Which nonpharmacologic intervention appears to be effective in decreasing needlestick pain?

Arm Intervention/treatment
Experimental: Group 2 (Swaddling group)

Swaddling group: Swaddling is a wrapping procedure in which a baby's arms and legs are comfortable, sometimes only the arms are wrapped inside, and two ends of fabric are crossed on the chest of the baby, generally with thin cotton and soft fabric or a blanket. In the swaddling group, neonates were placed in the supine position on a blanket. In compliance with the newborn anatomic posture, the legs were wrapped in the flexion and abduction position. The arms of the neonates were placed close to their torso with both hands, without restraining limb movements. Swaddling was carried out 1 minute before the heel stich procedure and continued 3 minutes after the procedure. The neonate remained on the examination table during the swaddling procedure. Swaddling was applied not too loose or too tight during the procedure.

Other: Swaddling

Swaddling is a wrapping procedure in which a baby's arms and legs are comfortable, sometimes only the arms are wrapped inside, and two ends of fabric are crossed on the chest of the baby, generally with thin cotton and soft fabric or a blanket. In the swaddling group, neonates were placed in the supine position on a blanket. In compliance with the newborn anatomic posture, the legs were wrapped in the flexion and abduction position. The arms of the neonates were placed close to their torso with both hands, without restraining limb movements. Swaddling was carried out 1 minute before the heel stich procedure and continued 3 minutes after the procedure. The neonate remained on the examination table during the swaddling procedure. Swaddling was applied not too loose or too tight during the procedure.

Other Name: Group 2


Experimental: Group 3 (Maternal Holding group)

Maternal holding group: Neonates in this group were held in their mothers' lap while their mothers were seated reclining on a comfortable chair. Neonates remained clothed in their mothers' lap during the heel stick procedure, and no breastfeeding was administered during the procedure. Holding was continued for a minimum of 3 minutes during and after the procedure.

Other: Maternal holding

Neonates in this group were held in their mothers' lap while their mothers were seated reclining on a comfortable chair. Neonates remained clothed in their mothers' lap during the heel stick procedure, and no breastfeeding was administered during the procedure. Holding was continued for a minimum of 3 minutes during and after the procedure.

Other Name: Group 3


No Intervention: Group 1

In the control group, the heel stick procedures were conducted using the standard method and the neonates received no interventions during the procedures.

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Department: CLINICAL QUERIES

Minimizing immunization injection pain in children

At Sacramento State School of Nursing in Sacramento, Calif., Emily Jang and Ekaterina Zhimanov are nursing students and Bridget Parsh is a professor of nursing. Dr. Parsh is also a member of the Nursing2021 editorial board.

The authors have disclosed no financial relationships related to this article.

doi: 10.1097/01.NURSE.0000734008.07791.42

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In Brief

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Which nonpharmacologic intervention appears to be effective in decreasing needlestick pain?

Which nonpharmacologic intervention appears to be effective in decreasing needlestick pain?

4.What describes nonpharmacologic techniques for pain management?a.They may reduce pain perception.b.They usually take too long to implement.c.They make pharmacologic strategiesunnecessary.d.They trick children into believing they do nothave pain.ANS: ANonpharmacologic techniques providecoping strategies that may help reduce pain perception, make the pain moretolerable, decrease anxiety, and enhance the effectiveness of analgesics. The nonpharmacologic strategy should bematched with the child’s pain severity and be taught to the child before the onset of the painful experience. Trickingchildren into believing they do not have pain may mitigate the child’s experience with mild pain, but the child will stillknow the discomfort was present.

5.Which nonpharmacologic intervention appears to be effective in decreasing needlestick pain?

Get answer to your question and much more

Neonatal pain can be reduced via a variety of non-pharmacologic interventions, including oral intake of sweet-tasting solutions such as glucose or sucrose.

What non pharmacologic measures are used to comfort infants?

Creating a more comforting environment with SSC, swaddling, therapeutic touch/massage, music therapy and comfort positioning for the infant can produce analgesic effects.

Is oral sucrose non pharmacological?

Background: Administration of oral sucrose with and without non-nutritive sucking is the most frequently studied non-pharmacological intervention for procedural pain relief in neonates.

What is sucrose solution used for?

Indications. Oral sucrose is a mild analgesic and should only be used clinically for the reduction of pain during minor procedures. The mechanism is an orally mediated increase in endogenous opioid. The analgesic effect lasts 5-8 minutes making it an ideal strategy for the management of short term pain.