The effect of foot reflexology before suctioning on pain and SPO2 in neonates under nasal CPAP hospitalized in the NICU |
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| Affiliation: | 1. Critical Care Nursing Student, Student Research Committee, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran;2. Department of Pediatric Nursing, School of Nursing and Midwifery, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran;3. Department of Management of Treatment, Iran Social Security Organization, Rafsanjan, Iran;1. Lovisenberg Diaconal University College, Oslo, Norway;2. Health, Aarhus University, Aarhus, Denmark;3. Faculty of Health Sciences and Nursing University of Faroe Islands, Torshavn, The Faroe Islands;4. Department of Nursing, Umeå University, Umeå, Sweden;5. Department of Clinical Medicine - Randers Regional Hospital, Aarhus University, Aarhus, Denmark;6. Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway;7. Department of Public Health, University of Stavanger, Norway;8. Department of Nursing Science, University of Agder, Norway;1. Father Muller College of Nursing, Mangalore, Karnataka, India;2. Department of Child Health Nursing, Father Muller College of Nursing, Mangalore, Karnataka, India;1. James Cook University, Townsville, Australia;2. Townsville University Hospital, Townsville, Australia;1. Doctoral Nursing Program, Faculty of Nursing, Universitas Indonesia, Jalan Prof. Dr. Bahder Djohan, Depok, 16424, Indonesia;2. Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Jalan Prof. Dr. Bahder Djohan, Depok, 16424, Indonesia;3. Faculty of Computer Science, Universitas Indonesia, Jalan Prof. Dr. Nugroho Notosusanto, Depok, 16424, Indonesia;4. Department of Basic Science and Fundamental Nursing, Faculty of Nursing, Universitas Indonesia, Jalan Prof. Dr. Bahder Djohan, Depok, 16424, Indonesia |
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| Abstract: | IntroductionSuctioning procedures in neonates under nasal CPAP and the use of reflexology as a non-invasive method are inevitable. Accordingly, this study aims to determine the effect of foot reflexology before suctioning on pain and SPO2 in neonates under nasal CPAP, who were admitted to the neonatal intensive care unit (NICU).MethodsThis quasi-experimental crossover study was conducted among 40 neonates under nasal CPAP, who were admitted to the NICU of Ali Ibn Abitaleb Hospital in Rafsanjan, Southeastern Iran. The neonates were divided into one of two groups (A and B), according to the inclusion criteria. Neonates in group A received foot reflexology for 3 min during the first suctioning. The second round of suctioning was performed without the reflexology intervention in this group. In group B, the order of applying reflexology was opposite to that in the group A. Before and after suctioning, SPO2 was recorded as shown by the monitor. During the suctioning procedure, pain was assessed using the NIPS tool. In addition, data were analyzed using SPSS Software.ResultsBased on the results, the mean score of pain was lower in the two groups after suctioning with reflexology (the paired t-test, p < 0.05). Although suctioning improved SPO2, reflexology had no effect on this indicator (p > 0.05).ConclusionReflexology before suctioning is effective in reducing pain in neonates. Additional studies are recommended on changing the time and duration of reflexology and examining the effects. |
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| Keywords: | Foot reflexology Suctioning Pain Neonates Nasal CPAP |
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