Ignite Creation Date:
2024-05-06 @ 8:00 PM
Last Modification Date:
2024-10-26 @ 3:18 PM
Study NCT ID:
NCT06214104
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-01-19
First Post:
2024-01-10
Brief Title:
Acupressure Therapy Method and Heel Blood Effect of Position on Pain and Physiological Parameters
Sponsor:
Eastern Mediterranean University
Organization:
Eastern Mediterranean University
Study Overview
Official Title:
Acupressure Therapy Method Applied in Newborn Heel Blood Collection and Fetus Effect of Position on Pain and Physiological Parameters
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
It is important that integrated methods which will not have a negative impact on the future health of babies who have just started life are used in neonatal pain management by nurses who are in direct contact with babies in terms of their ease of applicability In addition considering that by reducing the pain of newborns their comfort will increase mother-baby bonding will be greater the newborns adaptation to the outside world will increase and sensory neural development will be positively affected It is important for shaping When the literature was examined no study was found that examined the effect of the acupressure therapy method applied during heel blood collection of newborns and the effect of the fetal position on pain together Accordingly our study aimed to investigate the effects of these two important methods on pain and physiological parameters in newborns
Detailed Description:
According to the World Health Organization WHO the neonatal period covers the first 28 days of life from birth A healthy newborn It is a baby born between 38-40 weeks of gestation in the uterus who cries after birth adapts easily to the outside world and does not have physiological pathological or neurological problems Deniz 2023 It is important to detect some diseases that can be diagnosed early in the neonatal period so that the baby can have a healthy later life Perry 2018 These diseases phenylketonuria PKU congenital hypothyroidism CH biotinidase deficiency BE cystic fibrosis CF Congenital Adrenal Hyperplasia and Spinal Muscular Atrophy SMA TC Ministry of Health When these diseases are diagnosed early the damage that may occur in the newborn can be reduced or eliminated with the necessary treatment and precautions İçke 2017 Screenings are carried out as a public health measure all over the world and in our country to detect these diseases for early diagnosis in the neonatal period TC Ministry of Health Most of these diseases determined by heel blood collection and laboratory examinations can be detected within the first two weeks Bayrak and Ünsal 2021 The best time to take a blood sample is between the 36th and 72nd hours after birth In addition it is preferred that the baby has been feeding for 48 hours in order to perform scans Ovalı 2019 Bayrak and Ünsal 2022 Taking a heel blood sample is a painful procedure for newborns In the past it was accepted that newborns did not feel pain and did not remember pain experiences because they were biologically immature However in recent years studies in this field have been carried out in the 20-24 weeks of fetal life It has been shown that the patient has the ability to respond to pain starting from weeks Inmakulada et al 2023 Pain perception is affected by the age developmental level cognitive and communication skills of babies and children as well as previous pain experiences and beliefs Varela 2014 It is also reported that painful stimuli change the perception of pain in the long term increasing chronic pain syndromes and somatic complaints and causing learning disorders behavioral problems and attention deficit in the future as a result of recurrent pain Akcan2017 Eroğlu 2018 Kahraman2020 Glenzel2023 In line with this information importance has begun to be given to the pain management of newborn babies in the literature and scales that detect pain have been developed Bucsea 2019 Karakoç and Aydın 2022 Glenzel 2023 It is noteworthy that there are more pharmacological methods to reduce pain in newborns However pharmacological applications in newborns have side effects and newborns It has been shown in literature studies that it will have a negative effect on the patient Akcan Polat 2017 For this reason integrative treatment methods which are widely used today are more recommended for neonatal pain management Guney 2017 Because these methods are non-invasive and do not cause any side effects Its use is more encouraged When the literature is examined the integrative methods used in heel blood collection include breastfeeding fetal position swaddling pacifier giving oral glucose acupressure foot reflexology kangaroo care breast milk smell mother and fathers voice mothers heart sound music white noise There are many methods such as amniotic fluid smell lavender smell Aygül2023 Memiş 2023 Atal 2019 Kale 2019 Şafak 2021 Tuncay 2020 Deniz 2019 Oğul 2018 Avçin 2017 There have been studies reporting that these methods have various effects on pain in newborns Glenzel 2023 Karakoç 2022 Ceylan 2017
It has been reported that acupressure application reduces pain and anxiety in newborns especially due to invasive interventional procedures Deniz 2019 Acupressure reveals the bodys self-healing mechanism by making biochemical changes in the body Acupressure affects the pain mechanism by applying pressure to acupuncture points Özkan and Balcı 2018 When studies in the literature are examined it is reported that acupressure applied during heel blood collection reduces the newborn pain score Deniz 2019 Another nonpharmacological method used to reduce pain is the fetal position Fetal position It is a sub-form of the method of taking the baby into the nest and is the process of keeping the babys upper and lower extremities in flexion with the hand and placing the body in a closed position close to the midline It is reported that this method activates the regulatory systems of babies by providing heat and tactile stimulation blocks painful stimuli from the external environment and reduces the pain felt by the baby Avçin 2015 Kemer and İşler 2020 In a study the effect of the fetal position during heel blood collection on pain heart rate and oxygen saturation was examined and it was reported that the average pain score of babies in the fetal position was lower Kale 2018 It is important that integrated methods which will not have a negative impact on the future health of babies who have just started life are used in neonatal pain management by nurses who are in direct contact with babies in terms of their ease of applicability In addition considering that by reducing the pain of newborns their comfort will increase mother-baby bonding will be greater the newborns adaptation to the outside world will increase and sensory neural development will be positively affected It is important for shaping When the literature was examined no study was found that examined the effect of the acupressure therapy method applied during heel blood collection of newborns and the effect of the fetal position on pain together Accordingly our study aimed to investigate the effects of these two important methods on pain and physiological parameters in newborns
It has been reported that acupressure application reduces pain and anxiety in newborns especially due to invasive interventional procedures Deniz 2019 Acupressure reveals the bodys self-healing mechanism by making biochemical changes in the body Acupressure affects the pain mechanism by applying pressure to acupuncture points Özkan and Balcı 2018 When studies in the literature are examined it is reported that acupressure applied during heel blood collection reduces the newborn pain score Deniz 2019 Another nonpharmacological method used to reduce pain is the fetal position Fetal position It is a sub-form of the method of taking the baby into the nest and is the process of keeping the babys upper and lower extremities in flexion with the hand and placing the body in a closed position close to the midline It is reported that this method activates the regulatory systems of babies by providing heat and tactile stimulation blocks painful stimuli from the external environment and reduces the pain felt by the baby Avçin 2015 Kemer and İşler 2020 In a study the effect of the fetal position during heel blood collection on pain heart rate and oxygen saturation was examined and it was reported that the average pain score of babies in the fetal position was lower Kale 2018 It is important that integrated methods which will not have a negative impact on the future health of babies who have just started life are used in neonatal pain management by nurses who are in direct contact with babies in terms of their ease of applicability In addition considering that by reducing the pain of newborns their comfort will increase mother-baby bonding will be greater the newborns adaptation to the outside world will increase and sensory neural development will be positively affected It is important for shaping When the literature was examined no study was found that examined the effect of the acupressure therapy method applied during heel blood collection of newborns and the effect of the fetal position on pain together Accordingly our study aimed to investigate the effects of these two important methods on pain and physiological parameters in newborns
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| Hulya Fırat Kılıc | OTHER | Eastern Mediterranean University | None |