Pain Felt During Removal of the Products From Infant's Skin Used in Nasogastric Tube Fixation
Condition: Pain, Acute
MeSH terms: Acute Pain
Study type: Interventional

Summary: 
      The present study was planned to evaluate the pain of 4-6 weeks infants felt during removal
      of the adhesive products from newborn's skin used in the fixation of nasogastric tube in
      neonatal and infant units. The hypothesis of the study is "Water-based barrier tape is more
      effective to reduce pain than hydrocolloid barrier tape.
    

Detailed description: 
      The study was planned as randomized controlled and experimental design to compare the
      efficiency of three different methods reducing pain during removal adhesive products for 4-6
      weeks infants. The universe of the study consisted of 4-6 weeks infants in neonatal and
      infants clinics of Giresun Women's and Children's Hospital between the dates of
      July-September 2021. Power analysis was performed through G*Power (v3.1.7) programme in order
      to determine the number of the sample. At the beginning of the study, a reference study
      (Kemer, 2020) was used for sample calculation. The effect size was calculated as d=0.561
      regarding the assessment of skin condition scores and 120 participants in total should be
      included in the study as 40 participants for each groups in order to obtain 80% power in the
      level of α=0.05. Block randomization technique is applied in the study as a randomization
      method. "As for data collection "Infant description form" and "Neonatal Infant Pain Scale"
      was used. The scale was filled by two independent observer via double-blind method.
    

Intervention name(s): Water-based barrier tape; Hydrocolloid barrier tape; Silk tape
Intervention type(s): Device; Device; Device
Intervention description(s): The infants in experiment 1 group will be applied water-based barrier tape. The area will be covered by water-based barrier tape to fix nasogastric tube and after waiting 1 minute for drying up it will be fastened by silk tape used in clinic. The silk tape will be 5 cm long and it will be changed in every 24 hours. Following the removal of silk tape on the water-based barrier tape, the pain felt by the infants evaluated through "Neonatal Infant Pain Scale" and the score recorded in the chart. This procedure actualized 3 min. before procedure, during and 3 min after procedure.; As for experiment 2 group, hydrocolloid barrier tape will be used to fix the nasogastric tube. The hydrocolloid barrier tape, which was cut and shaped appropriately beforehand, will be applied to the area in order to stabilize the nasogastric tube and the tube will be stabilized with silk tape used in clinic. The silk tape will be 5 cm long and it will be changed in every 24 hours. Following the removal of silk tape on the hydrocolloid barrier tape, the pain felt by the infants evaluated with "Neonatal Infant Pain Scale" and the score recorded in the chart. Since the hydrocolloid barrier tape can stay on the skin for 7 days and the assessment of the pain realized in 7th day and noted down to the chart. Pain score evaluated in 7th day 3 min. before procedure, during and 3 min after procedure; The silk tape used in clinic routinely will be used for control group infants to fix the nasogastric tube without any barrier. The silk tape will be 5cm long and it will be changed in every 24 hours. Following the removal of silk tape on the silk tape, the pain felt by the infants evaluated through "Neonatal Infant Pain Scale" and the score recorded in the chart. This procedure actualized 3 min. before procedure, during and 3 min after procedure
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: infant; pain; adhesives; fixation