Observation on the Clinical Efficacy of Two Intervention Methods in Alleviating Venipuncture Pain for Premature Infants_West China Medical Journal

Authors：

 DaiShufang ¹ , ZhouFuxia ² , CaiHaiyan ¹ , LiXuechao ³

1. Department of Neonatology, Maternal and Child Health Care Center, Qinhuangdao, Hebei 066000, P. R. China;
2. Nursing Department, Maternal and Child Health Care Center, Qinhuangdao, Hebei 066000, P. R. China;
3. Department of Pediatrics, Maternal and Child Health Care Center, Qinhuangdao, Hebei 066000, P. R. China;

Corresponding author：

Keywords：

Premature infants; Venipuncture; Pain; Intervention

DOI：

10.7507/1002-0179.201600346

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Objective To observe the clinical efficacy of non-nutritional sucking and 10% glucose water plus non-nutritional sucking in relieving the venipuncture pain for premature infants. Method A total of 167 premature infants between April and December 2014 were selected as our study subjects, and they were randomly divided into three groups:intervention group Ⅰ (n=53), intervention group Ⅱ (n=58), and the control group (without any intervention, n=56). Two minutes before venous indwelling needle puncture, blood oxygen saturation and heart rate of the infants were recorded during their quiet state. In the process of venipuncture, the intervention group Ⅰ was given non-nutritional sucking, intervention group Ⅱ was given 10% glucose water plus non-nutritional sucking, and the control group did not accept any intervention. Premature pain rating scale (PIPP) was used to compare the three groups of infants in terms of pain score, heart rate and blood oxygen saturation 1 minute and 5 minutes after intravenous indwelling needle puncture. SPSS 17.0 software was applied for statistical analysis. Results Of the 167 premature infants, one-time puncture was successful in 152 infants, with 46 in intervention group Ⅰ, 54 in intervention group Ⅱ, and 52 in control group. One minute after intravenous indwelling needle puncture, PIPP score of intervention group Ⅰ and Ⅱ was significantly lower than that of the control group (P<0.05). The PIPP score of intervention group Ⅱ was significantly lower than that of intervention group Ⅰ (P<0.05). One minute and 5 minutes after intravenous indwelling needle puncture, heart rate in the intervention groups was significantly lower than that in the control group (P<0.05), blood oxygen saturation in the intervention groups was signficantly higher than that in the control group (P<0.05), and they were significantly lower in intervention group Ⅱ than in intervention group Ⅰ (P<0.05). Conclusions Non-nutritional sucking is effective in alleviating venipuncture pain for premature infants, especially when it is used together with 10% glucose water. The method is worthy of clinical promotion.

Citation： DaiShufang, ZhouFuxia, CaiHaiyan, LiXuechao. Observation on the Clinical Efficacy of Two Intervention Methods in Alleviating Venipuncture Pain for Premature Infants. West China Medical Journal, 2016, 31(7): 1273-1276. doi: 10.7507/1002-0179.201600346 Copy

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11.	Ramenghi LA, Evans DJ, Levene MI. Sucrose analgesia:absorptive mechanism or taste perception?[J]. Arch Dis Child Fetal Neonatal Ed, 1999, 80:146-147.
12.	王欣. 不同吸吮物缓解早产儿静脉穿刺疼痛效果的研究[D]. 长春:吉林大学, 2013.
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15.	Joanna G, Peter W, Trudy L, et al. Can oral sucrose reduce the pain and distress associated with screening for retinopathy of prematurity?[J]. J Perinat, 2005, 25(1):33-35.
16.	刘晓聪, 林素芳, 黄碟卿, 等. 安抚奶嘴加体位支持减轻新生儿静脉穿刺疼痛的效果观察[J]. 护理学报, 2010, 17(2B):54-55.
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1. 胡冠琼, 黄小夏. 护理干预对新生儿疼痛影响的观察[J]. 护理与康复, 2009, 8(7):550-551.
2. Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units[J]. JAMA, 2008, 300(1):60-70.
3. 邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 4版. 北京:人民卫生出版社, 2011:74.
4. 陈丽莲, 熊小云, 余霞娟, 等. 两种非药物性干预法缓解早产儿静脉穿刺疼痛的效果观察[J]. 护理研究, 2016, 7(7):871-873.
5. Milena L. Pain management for children:the OPBG experience newborn pain[J]. J Paediatr Child Health, 2007, 17(Suppl 1):71-72.
6. Merkel S, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children:the FLACC scale[J]. Am J Nurs, 2002, 102(10):55-58.
7. 胡素君, 贺潇影, 王丹, 等. 两种方式缓解早产儿足跟采血疼痛的疗效观察[J]. 中国妇幼保健, 2014, 29(1):72-74.
8. Carbajal R, Chauvet X, Couderc S, et al. Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates[J]. BMJ, 1999, 319(7222):1393-1397.
9. Blass E, Fitzgerald E, Kehoe P. Interactions between sucrose, pain and isolation distress[J]. Pharmacol Biochem Behav, 1987, 26(3):483-489.
10. 周红, 王国民, 刘浪. 口服葡萄糖缓解新生儿疼痛的临床研究[J]. 儿科药学杂志, 2011, 17(4):21-22.
11. Ramenghi LA, Evans DJ, Levene MI. Sucrose analgesia:absorptive mechanism or taste perception?[J]. Arch Dis Child Fetal Neonatal Ed, 1999, 80:146-147.
12. 王欣. 不同吸吮物缓解早产儿静脉穿刺疼痛效果的研究[D]. 长春:吉林大学, 2013.
13. 薛松梅, 朱丽丽. 非药物疗法缓解新生儿疼痛的管理[J]. 中国疼痛医学杂志, 2010, 16(1):37-39.
14. Gibbins S, Stevens B, Hodnett E, et al. Efficacy and safety of sucrose for procedural pain relief in preterm and term neonates[J]. Nurs Res, 2002, 51(6):375-382.
15. Joanna G, Peter W, Trudy L, et al. Can oral sucrose reduce the pain and distress associated with screening for retinopathy of prematurity?[J]. J Perinat, 2005, 25(1):33-35.
16. 刘晓聪, 林素芳, 黄碟卿, 等. 安抚奶嘴加体位支持减轻新生儿静脉穿刺疼痛的效果观察[J]. 护理学报, 2010, 17(2B):54-55.
17. Johnston CC, Filion F, Snider L, et al. Routine sucrose analgesia during the first week of life neonates younger than 31 weeks' postconceptional age[J]. Pediatrics, 2002, 110(3):523-528.

West China Medical Journal

Observation on the Clinical Efficacy of Two Intervention Methods in Alleviating Venipuncture Pain for Premature Infants

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