Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of Warm Foot Bath Applied Before Capillary Heel Blood Sampling for Term Newborns: A Randomized Controlled Trial
Term Yenidoğanlarda Kapiller Topuk Kanı Alınmadan Önce Uygulanan Ilık Ayak Banyosunun Etkisi: Randomize Kontrollü Çalışma
Fahriye PAZARCIKCIa , Ayla KAYAb
aIsparta University of Applied Sciences Vocational School of Technical Sciences, Department of Medical Services and Techniques, Isparta, Türkiye
bAkdeniz University Faculty of Nursing, Department of Pediatric Nursing, Antalya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1003-12
doi: 10.5336/nurses.2024-102773
Article Language: EN
Full Text
ABSTRACT
 Objective: This research aimed to assess the effect of warm foot bath applied before capillary heel blood sampling for newborns on pain level and procedure duration. Material and Methods: In this randomized controlled trial, eighty term neonates were randomly assigned to a hot foot bath group (n=40) and a control group (n=40). The warm foot bath's effectiveness was evaluated at four time points: basal/one minute before the heel puncture (T1), during the heel puncture (T2), 1 minute after the heel puncture (T3), and 5 minutes after the heel puncture (T4). In the study, to determine the efficacy of the warm foot bath, neonates were recorded for six minutes before heel puncture and five minutes after heel puncture with a video camera. The video camera data were assessed using the Neonatal Infant Pain Scale by two specialists who were independent of the study. Results: Pain scores in the warm foot bath group were significantly lower than the control group both during heel puncture and one minute after heel puncture (p<0.01). In addition, the total procedure time was significantly shorter in the intervention than in the control group (p<0.001). Conclusion: Warm foot bath before capillary heel blood sampling reduces acute pain, and shortens the total procedure time in term newborns. This study was registered at ClinicalTrials.gov (NCT05220930) https://clinicaltrials.gov/ct2/show/NCT05220930.

Keywords: Foot bath; pain; heel blood sampling; newborn; warm application
ÖZET
 Amaç: Bu çalışmanın amacı, yenidoğanlar için kapiller topuk kanı alınmadan önce uygulanan ılık ayak banyosunun ağrı düzeyi ve işlem süresi üzerine etkisini belirlemektir. Gereç ve Yöntemler: Bu randomize kontrollü çalışmada, 80 term yenidoğan ılık ayak banyosu grubuna (n=40) ve kontrol grubuna (n=40) rastgele atanmıştır. Ilık ayak banyosunun etkinliği 4 zaman noktasında değerlendirilmiştir: bazal/ topuk ponksiyonundan bir dakika önce (T1), topuk ponksiyonu sırasında (T2), topuk ponksiyonundan 1 dakika sonra (T3) ve topuk ponksiyonundan 5 dakika sonra (T4). Çalışmada, ılık ayak banyosunun etkinliğini belirlemek için yenidoğanlar topuk ponksiyonundan önce 6 dakika ve topuk ponksiyonundan sonra 5 dakika boyunca video kamera ile kaydedilmiştir. Video kamera verileri, çalışmadan bağımsız iki uzman tarafından Yenidoğan Bebek Ağrı Ölçeği kullanılarak değerlendirilmiştir. Bulgular: Ilık ayak banyosu grubundaki ağrı skorları hem topuk ponksiyonu sırasında hem de topuk ponksiyonundan 1 dakika sonra kontrol grubuna göre anlamlı derecede düşüktür (p<0,01). Ayrıca toplam işlem süresi girişim grubunda kontrol grubuna göre anlamlı derecede kısadır (p<0,001). Sonuç: Kapiller topuk kanı örneklemesinden önce ılık ayak banyosu, term yenidoğanlarda akut ağrıyı azaltır ve toplam işlem süresini kısaltır. Bu çalışma, ClinicalTrials.gov (NCT05220930) https://clinicaltrials.gov/ct2/show/NCT05220930 adresinde kayıtlıdır.

Anahtar Kelimeler: Ayak banyosu; ağrı; topuk kanı örneği toplama; yenidoğan; ılık uygulama
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