Abstract
Background: Neonatal stress is often poorly managed and many stressful procedures such as suctioning are carried out without paying attention to relieve stress. So, gustatory and auditory sensory stimulations help nurses provide developmental care for neonates during stressful procedures. Aim: This study aimed to determine the effect of gustatory versus auditory stimulation on physiological and behavioral indicators of neonates during endotracheal suctioning. Hypothesis: Neonates who receive gustatory stimulation exhibit stable physiological and behavioral indicators than those who do not. Neonates who receive auditory stimulation exhibit stable physiological and behavioral indicators those who do not. Design: A quasi experimental design was used to accomplish this study. Setting: This research was carried out in Neonatal Intensive Care Unit at specialized Smouha hospital in Alexandria. Sample: This study comprised of 75 neonates. Data collection: Two tools were used namely; Bio-demographic characteristics and medical history of neonates' assessment sheet which includes characteristics of neonates and their medical data and Neonatal Infant Pain Scale. Results: The main result showed that, after suctioning, all neonates in the gustatory stimulation group and the majority in the auditory stimulation group exhibited stability in physiological and behavior indicators compared to none of the neonates in the control group. Moreover, three quarters of the neonates among the control group had severe level of stress compared to none of neonates among the gustatory and auditory stimulations groups. The difference was statistically significant between the three groups(p=0.000). Conclusion: gustatory and auditory stimulations were effective in improving neonates' physiological and behavioral indicators of stress during and after endotracheal tube suctioning. Recommendation: Gustatory and auditory stimulations should be incorporated in NICUs policies to relive neonate stress during stressful procedures.
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