Effect of multisensory stimulation on oxygen saturation in premature infants during eye examination

Document Type : Original Quantitative and Qualitative Research Paper

Authors

1 MS in Neonatal Intensive Care Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

2 Instructor Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 Professor of Retinal Diseases, Ophthalmology Hospital Khatam-al-Anbiya, Mashhad University of Medical Sciences, Mashhad, Iran

4 Assistant Professor of Retinal Diseases, Ophthalmology Hospital Khatam-al-Anbiya, Mashhad University of Medical Sciences, Mashhad, Iran

5 Student of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Eye examination for screening of Retinopathy of Prematurity (ROP), as a painful procedure, causes physiological changes in premature infants. Multisensory stimulation is a non-pharmacological analgesic method which affects physiological measures during painful procedures.
Aim: To determine the effect of multisensory stimulation on oxygen saturation in premature infants during eye examinations
Methods: In this single-blind randomized clinical trial, 80 premature infants in Khatamolanbya hospital of Mashhad in 2014 were randomly divided into two groups of “control” and “multisensory stimulation”. In the intervention group, multisensory stimulation was administered 15 minutes before the start of the examination and the control group received standard care.  Arterial oxygen saturation of each infant was recorded at 30-second intervals before, during, and after eye examination in a researcher-built checklist and a physiological characteristics form. Data were analyzed by independent t-test, Mann-Whitney, and repeated measures ANOVA using SPSS version 11.5.
Results: The mean gestational age of multisensory stimulation group was 30.4±7.1 and the control group was 30.6 ± 8.1 weeks. Based on the analysis of variance with repeated measures, arterial blood oxygen saturation was significantly different in both groups during the evaluation (p<0.001); which was 92.6±3.5 in the intervention group and 90.1±2.0 in the control group during eyes examinations. Changes in oxygen saturation during the examination was significant in the two groups (p<0.001).
Conclusion: Multisensory stimulation program causes smaller reduction in oxygen saturation. Multisensory stimulation can be used as a way to reduce physiological changes during eye examination.

Keywords

Main Subjects

References

  1. Reyhani T, Sanadgol V, Boskabadi H, Esmaeely H. Effects of Creating an Artifical Night on Physiological Changes Weight and Feeding Tolerance in Preterm Infants. J Mashhad Univ Med Sci.2013.[MSc thesis]
  2. Ghahremani M, Mansoriyan M. Incidence, Mortality and Morbidity in Preterm and LBW Babies in 1379 and 1380 in Gonabad. J Gonabad Univ Med Sci.1382; 8(2):7-13.
  3. Pooriran Sh, Vafafar A, Zare Z. Incidence of Premature Birth, Complications and Outcome in Shiraz University of Medical Sciences in 1381. J Iran Univ Med Sci.1387; 7(2):19-24.
  4. Mathew PJ, Mathew JL. Assessment and Management of Pain in Infants. Postgard Med J.2033; 79:438-43.
  5. Verklan M, Valden M. Core Curriculum For Neonatal Intensive Care Nursing. Philadelphia: Sanders Elsevier Co.2010.
  6. Anand KJ. Consensus Statement for the Prevention and Management of Pain in the Newborn. Archives of Pediatrics and Adolescent. Med. 2001; 155(4):173–80.
  7. American Academy of Pediatrics, American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus. Screening examination of premature infants for retinopathy of prematurity.Pediatrics. 2006; 117(6):572–6.
  8. Martin J A. Hamilto BE. Sutton PD. Ventura S J. Menacke F. Kirmeyer S. et al. Births: Final Data for 2006. Natl Health Stat Report. 2009; 7(2); 123-30.
  9. Quiram PA, Capone A Jr. Current Understanding and Management of Retinopathy of Prematurity. Curr Opin Ophthalmol. 2007; 18(1):228–34.
  10. Ballweg D. Neonatal and Pediatric Pain Management. Elsevier Ltd. 2007; 561-6.
  11. Obeidat H, Froelicher ES, Usw of Facilitated Tucking for Nonpharmacological Pain Management in Preterm Infant. J Periant Neonat Nurs.2009; 23(4):372-7.
  12. Noghabi FA, Kashnainia Z, Sajedi F, Rahgozar M, Yousefi H, The Effect of Skin to Skin Contact on the Pain Intensity of Intramuscular Injection in Newborn.Ofogh e Danesh.2011;17(1):1-4.(persian)
  13. Bellieni CV, Bagnoli F, Buonocore G. Alone No More: Pain in Premature Children. Ethics Med.2003; 19(1):5–9.
  14. Anand KJS, Berqvist L, Hall RW, Carbajal R. Acute Pain Management in Newborn Infants. Pain Clinical Updates.2011; 9(2):1–6.
  15. Anand KJ, Hall RW. Love, Pain, and Intensive Care. Pediatri. 2008; 12(4)1:825–7.
  16. Gitto E, Pellegrino S, Manfrida M, Aversa S, Trimarchi G, Barberi I,Reiter RJ. Stress response and procedural pain in the preterm newborn: the role of pharmacological and non-pharmacological treatments. Eur J Pediatr. 2012; 171(6):927-33.
  17. Bellieni CV, Bagnoli F, Perrone S, Nenci A, Cordelli DM, Fusi M, et al. Effect of multisensory stimulation on analgesia in term neonates: a randomized controlled trial. Pediatric research. 2002;51(4):460-3
  18. Bellieni C, Buonocore G, Nenci A, Franci N, Cordelli D, Bagnoli F. Sensorial saturation: an effective analgesic tool for heel-prick in preterm infants. Neonatology. 2001; 80(1):15-8.
  19. Bellieni CV,  Bagnoli F, Perrone S, Nenci A, Cordelli DM, Fusi M, Ceccareli S, Buonocore G. Effect of Multisensory Stimulation on Analgesia in Term Neonates: A Randomized Controlled Trial. Pediatr Research. 2002; 51(4):460-3.
  20. Laws D, Morton C, Weindling M, Clark D. Systemic Effects of Screening for Retinopathy of Prematurity. Bri J Ophthalm. 1996; 80(5):425-8.
  21. Slevin M, Murphy J, Daly L, O’Keefe M. Retinopathy of Prematurity Screening, Stress Related Responses, the Role of Nesting. Bri J Ophthalm. 1997; 81(1):762–4.
  22. Kleberg A, Warren I, Berg A, Mat-Ali E, Holm K, Alistair F, Nelson N, Hellstrom L. Lower Stress Responses After Newborn Individualized Developmental Care and Assessment Program Care During Eye Screening Examinations for Retinopathy of Prematurity: A Randomized Study. Pediatr. 2008; 121(5); 67-78.
  23. Marsh A, Young W, Dunaway K, Kissling G, Rita C, Jones S, Shockley D, Weaver N. Efficacy of Topical Anesthetics to Reduce Pain in Premature Infants During Eye Examinations for Retinopathy of Prematurity. Ann Pharmacother. 2005; 39(5):829-33.
  24. Grabska j. Can Oral Sucrose Reduce the Pain and Distress Associated with Screening for Retinopathy of Prematurity? J Pri. 2005; 25(1):33-5.

Files

Share

How to cite

Statistics