DOI: 10.5176/2251-3833_GHC16.37

Authors: Hoda Ahmed Mahmoud, Soheir Abd Elhamid Dabash, Shadia R. El Guindy, Soheir A. Rabou Mohamed

Abstract: Hospitalized preterm infants undergo multiple, cyclic procedures such as venipunctures throughout their treatment course that causing distress during hospitalization. Sucking plays a key role in the life of the infant. Non-nutritive sucking (NNS) is considered a part of developmental care in preterm neonate. The NNS is a simple intervention that may assist the preterm infant in achieving physiologic homeostasis, which includes heart rate, respiratory rate and oxygen saturation. NNS is a method for providing comfort and managing pain in preterm infants. The aim of the current study was to evaluate the effect of NNS on pain response among preterm infants at the neonatal intensive care units in Cairo University Hospitals. One group pre-post test quasi experimental design was utilized. The following research hypothesis was formulated: preterm infants who will receive NNS during venous blood sampling procedures will have lower score of Premature Infant Pain Profile (PIPP) than those who do not. A convenient sample of 43 preterm infants was participated for this study. Data were collected by using a tool of PIPP Adopted from Stevens, etal., (1996) and modified by the investigator and revised by experts to confirm its validity. The results of this study revealed highly statistically significant differences regarding the total PIPP score during and after procedure between the NNS group and group without NNS, highly statistical significant difference regarding respiratory rate during procedure, systolic blood pressure after procedure and no statistically significant differences regarding diastolic blood pressure. The current study concluded that NNS had a positive effect on the pain response which enhances adequate pain control when used during blood sampling procedure. This study recommended applying the NNS as one of the non pharmacological pain relief for preterm infants in NICU. Provide nurses with periodic training sessions to improve their practices regarding pain assessment management.

Keywords: (Non-nutritive Sucking, Preterm Infants and Pain Response)

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