Effect of Facilitated Tucking Versus Swaddling Positions on Orogastric Tube Insertion Pain amongPreterm Neonates

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Effect of Facilitated Tucking Versus Swaddling Positions on Orogastric Tube Insertion Pain amongPreterm Neonates

Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 5

Abstract

f diagnostic and therapeutic painful procedures as orogastric tube (OGT) insertion. Pain evokes negative physiological and behavioral responses. Consequently, it leads to short and long term detrimental complications. So, it is reasonable to address their pain by incorporating developmental supportive positions as facilitated tucking and swaddling.Objective: The aim of this study was to determine the effect of facilitated tucking versus swaddling positions on OGT insertion pain among preterm neonates. ResearchDesign: A quasiexperimentalresearchdesignwasused. Setting:This study was conducted at the NICU of Maternity University Hospital at El-Shatby in Alexandria.Subjects: A convenient sample of 90 preterm neonates who fulfilled the following criteria comprised the study subjects: Postnatal age 2 days till is less than 2 months of age, being fed viaOGT,connected with pulse oximeter,free from congenital or neurological malformations, APGAR score more than 7, calm, clinically stable and did not receive any sedatives or analgesics.Tools: Two tools were used to collect necessary data, namely: Characteristics and Medical History of Preterm Neonates and Premature Infant Pain Profile (PIPP).Results: The main study findings showed that the score recorded for the majority of preterm neonates either in the facilitated tucking or swaddling groups was less than or equal 6 it means that OGT insertion did not cause any pain (90.9% and 83.3% respectively) compared to only 20.0% of those in the control group. Moreover, 73.3% of preterm neonates in the control group obtained 7-12 pain score.Hence, they had slight to moderate pain during OGT insertion. There were statistical significant differences detected among preterm neonates in the facilitated tucking group and the control group as well as among those in the swaddling group and the control group (P=0.000 for each). Conclusion: It can be concluded that facilitated tucking and swaddling positionswere effective in reducing preterm neonates' pain during and afterOGT insertion. Moreover, preterm neonates in facilitated tucking group experienced slightly less pain than those in the swaddling group. Recommendation: The main recommendation of the current study wasNICU nurses should use facilitated tucking and swaddling positions as non-pharmacological interventions to reduce preterm neonates' pain who are exposed to a variety of painful procedures as OGT insertion.

Authors and Affiliations

AbeerabdEl-Razik Ahmed Mohammed-Lecturer

Keywords

Facilitated Tucking Position; Swaddling Position; Preterm Neonates; Orogastric Tube Insertion; Pain.

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EP ID EP436631
DOI 10.9790/1959-0705017586.
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