Abstract
to evaluate the effect of music applied within ten and 15 minutes, combined with swaddling, on behavioral (facial action) and physiological (heart rate) responses to pain in full-term newborns, before and during venipuncture for blood sampling. a randomized, triple-blind, clinical trial with 52 rooming in infants randomly assigned to four groups of 13: Experimental 1 (music [ten minutes] plus swaddling), Experimental 2 (music [15 minutes] plus swaddling), Control 1 (no music [ten minutes] plus swaddling), and Control 2 (no music [15 minutes] plus swaddling). Pain was measured using the Neonatal Facial Coding System in the basal and procedural moments. experimental 2 group showed high pain absence (p < 0.05); low heart rate mean (p < 0.0001) in the basal and procedural (antisepsis, puncture, blood squeezing/aspiration, compression) moments. neonates who listened to 15 minutes of music plus swaddling showed a greater absence of facial pain actions.
Highlights
Pain assessment is subjective, and the newborn is frequently evaluated in both behavioral and physiological responses, such as crying, facial expressions, body expressions, heart rate and respiratory rate, using pain scales[1]
The information from the neonatal, therapeutic, Neonatal Facial Coding System (NFCS) and heart rate variables were organized by means of tables, with absolute frequencies and percentages, and the means and standard deviations of the quantitative variables were presented
A randomized clinical trial with premature infants aimed to examine whether combined music and touch intervention (CMT) is an effective pain management method for premature infants during the painful procedures performed in a neonatal unit; infants in the control group without intervention; infants in the experimental group with CMT
Summary
The newborn is frequently evaluated in both behavioral and physiological responses, such as crying, facial expressions, body expressions, heart rate and respiratory rate, using pain scales[1]. There are studies in Brazil[3] and in other countries[4] that investigate further and further measures for the relief of neonatal pain, such as identification, evaluation and treatment that contribute more quickly to better recovery and to care quality[1]. Based on these strategies, non-pharmacological measures are forms of care that should be performed in neonatal units[5], such as comfort, touch, kangaroo care, tucking, nurturance, holding the baby[6], swaddling[6,7], and music[7].
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