Abstract
The present study aims to determine the effect of the four-handed method on the pain caused by gastric tube insertion in premature infants. This study, conducted from 2022 to 2023, involved 80 premature infants selected using a convenience sampling method and randomly assigned to two groups of 40 by coin toss. The control group underwent orogastric tube insertion using the routine two-handed method, while the intervention group received the procedure using the four-handed method. The infants' pain levels were assessed using the Premature Infant Pain Profile (PIPP) before, during, and 30 seconds after the gastric tube insertion. The researcher documented facial expressions before, during, and after the procedure while the monitor recorded physiological data concurrently. Data analysis was performed using the Statistical Package for the Social Sciences (SPSS) version 16, employing independent t-tests, analysis of covariance (ANCOVA), and chi-square tests. Before the intervention, the independent t-test revealed no statistically significant difference in pain scores between the two groups (P=0.444). During the intervention, the analysis of covariance similarly indicated no statistically significant difference in pain levels between the groups (P=0.099). However, following the intervention, the analysis of covariance identified a statistically significant difference in pain scores between the two groups (P=0.015). The four-handed method appears to reduce pain following Orogastric tube insertion; however, it does not seem to significantly affect pain during insertion. Consequently, it is recommended that further research be conducted in this area to explore and confirm these findings.
Published Version
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