Effect of Therapeutic Touch and Mother's Voice on Pain and Comfort Level During Nasal CPAP Application

Ayşe Belpınar

Status: Completed

Conditions: Nasal Continuous Positive Airway Pressure; Preterm Infants; Pain Management

Treatments: Other: Mother's Voice; Other: Mother's Voice +Therapeutic Touch; Other: Therapeutic Touch; Other: Control

Study type: Interventional

Funder types: Other

Identifiers

NCT05577793

ABelpinar

Details and patient eligibility

About

Aim: This study was conducted to evaluate the effects of Therapeutic Touch and Mother's Voice on pain and comfort levels of preterm infants during nasal CPAP application.

Full description

Aim: This study was conducted to evaluate the effects of Therapeutic Touch and Mother's Voice on pain and comfort levels of preterm infants during nasal CPAP application.

Design and Method: The study, which used a randomized controlled trial, included 124 preterm neonatal infants a gestational age of 28- 37 weeks and received nasal CPAP. The infants were treated with Mother's Voice, Therapeutic Touch, and Mother's Voice+ Therapeutic Touch. The Neonatal Infant Pain Scale (NIPS) and Premature Infant Comfort Scale (PICS) scores of the infants were measured before, during and after the nasal CPAP application.

Enrollment: 124 patients

Sex: All

Ages: 28 to 37 weeks old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• being checked in at Neonatal Intensive Care Unit
• being in the gestational ages of 28 to 37 weeks
• having nasal CPAP

Exclusion criteria

• having neurological disorders
• having comorbidity
• receiving sedation or analgesics
• having congenital anomaly
• receiving extra invasive procedures or surgical intervention
• being diagnosed with hearing loss

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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124 participants in 4 patient groups

Mother's Voice

Experimental group

Description:

The mothers were asked to sing lullabies, and their voices were recorded in a quiet environment. Which lullaby they would sing was left to the mothers' discretion, and the audio recording process took an average of 2-3 minutes. The voice recordings taken were applied for a total of 15 minutes before, during and after the nasal CPAP application.The NIPS and PICS scores were evaluated and recorded before, during and after the application.

Treatment:

Other: Control

Other: Therapeutic Touch

Other: Mother's Voice +Therapeutic Touch

Therapeutic Touch

Experimental group

Description:

Therapeutic touch was started 5 minutes before nasal prongs were placed, and was applied for 5 minutes during the application, and continued for another 5 minutes after the nasal prongs were placed. The method was applied for a total of 15 minutes as 5 minutes of hand resting, 5 minutes of gentle caressing and 5 more minutes of hand resting.The NIPS and PICS scores were evaluated and recorded before, during and after the application.

Treatment:

Other: Control

Other: Mother's Voice +Therapeutic Touch

Other: Mother's Voice

Mother's Voice+Therapeutic Touch

Experimental group

Description:

Both applications were applied together for 15 minutes.The NIPS and PICS scores were evaluated and recorded before, during and after the application.

Treatment:

Other: Control

Other: Therapeutic Touch

Other: Mother's Voice

Control

No Intervention group

Description:

The premature babies in the control group did not receive any intervention other than the hospital procedure.The NIPS and PICS scores were evaluated and recorded before, during and after the application.