The Effect of Mother's Gentle Human Touch Method on Preterm Pain and Mother's Anxiety Level During Venipuncture
Condition: Venipuncture; Pain
MeSH terms: Premature Birth
Study type: Interventional

Summary: 
      Newborns are frequently exposed to acute or chronic pain experience due to different invasive
      interventions. The American Academy of Pediatrics (AAP) recommends minimizing the pain
      associated with invasive procedures. Reduction of pain primarily requires accurate assessment
      of pain, and treatment with pharmacological/nonpharmacological interventions.

      Touch is one of the first senses developed in the newborn. Gentle Human Touch (Gentle Human
      Touch) is one of the therapeutic touch methods. Gentle touch, which is a simple and
      applicable method in newborns, is a non-invasive touch technique that does not require
      special equipment and technology. The gentle touch method is a sensitive tactile stimulation
      applied to the skin, without stroking or massage, and provides a relaxing effect on the baby.
      Studies have shown that the gentle touch method increases the sleep level of preterm infants,
      reduces pain, stress and cortisone levels, reduces restlessness and keeps the heart rate
      under control.

      Newborns need their parents, especially their mothers, to be by their side during any kind of
      intervention. For this reason, the presence of the parent next to the newborn during invasive
      procedures and the primary role in nonpharmacological interventions provides optimal comfort
      for the nurse, the newborn and the caregiver. When using nonpharmacological methods, it is
      important to take advantage of the family-centered care model. Family-centered care is a
      model of care based on cooperation between health professionals and children's families in
      the planning, delivery and evaluation of health Decency. Its general objective is to improve
      the quality of health services for children and families, to increase the satisfaction of
      families and health professionals, and to ensure the effective use of personnel.

      Accordingly, this thesis study was planned in a randomized controlled experimental design
      type in order to determine the importance of family-centered care model and parents'
      participation in the procedures and the effect of gentle touch method applied by mothers
      during bloodletting on preterm pain level, physiological parameters, crying time and anxiety
      level of the mother.
    

Detailed description: 
      June December 2021-Dec 2021, the universe of the research will consist of preterm infants and
      mothers admitted to Istanbul Zeynep Kamil Women and Children's Diseases Training and Research
      Hospital Neonatal Outpatient Clinic. The sample will be composed of mothers and preterm
      infants who have undergone bloodletting between these dates, who meet the sample selection
      criteria, and who volunteer to participate in the study Dec. At the beginning of the data
      collection phase, power analysis will be performed to determine the number of samples. Groups
      of babies will be determined using simple randomization method in computer environment.

      Data Collection Process After obtaining the permissions of the ethics committee and the
      institution of the research, the subject and purpose of the research will be explained to all
      medical personnel working in the neonatal outpatient clinic of the hospital where the
      research will be conducted, and the methods to be applied in the research will be explained.
      After the parents of the babies who meet the case selection criteria are informed about the
      research, their oral and written consents will be obtained through the "Informed Consent
      Form". It will be determined by computerized simple randomization method which mothers and
      their babies who are willing to participate in the research and who meet the sample selection
      criteria will be included in which group (www.randomizer.org ). The experimental group and
      the control group will be fitted with a pulse oximeter device 5 minutes before the start of
      the blood collection procedure and it will be ensured that it is attached until 5 minutes
      after the procedure. 5 Minutes before the procedure, the procedure sequence and 5 minutes
      after the procedure, the baby's pain score, the number of heart beats, the oxygen saturation
      value and the mother's anxiety level will be recorded. The crying time will be recorded as
      the time elapsed from the moment the baby starts crying until the crying ends. All
      measurements will be measured by two independent observers and recorded in the observation
      form. The blood collection procedure will be performed by the same nurse in each of the 2
      groups.
    

Intervention name(s): gentle human touch
Intervention type(s): Other
Intervention description(s): Mother will apply gentle human touch touch technique during venous blood collection from preterm babies between 32-37 weeks of gestation
Other intervention name(s): yok
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Preterm babies who apply to the blood collection room to draw blood, will be included in the experimental and control group. Randomization was done at www.randomizer.org.
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: NEWBORN; PRETERM; GENTLE HUMAN TOUCH; PAİN