Effects of smelling amniotic fluid on preterm infant's pain and stress during peripheral cannulation: A randomized controlled trial

Alemdar D. K., Tüfekci F. G.

Japan Journal of Nursing Science, cilt.17, sa.3, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 17 Sayı: 3
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1111/jjns.12317
  • Dergi Adı: Japan Journal of Nursing Science
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: amniotic fluid smell, pain, peripheral cannulation, preterm infants, stress, TO-SKIN CONTACT, SALIVARY CORTISOL, NEWBORN-INFANTS, FAMILIAR ODOR, REACTIVITY, RESPONSES, MOTHERS, CARE
  • Atatürk Üniversitesi Adresli: Evet

Özet

Aim To investigate the effect of smelling amniotic fluid on preterm infants' pain and stress caused by peripheral cannulation. Methods This was a randomized controlled trial. The study sample consisted of 80 preterm infants meeting the case selection criteria and infants were randomly assigned to each group. However, in addition to the infants excluded from the study, total number of the infants in all the groups was 61. Infants in the amniotic fluid group smelled amniotic fluid for 15 min before, during, and after the application of peripheral cannulation while those in the control group received routine care during the procedure. The Premature Infant Pain Profile was used to assess their pain levels, and salivary cortisol analysis was performed to evaluate stress levels. Results Preterm infants in the amniotic fluid and control groups had similar baseline characteristics. However, the pain levels of infants in the amniotic fluid group were significantly lower than of those in the control group during and after the procedure. After the procedure, cortisol levels of the infants in the amniotic fluid group were lower than of those in the control group, although this difference was not significant. Conclusion The intervention of smelling amniotic fluid is a practice that can be used for reducing pain and stress of preterm infants during peripheral cannulation.