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A modified developmental care bundle reduces pain and stress in preterm infants undergoing examinations for

Ling-Ju Chuang1, Shih-Hao Wang2, Mi-Chia Ma3

  • 1Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Journal of Clinical Nursing
|August 10, 2018
PubMed

Insights

Developmental care significantly reduces pain and stress in preterm infants during retinopathy of prematurity (ROP) examinations. This approach also speeds up infant recovery, offering a basis for improved clinical guidelines.

Area of Science:

  • Neonatal intensive care
  • Pediatric ophthalmology
  • Developmental pediatrics

Background:

  • Retinopathy of prematurity (ROP) examinations are crucial in neonatal intensive care units.
  • These examinations can induce pain and stress in preterm infants, evidenced by physiological and behavioral changes.

Purpose of the Study:

  • To compare the effectiveness of developmental care versus standard care in alleviating pain and stress during ROP examinations.
  • To assess the impact on infant recovery time and physiological stability.

Main Methods:

  • A randomized crossover trial involving fourteen preterm infants.
  • Developmental care included environmental modifications, positioning, oxygen support, and cue-based care before, during, and after ROP exams.
  • Pain and stress were measured using the Premature Infant Pain Profile-Revised (PIPP-R) and behavioral evaluations; recovery time and oxygen saturation were secondary outcomes.

Main Results:

  • Developmental care significantly reduced pain and stress scores compared to standard care (p < 0.013 for PIPP-R, p < 0.001 for behavioral evaluation).
  • Infants receiving developmental care had a significantly shorter recovery time to baseline vital signs (mean 8.6 min vs. 25.5 min, p = 0.003).

Conclusions:

  • A bundled developmental care intervention effectively minimizes pain and stress responses in preterm infants undergoing ROP examinations.
  • The findings support the integration of developmental care into clinical practice for ROP examinations to improve infant outcomes and recovery.
Abstract

Keywords:
developmental carepainpreterm babyretinopathy of prematuritystress

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