Pain and Comfort Level During Orogastric Catheter Insertion in Preterms
Condition: Prematurity; Pain Acute; Comfort; Orogastric Tube Insertion
MeSH terms: Acute Pain
Study type: Interventional

Summary: 
      Purpose of the research:

      This research was planned to evaluate the effect of breast milk and dextrose application,
      which are pain relief methods, on the pain and comfort levels of preterm babies who will have
      an orogastric tube inserted in the 3rd and 4th levels of the Neonatal Intensive Care Unit.

      Hypotheses:

      H0: The methods used during orogastric tube insertion do not affect the pain and comfort
      levels of preterm babies.

      H1: Preterm babies who are breastfed feel less pain during orogastric tube insertion.

      H2: Preterm babies given dextrose during orogastric tube insertion feel less pain.

      H3: The comfort level of preterm babies who are breastfed during orogastric tube insertion is
      higher.

      H4: The comfort level of preterm babies given dextrose during orogastric tube insertion is
      higher.

      H5: There is a difference between the pain and comfort levels of preterm patients in terms of
      group, time, and group-time, depending on the intervention applied.
    

Detailed description: 
      The orogastric will then be informed about the investigations of the premature babies to be
      removed. It will be held in a place where video recordings will be taken from the parent
      during the orogastric catheter insertion process. After informed consent is obtained, the
      group to be included will be determined by predetermined stratified randomization.

      Standard treatment will be applied to all preterms. Standard approach; Wrapping data during
      painful and stressful interventions is an effective method to calm the data and shorten the
      spread (Gardner and Goldson, 2011). As shown by Erkut and Yıldız with 74 newborns, births
      wrapped during heel bleeding had lower pain scores and higher oxygen saturation temperatures
      than the control groups (Erkut and Yıldız, 2017). The wrapping application will be wrapped in
      the flexion and abduction positions of the pre-terms, as a subscription for all members, in a
      way that does not cause movement restriction.

      Babies are cared for every morning between 08.00 and 08.30. During care, orogastric
      catheters, tubes, and probes are renewed. Hand, face, and body care and oral care are
      provided and diapers are changed. Orgastric catheters of the babies included in the study
      will be removed during care hours. Maintenance takes approximately 15 minutes. Wrapping will
      be applied as standard treatment to all babies included in the study. After the care was
      done, it was wrapped early and allowed to rest. They are fed at 09.00. Preterms to be
      included in the study in each group; 30-45 without insertion of orogastric tube. They will be
      wrapped up in their beds and will be in a rest period where they will not be disturbed until
      minutes before. Oragastric catheters will be removed before feeding at 9:00. Video recording
      will be made starting before the procedure of connecting to the oragastric catheter (2
      minutes).
    

Intervention name(s): breast milk; dextrose
Intervention type(s): Other; Other
Intervention description(s): give breast milk before the OG catheter insertion; give %20 dextrose before the OG catheter insertion
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Breast Milk Dextrose Control
Masking: Single (Outcomes Assessor)
Primary purpose: Supportive Care