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Pain relief effect of breast feeding and music therapy during heel lance for healthy-term neonates in China: a randomized controlled trial.

Identifieur interne : 000D76 ( Main/Exploration ); précédent : 000D75; suivant : 000D77

Pain relief effect of breast feeding and music therapy during heel lance for healthy-term neonates in China: a randomized controlled trial.

Auteurs : Jiemin Zhu [République populaire de Chine] ; He Hong-Gu [Singapour] ; Xiuzhu Zhou [République populaire de Chine] ; Haixia Wei [République populaire de Chine] ; Yaru Gao [République populaire de Chine] ; Benlan Ye [République populaire de Chine] ; Zuguo Liu [République populaire de Chine] ; Sally Wai-Chi Chan [Australie]

Source :

RBID : pubmed:25467598

Descripteurs français

English descriptors

Abstract

OBJECTIVES

to test the effectiveness of breast feeding (BF), music therapy (MT), and combined breast feeding and music therapy (BF+MT) on pain relief in healthy-term neonates during heel lance.

DESIGN

randomised controlled trial.

SETTING

in the postpartum unit of one university-affiliated hospital in China from August 2013 to February 2014.

PARTICIPANTS

among 288 healthy-term neonates recruited, 250 completed the trial. All neonates were undergoing heel lancing for metabolic screening, were breast fed, and had not been fed for the previous 30 minutes.

INTERVENTIONS

all participants were randomly assigned into four groups - BF, MT, BF+MT, and no intervention - with 72 neonates in each group. Neonates in the control group received routine care. Neonates in the other three intervention groups received corresponding interventions five minutes before the heel lancing and throughout the whole procedure.

MEASUREMENTS

Neonatal Infant Pain Scale (NIPS), latency to first cry, and duration of first crying.

FINDINGS

mean changes in NIPS scores from baseline over time was dependent on the interventions given. Neonates in the BF and combined BF+MT groups had significantly longer latency to first cry, shorter duration of first crying, and lower pain mean score during and one minute after heel lance, compared to the other two groups. No significant difference in pain response was found between BF groups with or without music therapy. The MT group did not achieve a significantly reduced pain response in all outcome measures.

CONCLUSIONS

BF could significantly reduce pain response in healthy-term neonates during heel lance. MT did not enhance the effect of pain relief of BF.

IMPLICATIONS FOR PRACTICE

healthy-term neonates should be breast fed to alleviate pain during heel lance. There is no need for the additional input of classical music on breast feeding in clinic to relieve procedural pain. Nurses should encourage breast feeding to relieve pain during heel lance.


DOI: 10.1016/j.midw.2014.11.001
PubMed: 25467598


Affiliations:


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Le document en format XML

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<term>Analgesia (MeSH)</term>
<term>Blood Specimen Collection (methods)</term>
<term>Blood Specimen Collection (statistics & numerical data)</term>
<term>Breast Feeding (MeSH)</term>
<term>China (MeSH)</term>
<term>Female (MeSH)</term>
<term>Heel (injuries)</term>
<term>Humans (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Male (MeSH)</term>
<term>Metabolic Diseases (diagnosis)</term>
<term>Music Therapy (MeSH)</term>
<term>Pain (prevention & control)</term>
<term>Pain Management (methods)</term>
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<term>Analgésie (MeSH)</term>
<term>Chine (MeSH)</term>
<term>Douleur (prévention et contrôle)</term>
<term>Femelle (MeSH)</term>
<term>Gestion de la douleur (méthodes)</term>
<term>Grossesse (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladies métaboliques (diagnostic)</term>
<term>Musicothérapie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nouveau-né (MeSH)</term>
<term>Prélèvement d'échantillon sanguin (méthodes)</term>
<term>Prélèvement d'échantillon sanguin (statistiques et données numériques)</term>
<term>Talon (traumatismes)</term>
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<term>Maladies métaboliques</term>
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<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Heel</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Blood Specimen Collection</term>
<term>Pain Management</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Gestion de la douleur</term>
<term>Prélèvement d'échantillon sanguin</term>
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<term>Pain</term>
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<term>Douleur</term>
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<term>Blood Specimen Collection</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Prélèvement d'échantillon sanguin</term>
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<term>Talon</term>
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<term>Analgesia</term>
<term>Breast Feeding</term>
<term>China</term>
<term>Female</term>
<term>Humans</term>
<term>Infant, Newborn</term>
<term>Male</term>
<term>Music Therapy</term>
<term>Pregnancy</term>
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<term>Allaitement naturel</term>
<term>Analgésie</term>
<term>Chine</term>
<term>Femelle</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Musicothérapie</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>to test the effectiveness of breast feeding (BF), music therapy (MT), and combined breast feeding and music therapy (BF+MT) on pain relief in healthy-term neonates during heel lance.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>randomised controlled trial.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>in the postpartum unit of one university-affiliated hospital in China from August 2013 to February 2014.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>among 288 healthy-term neonates recruited, 250 completed the trial. All neonates were undergoing heel lancing for metabolic screening, were breast fed, and had not been fed for the previous 30 minutes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>all participants were randomly assigned into four groups - BF, MT, BF+MT, and no intervention - with 72 neonates in each group. Neonates in the control group received routine care. Neonates in the other three intervention groups received corresponding interventions five minutes before the heel lancing and throughout the whole procedure.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MEASUREMENTS</b>
</p>
<p>Neonatal Infant Pain Scale (NIPS), latency to first cry, and duration of first crying.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>FINDINGS</b>
</p>
<p>mean changes in NIPS scores from baseline over time was dependent on the interventions given. Neonates in the BF and combined BF+MT groups had significantly longer latency to first cry, shorter duration of first crying, and lower pain mean score during and one minute after heel lance, compared to the other two groups. No significant difference in pain response was found between BF groups with or without music therapy. The MT group did not achieve a significantly reduced pain response in all outcome measures.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>BF could significantly reduce pain response in healthy-term neonates during heel lance. MT did not enhance the effect of pain relief of BF.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>IMPLICATIONS FOR PRACTICE</b>
</p>
<p>healthy-term neonates should be breast fed to alleviate pain during heel lance. There is no need for the additional input of classical music on breast feeding in clinic to relieve procedural pain. Nurses should encourage breast feeding to relieve pain during heel lance.</p>
</div>
</front>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">to test the effectiveness of breast feeding (BF), music therapy (MT), and combined breast feeding and music therapy (BF+MT) on pain relief in healthy-term neonates during heel lance.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">randomised controlled trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">in the postpartum unit of one university-affiliated hospital in China from August 2013 to February 2014.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">among 288 healthy-term neonates recruited, 250 completed the trial. All neonates were undergoing heel lancing for metabolic screening, were breast fed, and had not been fed for the previous 30 minutes.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">all participants were randomly assigned into four groups - BF, MT, BF+MT, and no intervention - with 72 neonates in each group. Neonates in the control group received routine care. Neonates in the other three intervention groups received corresponding interventions five minutes before the heel lancing and throughout the whole procedure.</AbstractText>
<AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Neonatal Infant Pain Scale (NIPS), latency to first cry, and duration of first crying.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">mean changes in NIPS scores from baseline over time was dependent on the interventions given. Neonates in the BF and combined BF+MT groups had significantly longer latency to first cry, shorter duration of first crying, and lower pain mean score during and one minute after heel lance, compared to the other two groups. No significant difference in pain response was found between BF groups with or without music therapy. The MT group did not achieve a significantly reduced pain response in all outcome measures.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">BF could significantly reduce pain response in healthy-term neonates during heel lance. MT did not enhance the effect of pain relief of BF.</AbstractText>
<AbstractText Label="IMPLICATIONS FOR PRACTICE" NlmCategory="CONCLUSIONS">healthy-term neonates should be breast fed to alleviate pain during heel lance. There is no need for the additional input of classical music on breast feeding in clinic to relieve procedural pain. Nurses should encourage breast feeding to relieve pain during heel lance.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<Affiliation>Department of Nursing, School of Medicine, Xiamen University, Xiamen, China. Electronic address: benlanye@xmu.edu.cn.</Affiliation>
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<LastName>Liu</LastName>
<ForeName>Zuguo</ForeName>
<Initials>Z</Initials>
<AffiliationInfo>
<Affiliation>School of Medicine, Xiamen University, Xiangan Campus, Xiamen 361102, China. Electronic address: zuguoliu@xmu.edu.cn.</Affiliation>
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<Affiliation>School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Australia. Electronic address: sally.chan@newcastle.edu.au.</Affiliation>
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<Year>2014</Year>
<Month>11</Month>
<Day>11</Day>
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<Country>Scotland</Country>
<MedlineTA>Midwifery</MedlineTA>
<NlmUniqueID>8510930</NlmUniqueID>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<Keyword MajorTopicYN="N">Breast feeding</Keyword>
<Keyword MajorTopicYN="N">Heel lance</Keyword>
<Keyword MajorTopicYN="N">Music therapy</Keyword>
<Keyword MajorTopicYN="N">Pain relief</Keyword>
<Keyword MajorTopicYN="N">Randomised controlled trial</Keyword>
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<Year>2014</Year>
<Month>06</Month>
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<Year>2014</Year>
<Month>10</Month>
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<Year>2014</Year>
<Month>11</Month>
<Day>01</Day>
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<Minute>0</Minute>
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<Month>8</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="pubmed">25467598</ArticleId>
<ArticleId IdType="pii">S0266-6138(14)00256-3</ArticleId>
<ArticleId IdType="doi">10.1016/j.midw.2014.11.001</ArticleId>
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<list>
<country>
<li>Australie</li>
<li>République populaire de Chine</li>
<li>Singapour</li>
</country>
<orgName>
<li>Université nationale de Singapour</li>
</orgName>
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<name sortKey="Zhu, Jiemin" sort="Zhu, Jiemin" uniqKey="Zhu J" first="Jiemin" last="Zhu">Jiemin Zhu</name>
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<name sortKey="Gao, Yaru" sort="Gao, Yaru" uniqKey="Gao Y" first="Yaru" last="Gao">Yaru Gao</name>
<name sortKey="Liu, Zuguo" sort="Liu, Zuguo" uniqKey="Liu Z" first="Zuguo" last="Liu">Zuguo Liu</name>
<name sortKey="Wei, Haixia" sort="Wei, Haixia" uniqKey="Wei H" first="Haixia" last="Wei">Haixia Wei</name>
<name sortKey="Ye, Benlan" sort="Ye, Benlan" uniqKey="Ye B" first="Benlan" last="Ye">Benlan Ye</name>
<name sortKey="Zhou, Xiuzhu" sort="Zhou, Xiuzhu" uniqKey="Zhou X" first="Xiuzhu" last="Zhou">Xiuzhu Zhou</name>
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<name sortKey="Chan, Sally Wai Chi" sort="Chan, Sally Wai Chi" uniqKey="Chan S" first="Sally Wai-Chi" last="Chan">Sally Wai-Chi Chan</name>
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