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:: Volume 10, Issue 2 (summer 2015) ::
IJNR 2015, 10(2): 45-53 Back to browse issues page
Effect of massage on physiological pain responses of blood sampling in infants
Sh Rafati, N Rejeh *, Sd Tadrisi, M Karimi, A Molodi
, reje@shahed.ac.ir
Abstract:   (18318 Views)
Introduction: Infants undergo painful procedures during care and treatment. Pain in infants can lead to various risks. So, it seems essential to find a simple, safe, and acceptable method for relieving pain. The aim of this study was to assess the effect of massage on physiological pain responses of infants during and after blood sampling. Method: In this single blind randomized clinical trial, 136 infants hospitalized in the intensive care unit of Mostafa Khomeini hospital affiliated to the Shahed University were studied in 2014-15. Infants were chosen by convenience sampling and were assigned to randomly allocated into two groups experimental group (massage) (n=68) and control group (n=68).The experimental group received one minutes of direct rhythmic effleurage massage to the antecubital fossa. Patients in the control group received the routine care of the study setting .In the two groups, behavioral changes of the infants was measured using the (NIPS) Neonatal Infant Pain Scale before intervention, immediately after, and 5 minutes after the removing the needle by a researcher who was blind to the group the infant was allocated to. We assessed the physiological pain responses caused by blood sampling such as heart rate, respiratory rate and oxygen saturation level. Also, their cry duration was measured from onset until a crying free interval of more than five seconds. Data were analyzed using descriptive statistics, Mann-Whitney U, Fisher's Exact Test, Repeated measurement, T-test, and Chi-square tests in SPSS. Results: Results showed significant difference in the mean of pain intensity in experimental group was lower than control group (P<0.001). There was statistically significant difference in the heart rate and respiratory rate between the groups after inserting and 5 minutes after removing the needle (P<0.05). Moreover, the infants exposed to the massage cried significantly less during the procedure compared to the control group (P<0.001). Conclusion: Results showed that massage could reduce some physiological responses of pain during blood sampling. Massage can be used as a beneficial intervention following painful procedures such as blood sampling in the NICU.
Keywords: Infant, pain, physiological responses, massage
Full-Text [PDF 216 kb]   (4416 Downloads)    
Type of Study: Psychiatric and Mental Health Nursing | Subject: nursing
Received: 2015/06/9 | Published: 2015/06/15
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Rafati S, Rejeh N, Tadrisi S, Karimi M, Molodi A. Effect of massage on physiological pain responses of blood sampling in infants. IJNR. 2015; 10 (2) :45-53
URL: http://ijnr.ir/article-1-1525-en.html

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