Effects of Leg and Foot Massage on Pain, Heart Rate, and Oxygen Saturation in Preterm Infants Undergoing Heel Stick

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Pitchayaphar Pharchua Tipawan Daramas Renu Pookboonmee


Effects of Leg and Foot Massage on Pain, Heart Rate and Oxygen Saturation Caused by Heel Stick in Preterm Infants


Abstract: The present study was quasi-experimental research with a one-group crossover design which aimed at investigating the effect of massage on pain caused by heel stick in preterm infants. The premature infants’ behavioral responses to pain and physiological responses to pain, including heart rates and oxygen saturation were assessed. The study subjects were 30 premature infants who were admitted into the NICU from June 2015 to October 2015.The subjects were purposively and randomly assigned in order of treatment to both experimental and controlled conditions receiving massage and no massage prior to heel stick. The audio-visual recording was used during the heel stick procedure. The Neonatal Infant Pain Scale (NIPS) was used to measure pain scores. Paired t-test and Wilcoxon’s signed - rank test were used to analyze the pain score, oxygen saturation and heart rate. The results showed that the median pain score during and after heel stick at 5 minutes in the experimental conditions was greater than the controlled conditions with statistical significant difference, whereas the median pain score after heel stick at 1, 3, 7, and 10 minutes, mean heart rate, and mean oxygen saturation during heel stick at every time period showed no statistical significant difference. However it is recommended that effects of massage on pain using other massage techniques should be further investigated.


Keywords: Massage, Heel stick, Pain, Preterm infants







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How to Cite
Pharchua P, Daramas T, Pookboonmee R. Effects of Leg and Foot Massage on Pain, Heart Rate, and Oxygen Saturation in Preterm Infants Undergoing Heel Stick. Ramathibodi Nursing Journal [Internet]. 7Jan.2019 [cited 26Apr.2019];24(3):279-94. Available from: https://www.tci-thaijo.org/index.php/RNJ/article/view/119314


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