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| Effects of the postural support, non-nutritive sucking and gentle touching for neonates on their pain during fomoral venipuncture for blood collection |
| Children's Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu Province, 210008 |
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Abstract To explore the effects of the postural support, non-nutritive sucking (NNS) and gentle touching for neonates on their pain during venipuncture for the collection of blood. Methods: 186 neonates who needed femoral venipuncture for the collection of blood in the hospital were enrolled and were divided into observation group (93 cases with the postural support, NNS and gentle touching) and the control group (93 cases with routine position and touching) according to random number table method between June 2021 and June 2022. The heart rate and the respiratory rate before and after venipuncture, the scores of the neonatal infant pain scale (NIPS) at 1 and at 5min after venipuncture, the success rate of the first venipuncture, the blood collection time and the adverse reactions occurrence of the neonates were compared between the two groups. Results: The heart rate (122.37±15.30 times/min) and the respiratory rate (44.53±5.57 times/min) of the neonates in the observation group were significantly lower than those (143.31±17.91 times/min and 56.29±7.04 times/min) of the neonates in the control group. The NIPS scores of the neonates in the observation group at 1min and at 5min after venipuncture (4.29±0.89 points and 1.67±0.25 points) were significantly lower than those (5.53±1.13 points and 3.09±0.71 points) of the neonates in the control group. The first success rate of blood collection by venipuncture (95.7%) of the neonates in the observation group was significantly higher than that of the neonates in the control group (85.0%). The time of the blood collection (1.13±0.17 min) of the neonates in the observation group was significantly shorter than that (1.32±0.22 min) of the neonates in the control group, and the incidence of adverse reactions after venipuncture (12.9%) of the neonates in the observation group was significantly lower than that (28.0%) of the neonates in the control group (all P<0.05). Conclusion: The application of the postural support, NNS and gentle touching during the blood collection by venipuncture of the neonates can relieve their pain degree, increase their first success rate of blood collection by venipuncture and shorten their blood collection time.
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