Comparing the Effectiveness of Swaddling and Oral Sucrose on Pain of Nasogastric Tube Insertion in Premature Infants: A Randomized Clinical Trial Crossover Design.

Abstract

Abstract: Introduction: Premature infants undergo painful procedures during care and treatment. Nurses should to reduce short and long –term effects of pain caused by diagnostic and therapeutic procedures. The aim of this study was to comparing the effectiveness of oral sucrose and swaddling, on pain of nasogastric tube placement is premature neonates. Methods: This study is a cross –over clinical trial. 57 premature infants with gestation aged 28-34 weeks were recruited by convenience sampling and randomly divided into three groups. All babies have qualified researcher after obtaining written informed consent from the parents of three nasal tube placement procedures –gastric by routine methods, swaddling and oral sucrose and depending on which of the groups were randomly assigned to be defined by the above three methods will be different. In three groups the pain was measured by using the PIPP in two –minute intervals before, during and five minutes after nasogastric tube insertion. Results: The results showed that Swaddling and oral sucrose reduce s the pain response during nasogastric tube insertion (p<0.001), but the difference is not statistically significant. Conclusion: Whereas the findings indicated Swaddling and oral sucrose reducing pain caused by nasogastric tube insertion, so it is recommended that nurses can be used them as an effective interventions in reducing neonatal pain.