The Use of 30% Sucrose and Non-Nutritive Sucking (NNS) to Mediate Neonates’ Pain Response from Venous Puncture (Quasi-Experiment in One Private Hospital in Surabaya)

Authors

  • Ni Luh Agustini Purnama Institute of Health Science Katolik St Vincentius a Paulo Surabaya Author
  • Ni Nyoman Wahyu Lestar Institute of Health Science Katolik St Vincentius a Paulo Surabaya Author
  • Dana Kristalisa Institute of Health Science Katolik St Vincentius a Paulo Surabaya Author
  • CH.R. Yeni Suryandari faculty of Nursing, Universitas Airlangga, Surabaya Author
  • CH.R. Yeni Suryandari faculty of Nursing, Universitas Airlangga, Surabaya Author

DOI:

https://doi.org/10.61841/q97shg57

Keywords:

30% sucrose, NNS, pain, venous puncture.

Abstract

Pain often occurs in neonates when venous puncture is performed during hospitalization. If pain persists for a long time, it can interfere with the process of growth and subsequent development. Nonpharmacological actions that can be undertaken to minimize pain are by giving 30% sucrose or NNS. The study aimed to identify differences in neonatal pain responses among those who received 30% sucrose and NNS. The research design used was a quasi-experimental post-test only control group design using a consecutive sampling technique; the independent variables were 30% sucrose administration and NNS while the dependent variable was neonatal pain response. The research sample was 36 respondents, namely 12 respondents who received 30% sucrose and 24 respondents who received NNS. The pain scale used was the Neonatal Infant Pain Scale (NIPS). The results showed that the average pain score in the 30% sucrose group was 1.5 and the NNS group was 3.7 with the Mann Whitney nonparametric statistical test p-value = 0.006. There are differences in neonatal pain response obtained with 30% sucrose and NNS. Pain management is very important for neonates considering the adverse effects, so to reduce pain optimally we have to undertake pain management using the 30% sucrose method or the NNS method.

 

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References

[1] W. Shalish et al., “Assessment of Extubation Readiness Using Spontaneous Breathing Trials in Extremely Preterm Neonates,” JAMA Pediatr., 2020.

[2] E. H.L. et al., “A one-day ‘Helping Babies Breathe’ course improves simulated performance but not clinical management of neonates,” Resuscitation, 2013.

[3] W. qiong LE, Z. nan Wang, P. Chen, Y. ling Hu, and J. Li, “[Second hearing screening model in neonates who failed the first screening].,” Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2011.

[4] Roppolo L. et al., “Use of a multi-disciplinary team to develop an agitation protocol and educational curriculum for emergency medicine residents to reduce violence in the emergency department,” Acad. Emerg. Med., 2017.

[5] J. Fuijkschot, T. Antonius, P. W. Meijers, and S. Vrancken, “Neonatal subgaleal haemorrhage; a potential life-threatening extracranial haemorrhage. [Dutch]rDe subgaleale bloeding bij de neonatus; een potentieel levensbedreigende extracraniele bloeding,” Ned. Tijdschr. Geneeskd., 2008.

[6] R. Sevenich et al., “High-pressure thermal sterilization: Food safety and food quality of baby food puree,” J. Food Sci., 2014.

[7] M. S. Masule, M. Arbabi, P. Ghaeli, M. Hadjibabaie, and H. Torkamandi, “Assessing cognition, depression and anxiety in hospitalized patients during pre and post-Bone Marrow Transplantation,” Iran. J. Psychiatry, 2014.

[8] C. C. Yates, A. J. Mitchell, L. M. Lowe, A. Lee, and R. W. Hall, “Safety of noninvasive electrical stimulation of acupuncture points during a routine neonatal heel stick,” Med. Acupunct., 2013.

[9] K. C. Harris et al., “Should early extubation be the goal for children after congenital cardiac surgery?,” J. Thorac. Cardiovasc. Surg., 2014.

[10] P. Brass, M. Hellmich, L. Kolodziej, G. Schick, and A. F. Smith, “Ultrasound guidance versus anatomical landmarks for subclavian or femoral vein catheterization,” Cochrane Database of Systematic Reviews. 2015.

[11] M. Catteruccia et al., “Persistent pulmonary arterial hypertension in the newborn (PPHN): A frequent manifestation of TMEM70 defective patients,” Mol. Genet. Metab., 2014.

[12] B. K. Aydin et al., “Permanent neonatal diabetes mellitus: Same mutation, different glycemic control with sulfonylurea therapy on long-term follow-up,” JCRPE J. Clin. Res. Pediatr. Endocrinol., 2012.

[13] M. Mongiovi, V. Fesslova, G. Fazio, G. Barbaro, and S. Pipitone, “Diagnosis and Prognosis of Fetal Cardiomyopathies: A Review,” Curr. Pharm. Des., 2012.

[14] C. M. et al., “Persistent pulmonary arterial hypertension in the newborn (PPHN): A frequent manifestation of TMEM70 defective patients,” Mol. Genet. Metab., 2014.

[15] S. E., W. L., J. R., and M. T., “[Influence of selected factors on the treatment and prognosis in newborns with gastroschisis on the basis of own experience].,” Med. Wieku Rozwoj., 2013.

[16] A. S. Nimbalkar, A. R. Dongara, A. G. Phatak, and S. M. Nimbalkar, “Knowledge and attitudes regarding neonatal pain among nursing staff of pediatric department: An Indian experience,” Pain Manag. Nurs., 2014.

[17] A. Squillaro, E. M. Mahdi, N. Tran, A. Lakshmanan, E. Kim, and L. I. Kelley-Quon, “Managing Procedural Pain in the Neonate Using an Opioid-sparing Approach,” Clinical Therapeutics. 2019.

[18] 6(1). http://doi.org/10.1186/s13613-015-0104-6 Deye, N., Vincent, F., Michel, P., Ehrmann, S., Da Silva, D., Piagnerelli, M., … Laterre, P.-F. (2016). Changes in cardiac arrest patientsâ€TM temperature management after the 2013 “TTM― trial: Results from an international survey. Annals of Intensive et al., “Community health care worker knowledge and management of pre-eclampsia in Mozambique,” Int. J. Gynecol. Obstet., 2015.

[19] S. A., M. E.M., T. N., L. A., K. E., and K.-Q. L.I., “Managing Procedural Pain in the Neonate Using an Opioid- sparing Approach,” Clin. Ther., 2019.

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Published

30.09.2020

How to Cite

Purnama, N. L. A., Lestar, N. N. W., Kristalisa, D., Suryandari, C. Y., & Suryandari, C. Y. (2020). The Use of 30% Sucrose and Non-Nutritive Sucking (NNS) to Mediate Neonates’ Pain Response from Venous Puncture (Quasi-Experiment in One Private Hospital in Surabaya). International Journal of Psychosocial Rehabilitation, 24(7), 7924-7931. https://doi.org/10.61841/q97shg57