC has been used as an effective non-pharmacological pain management intervention in full term neonates for one painful procedure. The results of this study could provide some evidence on the effectiveness of KMC during clustered painful procedures.
Keywords:
Clustered painful procedures; Kangaroo mother care; Crying time
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15G19
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleKangaroo Mother Care Effect on Crying Time during Clustered Painful Procedures in Full Term Neonatesen
dc.title.alternativePerinatal Innovations in Healthcare Promotion [Session]en
dc.contributor.authorKostandy, Raouth R.en
dc.contributor.departmentDelta Omegaen
dc.author.detailsRaouth R. Kostandy, RN, rrkostandy@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/603089en
dc.description.abstractSession presented on Tuesday, November 10, 2015: Background: Full term neonates face many painful procedures shortly after birth. Repeated unrelieved procedural pain is related to detrimental physiologic and behavioral outcomes including long-term heightened pain or hyperalgesia, increased stress sensitivity, altered neurobehavioral development, and life threatening physiological reactivity. Pain management for full term neonates undergoing clustered painful procedures has not been tested. The Joint Commission mandates that interventions to reduce procedural pain in neonates be administered. One such intervention is Kangaroo Mother Care (KMC). The purpose of this study was to test the effect of KMC on crying time during clustered painful procedures (Hepatitis B vaccine injection and metabolic screening heel stick) in healthy full term neonates. Design and setting: A pilot randomized controlled trial was conducted in the postnatal department of a tertiary urban hospital. Sample: Sixteen healthy full term neonates were randomly assigned to either the intervention group (being with the mother in KMC before, during, and after the clustered painful procedures) or the control group (the neonate were in the crib in the nursery before, during, and after the clustered painful procedures). Methods: After obtaining the IRB approval, the department case manager daily screened the unit for the neonates who met the study inclusion criteria. The case manager recruited and provided the mothers with a brief explanation of the study. When a mother agreed on learning more about the study, the case manager contacted the researcher who visited the mother and provided a full explanation of the study. After the mothers signed the consent forms they were provided with a pre-sealed envelope that contained the study group in which the neonate will be assigned to. Intervention group neonates were held in KMC position before (10-15 minutes), during (injection and heel stick), and after (30 minutes) the clustered painful procedures. Control neonates were taken in their cribs to the nursery before (10-15 minutes), during (injection and heel stick), after (30 minutes) the clustered painful procedures. One staff nurse administered all painful procedures for neonates in both groups. A video camera was set up to record the whole procedure. For the intervention group, the camera was set up in the mother’s room. For the control group, the camera was set up in the nursery. After data collection was done, a research assistant viewed all the video tapes and recorded the crying time in seconds for each phase of the study using a stop watch. Data were entered to the SPSS for data analysis. Descriptive tests will be completed to provide a description of the sample. An independent t -test will be conducted to investigate the differences in the mean crying time between the two groups. Conclusion: KMC has been used as an effective non-pharmacological pain management intervention in full term neonates for one painful procedure. The results of this study could provide some evidence on the effectiveness of KMC during clustered painful procedures.en
dc.subjectClustered painful proceduresen
dc.subjectKangaroo mother careen
dc.subjectCrying timeen
dc.date.available2016-03-21T16:43:04Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:43:04Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.