FACILITATED TUCKING EFFECTIVE TO PAIN RELIEF ON THE PRETERM INFANTS IN PERINATAL UNIT IN JAKARTA

Eva Oktaviani, Yeni Rustina, Defi Efendi

Abstract

Most preterm infants often need to be hospitalized more than one week in intensive care, so they undergo numerous repeated painful procedures such as blood collection. The study aimed to identify the effect of facilitated tucking for pain respond that is physiological parameter and duration of crying in preterm infants during blood collection. The study design was quasi experimental with nonequivalent control group pretest-posttest design. Fourty babies were divided into two groups; the intervention group (n= 20) who received facilitated tucking during blood collection and the control group (n= 20) without facilitated tucking, with consecutive sampling technique. Statistical analyses used were General Linear Model+post hoc, Mann-Whitney, and Independent T-Test. There were significant means the difference in the heart rate, oxygen saturation, and duration of crying infants between non-intervention and intervention group. Duration of crying infants in intervention is shorter than the control group. Facilitated tucking is effective in pain reduction and crying time during blood collection. This finding implies a part of developmental care and should be attention for promoting pain management infants.

 

Keywords: developmental care, facilitated tucking, pain, preterm infants


Efektivitas Facilitated Tucking Terhadap Respon Nyeri Bayi Prematur Selama Pengambilan Darah di Unit Perinatal di Jakarta. Mayoritas bayi prematur akan mengalami perawatan yang lama di ruang intensif, sehingga terpapar sejumlah prosedur menyakitkan berulang yang menimbulkan respon nyeri salah satunya pengambilan darah. Tujuan dari penelitian ini untuk mengidentifikasi pengaruh penerapan facilitated tucking terhadap respon nyeri berupa parameter fisiologis dan lama menangis selama dilakukan pengambilan darah. Desain penelitian adalah quasi experimental dengan nonequivalent control group pretest-posttest design. Empat puluh bayi pada sampel penelitian dibagi menjadi dua kelompok; kelompok intervensi (n= 20) dengan facilitated tucking dan kelompok kontrol (n= 20) tanpa facilitated tucking, diambil secara consecutive sampling. Analisis menggunakan uji General Linear Model+post hoc, Mann-Whitney, dan Independent T-Test. Ada perbedaan signifikan rerata frekuensi nadi, saturasi oksigen, dan lama menangis antara kedua kelompok selama pengambilan darah. Lama menangis pada kelompok intervensi menjadi lebih singkat. Facilitated tucking efektif mengurangi nyeri dan lama menangis selama pengambilan darah. Facilitated tucking dapat diterapkan sebagai bagian dari asuhan perkembangan untuk mendukung program pengendalian nyeri pada neonatus.

 

Kata kunci: asuhan perkembangan, bayi prematur, facilitated tucking, nyeri


Keywords

developmental care; facilitated tucking; pain; preterm infants

References

Bellieni, C.V. (2012). Pain assessment in human fetus and infant. The American Association of Pharmaceutical Scientist Journal, 14 (3), 456–446. doi: 10.1208/s12248-012-9354

Brummelte, S., Grunau, R.E., Chau, V., Poskitt, K.J., Brant, R., Vinal, J………. Miller, S.P. (2012). Procedural pain and brain develop-ment in premature newborns. American Neurological Association, 71, 385–396. doi: 10.1002/ana.22267

Cignacco, E.L., Sellam, G., Stoffel, L., Gerull, R., Nelle, M., Anand, K.J.S., & Engberg, S. (2012). Oral sucrose and “facilitated tucking” for repeated pain relief in preterms: A randomized Controlled Trial. Pediatrics, 129 (2), 299–308. doi: 10.1542/peds.2011-1879

Chhugani, M., & Sarkar, S. (2014). Therapeutic touch modalities and premature neonates’s health outcome: A literature review. Neo-natal Biology, 3 (148), 1–3. doi. 10.4172/ 2167-0897.1000148

Diego, M.A., Field, T., & Hernandez-Reif, M. (2009). Procedural pain heart rate responses in massaged preterm infants. Infants Behavioural Development, 32 (2), 226–229. doi: 10.1016/j.infbeh.2008.12.001

Fernandes, A., Campbell-Yeo, M., & Johnston, C.C. (2011). Procedural pain management for neonates using nonpharmacological strategies: Part 1: Sensorial interventions. Advances in Neonatal Care, 11 (4), 235–241.doi: 10.1097 /ANC.0b013e318225a2c2

Hatfield, L.A. (2014). Neonatal pain: What’s age got to do with it? Surgical Neurology Inter-national, 5 (13), s479–s489. doi: 10.4103/ 2152-7806.144630

Jaberi, E., & Raksana, M. (2017). A study on preterm births during 2013-2015, shiraz, iran. Journal of Obstetrics and Gynaecology, 38 (1), 22–26. doi: 10.1080/01443615.2017.132 2565

Jhonston, C.C., Fernandes, A.M., & Campbell-Yeo, M. (2011). Pain in neonates is different. Pain, 152 (3), S63–S73. doi: 10.1016/j.pain.2010. 10.008

Konstandy, R., Xiaomei, C., Abouelfettoh, A., Bronson, C., Stankus, A., & Ludington, S.M. (2008). Effect of kangaroo skin care (skin contact) on crying response to pain in preterm neonates. Pain Management of Nursing, 9 (2), 55–65. doi: 10.1016/j.pmn.2007.11.004

Kostovic, I., & Judas, M. (2010). The development of the subplate and thalamocortical connections in the human fetal brain. Acta Paediatrica, 99 (8), 1119–1127. doi: 10.1111/j.1651-2227. 2010.01811.x

Kucukoglu, S., Kurt, S., & Aytekin, A. (2015). The effect of the facilitated tucking position in reducing vaccination-induced pain in new-borns. Italian Journal of Pediatrics, 41, 61. http://doi.org/10.1186/s13052-015-0168-9

Lago, P., Garetti, E., Merazzi, D., Pieragostini, L., Ancora, G., Pirelli, A., & Bellieni, C. V. (2009). Guidelines for procedural pain in the newborn. Acta Paediatrica (Oslo, Norway: 1992), 98 (6), 932–939. http://doi.org/10. 1111/j.1651-2227.2009.01291.x

Lawn, J.E., Davaidge, R., Paul, V.K., Xylander, S.V., Johson, J.D.G., Costello, A. ...... Molyneux, L. (2013). Born too soon: Care for the preterm baby. Reproductive Health, 10 (1), 1–19. doi: 10.1186/1742-4755-10-S1-S5

Liaw, J.J., Yang, L., Lee, C.M., Fan, H.C., Chang, Y.C., & Cheng, L.P. (2012). Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant be-havioural states across heel-stick procedures: A prospective, randomized controlled trial. International Journal of Nursing Studies, 50 (7), 883–894. doi: 10.1016/j.ijnurstu.2012. 08.021

Marchant, A. (2014). Neonatal do not feel pain: A critical review of the evidence. Bioscience Horizons, 7, 1–9. doi: 10.1093/biohorizons/ hzu006

Martin, S.W., Dias, F.S., Enumo, S.R.F., & de Paula, K.M.P. (2013). Pain assessment and control by nurses of neonatal intensive care unit. Revista do Instituto de Medicina Tropical de Sao Paulo, 14 (1), 21–26.doi: 10.1590/S1806-00132013000100006

Naeni, M.A., Mohagheghi, P., Peyrovi, H., & Mehran, A. (2014). The effect of facilitated tucking during endotracheal suctioning on procedural pain in preterm neonates: A randomized controlled crossover study. Global Journal of Health Science, 6 (4), 278–284. doi: 10.5539/gjhs.v6n40278

Page, G.G. (2004). Are there long-term consequen-ces of pain in newborn or very young infants? The Journal of Perinatal Education, 13 (3), 10–17. http://doi.org/10.1624/105812404X1 725

Ramada, N.C.O., Almeida, F.A., & Cunha, M.L.R. (2013). Therapeutic touch: influence on vital signs of newborns. Einstein, 11 (4), 421–425. http://doi.org/10.1590/S1679-450820130004 00003

Reyhani, T., Aemmi, S.Z., Mohebbi, T., & Boskabadi, H. (2014). The effect of facilitated tucking (FT) during venipuncture on duration of crying in preterm infants. International Journal of Pediatrics, 12 (2), 431–435. Retrived from: http://ijp.mums.ac. ir

Reyhani, T., Mohebbi, T., Boskabadi, H., Gholami, H., & Ghanbarabadi, G.V. (2012). The effect of facilitated tucking during venipuncture on pain and physiological parameters in preterm infants. Evidence Based Care Journal, 2 (2), 47–55. doi: 10.22038/EBCJ.2012.399

Smith, J.R. (2012). Comforting touch in the very preterm hospitalized infant: An integrative review. Advances in Neonatal Care, 12 (6), 349–365. doi: 10.1097/ANC.0b013e3182609 3ee

Sundaram, B., Shrivastava, S., Pandian, J.S., & Singh, V.P. (2013). Facilitated tucking on pain in pre-term newborns during neonatal intensive care: A single blinded randomized controlled cross-over pilot trial. Journal of Pediatric Rehabilitation Medicine, 6 (1),19–27.doi: 10.3233/PRM-130233

Zubaidah, Z., & Naviati, E. (2015). Pengaruh facilitated tucking dan musik terhadap respon nyeri bayi prematur ketika pengambilan darah. Jurnal Keperawatan Soedirman, 10 (2), 94–104. http://dx.doi.org/10.20884/1.jks. 2015.10.2.603

DOI: https://doi.org/10.7454/jki.v21i1.539

Refbacks

  • There are currently no refbacks.