The Effects of Auditory Interventions on Comfort and Mothers' Anxiety in Newborns
Condition: Pain, Acute
MeSH terms: Acute Pain
Study type: Interventional

Summary: 
      The heel blood procedure for newborn screening is done for almost all babies within the first
      48 hours of birth. It is stated that non-pharmacological methods in reducing pain during the
      heel blood collection process are simple, effective, free, and very cost-effective. Studies
      have shown that auditory interventions (such as mother's voice, white noise) used in invasive
      procedures distract the infant and create a cognitive strategy for pain control. According to
      this information, one aim of the study is to determine the effect of the mother's voice and
      white noise, which are non-pharmacological methods, on the comfort level of the baby in the
      heel blood procedure. It is thought that especially acute painful procedures applied to
      infants will reduce the level of stress and anxiety in parents. Another aim of this study is
      to determine the effect of a mother's voice and white noise, which are non-pharmacological
      methods, on the state anxiety levels of mothers in the heel blood collection process.
    

Detailed description: 
      The heel blood procedure for newborn screening is done for almost all babies within the first
      48 hours of birth. The heel blood procedure, which is widely used for the diagnosis and
      follow-up of various diseases, causes acute pain in infants. It is stated that
      non-pharmacological methods in reducing pain during the heel blood collection process are
      simple, effective, free, and very cost-effective. For example, non-pharmacological methods
      such as breastfeeding, skin-to-skin contact, oral sucrose, mother's voice, and white noise
      are stated to be effective in reducing acute pain. Clinical practice guidelines recommend the
      use of non-pharmacological methods in acute painful procedures. Studies have shown that
      auditory interventions (such as mother's voice, white noise) used in invasive procedures
      distract the infant and create a cognitive strategy for pain control. According to this
      information, one aim of the study is to determine the effect of the mother's voice and white
      noise, which are non-pharmacological methods, on the comfort level of the baby in the heel
      blood procedure.

      Few studies have targeted parents of newborn infants, although studies to date have shown
      that parents want to be more involved in their infants' pain management. Parents reported
      that they wanted to learn more about pain management strategies, they wanted to play a role
      in the relaxation of their babies, and they hoped for more opportunities to participate in
      the care of their babies in the hospital. It is thought that especially acute painful
      procedures applied to infants will reduce the level of stress and anxiety in parents. In
      addition, one study reported that when parents are given information to help reduce their
      baby's pain, they accept painful procedures such as heel prick more easily and feel calmer.
      In the light of this information, another aim of this study is to determine the effect of a
      mother's voice and white noise, which are non-pharmacological methods, on the state anxiety
      levels of mothers in the heel blood collection process.
    

Intervention name(s): Mother voice; White noise
Intervention type(s): Other; Other
Intervention description(s): Five minutes before the procedure, the mother's voice recording will be played to the baby and the speaker will be placed 30 cm away from the baby. The baby's comfort level will be evaluated by the researcher using the "Neonatal Comfort Behavior Scale" 2 minutes before the procedure begins. Physiological values of the baby will be noted by the researcher 1 minute before the procedure.As soon as the heel blood procedure is completed, the baby's physiological values and comfort level will be noted by the "Newborn Comfort Behavior Scale" by the researcher. After the procedure, the recording will continue to be played until the baby's mother's voice returns to the basal values. Physiological values and comfort levels of the baby will be noted by the researcher 1 minute and 2 minute after the procedure. 2 minutes after the procedure, the baby's comfort level will be evaluated by the researcher using the "Neonatal Comfort Behavior Scale".; Before Operation The decibel meter will be set to an average of 50-60 dB and the speakers will be played at a distance of 30 cm.
Intervention in this group will be made at the elevation. White noise will be played five minutes before the procedure.The baby's comfort level and physiological values will be evaluated by the researcher using the "Neonatal Comfort Behavior Scale" 2 minutes before the procedure begins.
Order of Operation As soon as the heel blood procedure is completed, the baby's physiological values and comfort level will be noted by the "Newborn Comfort Behavior Scale" by the researcher.
Post-Processing After the procedure, white noise will continue to be listened to until the baby's physiological values return to basal values. Physiological values and baby's comfort level of the baby will be noted by the researcher 1 minute and 2 minute after the heel blood collection is completed.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: white noise; pain; Mother's voice; pain management; newborn