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Preterm Yenidoğanlarda Ağrının Azaltılmasında Etkili Bir Yöntem: Cenin Pozisyonu

Yıl 2014, Cilt: 22 Sayı: 1, 63 - 68, 18.04.2014

Neriman Çağlayan Serap Balcı

Öz

Preterm yenidoğanlar, olgunlaşmamış ağrı mekanizmaları nedeniyle yapılan girişimler sonrasında oluşan ağrıya karşı daha duyarlıdırlar. Ağrının azaltılmasında farmakolojik yöntemlerin yanında nonfarmakolojik yöntemlerinde etkili oldu- ğu belirtilmektedir. Bu makale; minör ağrılı girişimlerde preterm yenidoğanın ağrısını azaltmak için kullanılan nonfarmakolojik yöntemlerden cenin pozisyonunun incelenmesi amacıyla gerçekleştirilmiştir. Konu ile ilgili yayınlar geriye dönük olarak taranmıştır. Bu amaçla İstanbul Üniversitesi internet erişim ağı üzerinden, preterm yenidoğan (preterm newborn), ağrı (pain), nonfarmakolojik yöntemler (nonpharmacological method), cenin pozisyonu (Facilitated Tucking) gibi anahtar kelimelerle çeşitli kombinasyonlar yapılarak Pubmed, Science Direct, Medline, Ovid arama motorlarından tarama yapılmıştır. 1995-2012 tarihleri arasında yayınlanan tüm ulusal ve uluslar arası araştırma ve derlemeler gözden geçirilmiştir. Nonfarmakolojik yöntemlerden biri olan cenin pozisyonu (Facilitated Tucking), “bebeği yuvaya alma yönteminin bir alt formu olup, bebeğin üst ve alt ekstremitelerini el ile fleksiyonda tutarak, vücudu orta hatta yakın kapalı pozisyona alma işlemi” olarak tanımlanmaktadır. Bu yöntemin ısı ve dokunsal uyarıyı sağlayarak, bebeklerin düzenleyici sistemlerini harekete geçirdiği, dış ortamdan gelen ağrılı uyaranları engellediği ve bebeğin duyduğu ağrıyı azalttığı bildirilmektedir. Hemşireler, ağrıyı önlemek ya da azaltmak için preterm yenidoğanlarda bu yöntemi kullanabilirler.

Anahtar Kelimeler: Nonfarmakolojik yöntemler, cenin pozisyonu, preterm yenidoğan, ağrı.

Anahtar Kelimeler

Nonfarmakolojik yöntemler cenin pozisyonu preterm yenidoğan ağrı.

Kaynakça

  • Anand, K. J. S. ve ark. (2003). Effects of morphine analgesia ventilated preterm neonates: Primary outcomes from the neopain randomised trial. Lancet, 363: 1673 –1683.
  • Axelin, A., Salantera, S., Lehtonen, L. (2006). “Facilitated tucking by parents” in pain managment of preterm infants: A randomized crossover trial. Early Human Development, 82(4): 241 –247.
  • Çağlayan, N., Balcı, S. (2011). Preterm yenidoğanlarda ayak topuğundan kan alma işlemi sırasında el ile verilen cenin pozisyonunun ağrı üzerine etkisi. Yayınlanmamış Yüksek Lisans Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Cignacco, E. ve ark. (2010). Facilitated tucking as a nonpharmacological intervention for neonatal pain relief: Is it clinically feasible? Acta Pædiatrica, 99: 1763-1765.
  • Cignacco, E. ve ark. (2012). Oral sucrose and facilitated tucking for repeated pain relief in preterms: A randomized controlled trial. Pediatrics, 129: 299-308.
  • Clifford, P. A., Stringer, M., Christensen, H., Mountain, D. (2004). Pain assessment and intervention for term newborns. Journal Midwifery Womens Health, 49: 514-519.
  • Corff, K. E., Seideman, R., Venkataraman, P. S., Lutes, L.,Yates, B. (1995). Facilitated tucking: A nonpharmacologic comfort measure for pain in preterm neonates. Journal of Obstetric, Gynecologic, Neonatal Nursing, 24: 143-147.
  • Efe, E. (2003). Yenidoğanlarda periferik venöz kan örneklemesi sırasındaki ağrıyı azaltmada kucakta emzirme ve emzikle sukroz solüsyonu uygulamasının karşılaştırılması. Doktora Tezi, İstanbul
  • Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul. Faye, M. P. ve ark. (2010). Newborn infant pain assesment using hearth rate variability analysis. Clinical Journal Pain, 00: 1-16.
  • Gardner, S., Hagedorn, M. I. E., Dıckey, L. A. (2006). Pain and pain relief. Merenstein, B.G., Gardner, S.L. (Eds.). Handbook of
  • Neonatal Intensive Care. Mosby Elsevier, Philadelphia. Gargiulo, A. D., Lynch, A. M., Slogar, A. (2010). Managing heel stick pain in newborn. Journal of Obstetric, Gynecologic, Neonatal Nursing, 25: 42-46.
  • Herrington, C. (2007). Reducing pain of heelstick in premature infants with gentle human touch. Doctor of Philosophy, Wayne State Universty, Detroit, Michigan.
  • Hill, S., Engle, S., Jorgensen, J., Kralik, A., Whitman, K. (2005).
  • Effects of facilitated tucking during routine care of infants born preterm. Pediatric Physical Therapy, 17: 158- 163. Holsti, L., Grunau, R., Oberlander, F. T., Whitfield, M. F. (2004).
  • Specific newborn individualized developmental care and assessment program movement are associated with acute pain in preterm infants in the neonatal intensive care unit. Pediatrics, 114(1): 65-72. Holsti, L., Grunau, R. E., Whitfield, M. F., Oberlander, T. F., Lindh, V. (2006). Behavioral responses to pain are heightening after clustered care in preterm infants born between 30 and 32 weeks gestational age. Clinical Journal of Pain, 22: 757-764.
  • Huang, C., Tung, W., Kuo, L., Chang, Y. (2004). Comparision of pain responses of premature infants to the heelstick between containment and swaddling. Journal of Nursing Research, 12(1): 31-39.
  • Johnston, C. C., Fernandes, A. M., Campbell- Yeo, M. (2011). Pain in neonates is different. Pain, 152: 65-73.
  • Lago, P. ve ark. (2009). Guidelines for procedural pain in the newborn. Acta Paediatrica, 98: 932- 939.
  • Ludington-Hoe, S. (2006). Kangroo care for analgesia in preterm infants undergoing heel stick pain. Case Western Reserve University, Frances Payne Bolton School of Nursing, School of Graduate Studies, 1-230, http://www.ohiolink.edu/etd/send-pdf.cgi/ Ludington-Hoe%20Xiaomei.pdf?acc_num=case1134405075 (02010).
  • Prasopkittikun, T., Tilokskulchai, F. (2003). Management of pain from heel stick neonates: An analysis of research conducted in Thailand. Journal Perinatology - Neonatology Nursing, 17(4): 304-3
  • Obeidat, H., Kahalaf, I., Callister, L., Froelicher, E. (2009). Use of facilitated tucking for nonpharmacological pain managment in preterm infants: A systematic review. Journal of Perinatal & Neonatal Nursing, 23(4): 372-377.
  • Tarı, A. (2003). Yenidoğan yoğun bakım ünitelerinde çevrenin değerlendirilmesi ve düzenlenmesi. Pek H. (Ed.),Yenidoğan Yoğun Bakım Ünitelerinde Bireyselleştirilmiş Destekleyici Gelişimsel Bakım Kursu. Çocuk Hemşireliği Derneği, İstanbul.
  • Ünaldı, N. (2009). Yenidoğanlarda ağrılı işlemlerde uygulanan ötektik karışımının ve sukrozun ağrı algısına etkisi. Yüksek Lisans Tezi, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Williams, A. L., Khattak, A. Z., Garza, N. C., Lasky, R. E. (2008). The behavioural pain response to heelstick in preterm neonates studied longitudinally: description, development, determinants and components. Early Human Development, 85(6): 369- 374.
  • Ward-Larson, C., Horn, R., Gosnell, F. (2004). The efficacy of facilitated tucking for relieving procedural pain of endotracheal suctioning in very low birth weight infants. The American Journal of Maternal Child Nursing, 9(3): 151-158.

An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking

Yıl 2014, Cilt: 22 Sayı: 1, 63 - 68, 18.04.2014

Neriman Çağlayan Serap Balcı

Öz

Preterm newborns are more sensitive to the pain caused after such interventions, because of the matured pain mechanisms of preterms. Non-pharmacological methods are emphasized as much as pharmacological methods in reducing pain.This article was conducted to examine Facilitated Tucking which is one of the non- pharmacological methods used to reduce pain in preterm newborn. Relevant publication were screened retrospectively. This purpose; search was conducted from Istanbul University internet access across the network, search engine were used such as PubMed, Science Direct, Medline, Ovid, various combination were made keywords such as Preterm newborn, Pain, Non-Pharmacological method, Facilitated Tucking. Published between the years 1995-2012, all nation and international research and rewiev articles were reviewed. The Facilitated Tucking, “which is one of the non-pharmacological methods, is a sub-form of the containment method and is defined as the procedure of taking the body close to the middle line in a closed position by keeping the upper and lower extremities of the baby in flexion with the hands”. This method is reported to provide the heat and tactile warnings, to stimulate the regulatory systems of infant, to inhibit painful stimuli from the external environment and reduce the pain experienced by infant. The nurses should use appropriatenon-pharmacological methods of newborn to prevention or reduction the pain.

Keywords: Non-pharmacological methods, facilitated tucking, preterm newborn, pain.

Anahtar Kelimeler

Non-pharmacological methods facilitated tucking preterm newborn pain.

Kaynakça

  • Anand, K. J. S. ve ark. (2003). Effects of morphine analgesia ventilated preterm neonates: Primary outcomes from the neopain randomised trial. Lancet, 363: 1673 –1683.
  • Axelin, A., Salantera, S., Lehtonen, L. (2006). “Facilitated tucking by parents” in pain managment of preterm infants: A randomized crossover trial. Early Human Development, 82(4): 241 –247.
  • Çağlayan, N., Balcı, S. (2011). Preterm yenidoğanlarda ayak topuğundan kan alma işlemi sırasında el ile verilen cenin pozisyonunun ağrı üzerine etkisi. Yayınlanmamış Yüksek Lisans Tezi, İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Cignacco, E. ve ark. (2010). Facilitated tucking as a nonpharmacological intervention for neonatal pain relief: Is it clinically feasible? Acta Pædiatrica, 99: 1763-1765.
  • Cignacco, E. ve ark. (2012). Oral sucrose and facilitated tucking for repeated pain relief in preterms: A randomized controlled trial. Pediatrics, 129: 299-308.
  • Clifford, P. A., Stringer, M., Christensen, H., Mountain, D. (2004). Pain assessment and intervention for term newborns. Journal Midwifery Womens Health, 49: 514-519.
  • Corff, K. E., Seideman, R., Venkataraman, P. S., Lutes, L.,Yates, B. (1995). Facilitated tucking: A nonpharmacologic comfort measure for pain in preterm neonates. Journal of Obstetric, Gynecologic, Neonatal Nursing, 24: 143-147.
  • Efe, E. (2003). Yenidoğanlarda periferik venöz kan örneklemesi sırasındaki ağrıyı azaltmada kucakta emzirme ve emzikle sukroz solüsyonu uygulamasının karşılaştırılması. Doktora Tezi, İstanbul
  • Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul. Faye, M. P. ve ark. (2010). Newborn infant pain assesment using hearth rate variability analysis. Clinical Journal Pain, 00: 1-16.
  • Gardner, S., Hagedorn, M. I. E., Dıckey, L. A. (2006). Pain and pain relief. Merenstein, B.G., Gardner, S.L. (Eds.). Handbook of
  • Neonatal Intensive Care. Mosby Elsevier, Philadelphia. Gargiulo, A. D., Lynch, A. M., Slogar, A. (2010). Managing heel stick pain in newborn. Journal of Obstetric, Gynecologic, Neonatal Nursing, 25: 42-46.
  • Herrington, C. (2007). Reducing pain of heelstick in premature infants with gentle human touch. Doctor of Philosophy, Wayne State Universty, Detroit, Michigan.
  • Hill, S., Engle, S., Jorgensen, J., Kralik, A., Whitman, K. (2005).
  • Effects of facilitated tucking during routine care of infants born preterm. Pediatric Physical Therapy, 17: 158- 163. Holsti, L., Grunau, R., Oberlander, F. T., Whitfield, M. F. (2004).
  • Specific newborn individualized developmental care and assessment program movement are associated with acute pain in preterm infants in the neonatal intensive care unit. Pediatrics, 114(1): 65-72. Holsti, L., Grunau, R. E., Whitfield, M. F., Oberlander, T. F., Lindh, V. (2006). Behavioral responses to pain are heightening after clustered care in preterm infants born between 30 and 32 weeks gestational age. Clinical Journal of Pain, 22: 757-764.
  • Huang, C., Tung, W., Kuo, L., Chang, Y. (2004). Comparision of pain responses of premature infants to the heelstick between containment and swaddling. Journal of Nursing Research, 12(1): 31-39.
  • Johnston, C. C., Fernandes, A. M., Campbell- Yeo, M. (2011). Pain in neonates is different. Pain, 152: 65-73.
  • Lago, P. ve ark. (2009). Guidelines for procedural pain in the newborn. Acta Paediatrica, 98: 932- 939.
  • Ludington-Hoe, S. (2006). Kangroo care for analgesia in preterm infants undergoing heel stick pain. Case Western Reserve University, Frances Payne Bolton School of Nursing, School of Graduate Studies, 1-230, http://www.ohiolink.edu/etd/send-pdf.cgi/ Ludington-Hoe%20Xiaomei.pdf?acc_num=case1134405075 (02010).
  • Prasopkittikun, T., Tilokskulchai, F. (2003). Management of pain from heel stick neonates: An analysis of research conducted in Thailand. Journal Perinatology - Neonatology Nursing, 17(4): 304-3
  • Obeidat, H., Kahalaf, I., Callister, L., Froelicher, E. (2009). Use of facilitated tucking for nonpharmacological pain managment in preterm infants: A systematic review. Journal of Perinatal & Neonatal Nursing, 23(4): 372-377.
  • Tarı, A. (2003). Yenidoğan yoğun bakım ünitelerinde çevrenin değerlendirilmesi ve düzenlenmesi. Pek H. (Ed.),Yenidoğan Yoğun Bakım Ünitelerinde Bireyselleştirilmiş Destekleyici Gelişimsel Bakım Kursu. Çocuk Hemşireliği Derneği, İstanbul.
  • Ünaldı, N. (2009). Yenidoğanlarda ağrılı işlemlerde uygulanan ötektik karışımının ve sukrozun ağrı algısına etkisi. Yüksek Lisans Tezi, Marmara Üniversitesi Sağlık Bilimleri Enstitüsü, İstanbul.
  • Williams, A. L., Khattak, A. Z., Garza, N. C., Lasky, R. E. (2008). The behavioural pain response to heelstick in preterm neonates studied longitudinally: description, development, determinants and components. Early Human Development, 85(6): 369- 374.
  • Ward-Larson, C., Horn, R., Gosnell, F. (2004). The efficacy of facilitated tucking for relieving procedural pain of endotracheal suctioning in very low birth weight infants. The American Journal of Maternal Child Nursing, 9(3): 151-158.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Bölüm DERLEME YAZILARI
Yazarlar

Neriman Çağlayan

Serap Balcı

Yayımlanma Tarihi 18 Nisan 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 22 Sayı: 1

Kaynak Göster

APA Çağlayan, N., & Balcı, S. (2014). An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking. Florence Nightingale Journal of Nursing, 22(1), 63-68. https://doi.org/10.17672/fnhd.28974
AMA Çağlayan N, Balcı S. An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking. Florence Nightingale Journal of Nursing. Nisan 2014;22(1):63-68. doi:10.17672/fnhd.28974
Chicago Çağlayan, Neriman, ve Serap Balcı. “An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking”. Florence Nightingale Journal of Nursing 22, sy. 1 (Nisan 2014): 63-68. https://doi.org/10.17672/fnhd.28974.
EndNote Çağlayan N, Balcı S (01 Nisan 2014) An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking. Florence Nightingale Journal of Nursing 22 1 63–68.
IEEE N. Çağlayan ve S. Balcı, “An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking”, Florence Nightingale Journal of Nursing, c. 22, sy. 1, ss. 63–68, 2014, doi: 10.17672/fnhd.28974.
ISNAD Çağlayan, Neriman - Balcı, Serap. “An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking”. Florence Nightingale Journal of Nursing 22/1 (Nisan 2014), 63-68. https://doi.org/10.17672/fnhd.28974.
JAMA Çağlayan N, Balcı S. An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking. Florence Nightingale Journal of Nursing. 2014;22:63–68.
MLA Çağlayan, Neriman ve Serap Balcı. “An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking”. Florence Nightingale Journal of Nursing, c. 22, sy. 1, 2014, ss. 63-68, doi:10.17672/fnhd.28974.
Vancouver Çağlayan N, Balcı S. An Effective Model of Reducing Pain in Preterm Neonates: Facilitated Tucking. Florence Nightingale Journal of Nursing. 2014;22(1):63-8.