Document Detail


The effects of comfort care on the pain response in preterm infants undergoing screening for retinopathy of prematurity.
MedLine Citation:
PMID:  15655442     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of the study was to determine if pain and distress during the retinopathy of prematurity (ROP) screening examination could be ameliorated by providing comfort care. STUDY DESIGN: This study was a prospective, randomized, controlled trial of 30 stable preterm infants who underwent initial ROP screening examinations. Fourteen study infants were swaddled, held, and given 24% sucrose solution during the examination. Sixteen controls were examined while lying in their cribs. Vital signs (i.e., pulse rate, respiratory rate, and oxygen saturation), crying time, and time for the vital signs to return to baseline values were recorded at different times during the examination. RESULTS: The vital signs did not vary significantly between the two groups. The participants in the control group had a trend of longer crying time, but this trend did not reach a level of statistical significance. In addition, The time required for the vital signs to return to their baseline values did not vary significantly. CONCLUSION: ROP screening is very distressful for preterm infants. The routine use of comfort care to reduce pain during the examination could not be supported by this study.
Authors:
Ryan Rush; Sloan Rush; Farshid Ighani; Brady Anderson; Mary Irwin; Mubariz Naqvi
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Retina (Philadelphia, Pa.)     Volume:  25     ISSN:  0275-004X     ISO Abbreviation:  Retina (Philadelphia, Pa.)     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-18     Completed Date:  2005-03-01     Revised Date:  2006-12-15    
Medline Journal Info:
Nlm Unique ID:  8309919     Medline TA:  Retina     Country:  United States    
Other Details:
Languages:  eng     Pagination:  59-62     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Texas Tech University Health Sciences Center and Northwest Texas Healthcare Systems, Amarillo, Texas 79106, USA.
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MeSH Terms
Descriptor/Qualifier:
Crying
Diagnostic Techniques, Ophthalmological*
Gestational Age
Humans
Infant Care / methods*
Infant, Newborn
Infant, Premature
Neonatal Screening / methods*
Oxygen / blood
Pain / nursing,  prevention & control*
Patient Care / methods*
Prospective Studies
Retinopathy of Prematurity / diagnosis*
Sleep
Stress, Psychological / nursing,  prevention & control*
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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