Effect of Expressed Breast Milk versus Leg Massage on Preterm Neonates' Pain during Heel Lance
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Nowadays, pain management is particularly essential for preterm neonates who are not able to verbally express their pain. So, non pharmacological interventions play crucial role in treating procedural pain among those neonates. Objective: This study aimed to determine the effect of expressed breast milk versus leg massage on preterm neonates' pain during heel lance. Setting: This study was carried out at Neonatal Intensive Care Unit at El-Shatby Maternity University Hospital in Alexandria. Subjects: The study subjects comprised of 75 preterm neonates. Tools: Two tools were used to collect necessary data namely; characteristics of the preterm neonates and Premature Infant Pain Profile Scale (PIPP). Results: The main result showed that, none neonate of expressed breast milk group and only 4% of neonates of leg massage group had severe pain score during heel lance compared to 48% of neonates of control group. Statistical significant difference was observed between three groups during heel lance, where MCP<0.0001. Furthermore, it was found that all neonates (100%) of expressed milk group and 88% of neonates of leg massage groups had mild pain score after heel lance compared to only 12% of neonates of control group. On the other hand, approximately, one third (32% ) of neonates of control group had severe pain after heel lance compared to only 4% of neonates of leg massage and none neonate of expressed breast milk group. Statistical significant difference was found between three groups after heel lance, where MCP<0.0001. Conclusion: It can be concluded that expressed breast milk and leg massage are effective in reducing pain responses in neonates during heel lance. Moreover, the neonates of expressed breast milk group experienced less pain score than those of the leg massage and control groups. Recommendation: Single or combined EBM and leg massage should be provided during heel lance of preterm neonates.
Authors and Affiliations
Gehan Maher Khamis Ibrahim
Keywords
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- EP ID EP436004
- DOI 10.9790/1959-0703038594.
- Views 147
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