| Clinical, physiologic, and biologic impact of environmental and behavioral interventions in neonates during a routine nursing procedure. | |
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MedLine Citation:
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PMID: 16326367 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this randomized crossover study was to evaluate the impact of environmental and behavioral interventions (EBI) on behavioral, physiologic, and biologic stress response during a weighing procedure in neonates. Three groups of 15 neonates included (A) gestational age (GA), < or =32 weeks; (B) GA, 32 weeks, 1 day to 36 weeks, 6 days; and (C) GA, > or =37 weeks. Each neonate experienced 2 weighing procedures with and without EBI. Pain was evaluated by using the Neonatal Infant Pain Scale (NIPS) and the Neonatal Pain and Discomfort Scale (EDIN). Heart rate and oxygen saturation were recorded. Salivary samples were obtained for cortisol assay. Cerebral tissue oxygenation index (TOI) was recorded with near-infrared spectroscopy. A significant decrease of NIPS and EDIN was observed with EBI versus control. Mean heart rate was lower with EBI. No difference in cortisol level changes was observed. For groups A and B, a trend of increased TOI was observed with EBI. We concluded that EBI during a nursing procedure provides a decrease in pain scores in preterm and term neonates with changes in heart rate. PERSPECTIVE: This study evaluates the impact of combined environmental and behavioral interventions on pain responses in neonates during a weighing procedure. The results indicate a decrease in behavioral pain scores and in heart rate for preterm and term neonates and a trend in increased brain oxygenation depending on gestational age. |
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Authors:
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C?line Catelin; Sylvie Tordjman; Vincent Morin; Emmanuel Oger; Jacques Sizun |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: The journal of pain : official journal of the American Pain Society Volume: 6 ISSN: 1526-5900 ISO Abbreviation: J Pain Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2005-12-05 Completed Date: 2006-02-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100898657 Medline TA: J Pain Country: United States |
Other Details:
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Languages: eng Pagination: 791-7 Citation Subset: IM |
Affiliation:
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Neonatal Intensive Care Unit, Department of Pediatrics, University Hospital, Brest, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aging / physiology Behavior Therapy / methods* Brain / growth & development, metabolism Cross-Over Studies Environment, Controlled* Female Heart Rate / physiology Humans Hydrocortisone / metabolism, secretion Infant, Newborn Male Neonatology / methods* Nursing / methods Oxygen Consumption / physiology Pain / metabolism, physiopathology, prevention & control* Pain Measurement Pain Threshold / physiology Stress, Psychological / metabolism, physiopathology, prevention & control* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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50-23-7/Hydrocortisone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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