The Effect of White Noise and Pacifier Applications on Pain and Crying Time

Sanko University

Status: Completed

Conditions: Newborn

Treatments: Other: white noise

Study type: Interventional

Funder types: Other

Identifiers

NCT06535061

SankoU-Nursing-EK-002

Details and patient eligibility

About

The objective of the study was to determine the effect of white noise and pacifier applications on pain and crying time in newborns during painful interventions. The research was planned experimentally. Pacifier application was applied to the newborns, who had undergone surgery, and they formed the control group. White noise and pacifier applications were applied to the newborns, who had undergone surgery, and they formed the experimental group.

Full description

Data from children's hospitals around the world reveal that pain in pediatric patients from infancy to adolescence is common, under-recognized and undertreated. Compared to adult patients, pediatric patients with the same diagnosis receive fewer doses of analgesics, and the younger children are, the less likely they are to receive adequate analgesia in the medical setting.

A particularly vulnerable group of patients are infants and newborns. During the day, newborns most frequently experience painful interventions such as heel prick blood collection and peripheral venous catheter placement in the neonatal intensive care unit.

Within the scope of the research, no research comparing the effectiveness of white noise and pacifier applications was found in the literature review. By examining this information, the effects of two effective methods on pain management and crying time in newborns in the postoperative period were examined in this study.

Enrollment: 60 patients

Sex: All

Ages: Under 30 days old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Birth weight over 1500 grams
• Having passed the newborn hearing screening test
• Having a history of previous surgery (excluding brain surgeries)
• Not using sedative substances (dormicum, fentanyl)
• Not using opioids
• Having a full stomach 30 minutes before painful interventions
• Having permission from their mothers
• Newborns undergoing blood transfusion only

Exclusion criteria

Being intubated

• Having hiberbilirubinemia
• Birth weight below 1500 grams
• Having cerebral palsy
• Having hydrocephalus
• Having spina bifida
• Having had brain surgery

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

control

Active Comparator group

Description:

Pacifiers suitable for the mouth diameter of all newborns were given. Heel blood was collected from the heel of the right foot of all newborns. The heel was stroked by hand before the procedure. Blood flow was accelerated.

Treatment:

Other: white noise

intervention

Experimental group

Description:

White noise sound and pacifier implemented Group

Treatment:

Other: white noise