A systematic review of non-pharmacological management of heel-stick pain in the pre-term neonates
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Ming-Huei Lu, MS, RN; I-Chuan Li, PhD, RN
- Sigma Affiliation
- Non-member
Session presented on Saturday, July 26, 2014:
Purpose: To identify effective non-pharmacological interventions in the literature regarding Heel Stick Pain prevention and treatment in preterm neonates.
Methods: A literature search from 2007 to 2012 was conducted using MedLine, CINAHL, and the Cochrane Library databases, and was complemented by a search of known articles. Two independent reviewers extracted data and assessed methodological quality according to pre-defined criteria.
Results: We identified 14 randomized controlled studies that pertained to non-pharmacological pain management methods. The selected interventions were "non-nutritive sucking", "sucrose", "glucose", "sensorial saturation", "facilitated tucking", "kangaroo care", "sensorial saturation", "breast milk" and "incubator care (inclined, nested, and prone)". Some of the non-pharmacological interventions reduced changes in pulse rate, respiration and oxygen saturation, motor activity, and clinical excitation states during painful intervention.
Conclusion: Evidence supported "non-nutritive sucking", "sucrose", "glucose", "sensorial saturation", "facilitated tucking" and "kangaroo care" for their pain-alleviating effects on neonates. However, unambiguous evidence of their effects remains to be presented. Further research must use validated pain assessment instruments for the evaluation of the pain-alleviating effect of non-pharmacological interventions.
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
| Type | Presentation |
| Acquisition | Proxy-submission |
| Review Type | Abstract Review Only: Reviewed by Event Host |
| Format | Text-based Document |
| Evidence Level | N/A |
| Research Approach | N/A |
| Keywords | Non-Pharmacological Management; Pre-Term Neonates; Heel-Stick Pain |
| Name | 25th International Nursing Research Congress |
| Host | Sigma Theta Tau International |
| Location | Hong Kong |
| Date | 2014 |
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