- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05524337
White Noise and Therapeutic Touch on Pain and Comfort Level in Newborns During Heel Lance (noisetouch)
The Effect of White Noise and Therapeutic Touch on Physiological Parameters, Pain and Comfort Level in Newborns During Heel Blood Collection: A Randomized Controlled Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Hypotheses
H1: Newborns who listen to white noise during heel blood collection feel less pain and have a higher comfort level. H2: Newborns who are treated with therapeutic touch during heel blood collection feel less pain and have a higher comfort level. H3: Newborns who listen to white noise and apply therapeutic touch during heel blood collection feel less pain and have a higher comfort level. H4: There is a difference between the pain and comfort levels of newborns in terms of group, group-time and time according to the intervention applied.
Methods
Mothers of newborns whose heel blood will be taken will be informed about the research. The mothers will be informed about the fact that heel blood collection is a routine practice, the data will be recorded by the nurse and 2 observers who take heel blood in the study, and they will also be informed about the white noise and therapeutic touch practices to be listened to, and their written consent will be obtained.
After obtaining informed written consent, it will be determined which group the newborn belongs to by stratified randomization. Stratified randomization was applied according to gender and week of birth.
A standard approach will be applied to all newborns. Standard approach; If the baby is asleep, the heel blood will be taken, he will be woken up, put on a denim bed, his upper extremities will be gently wrapped with a blanket, and the procedure will be performed by the nurse.
Babies to be included in the study in each group; Until 30 minutes before the start of the procedure, they will be in their beds, in the rest period, where they are not disturbed. All babies; 5 minutes before, during and up to 5 minutes after blood collection; Observational findings including heart rates, SpO2 values, pain and confort scores will be recorded in the data form. No additional care will be given to ensure physiological stability in all groups.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Gülçin Özalp Gerçeker, pHD
- Phone Number: 05306411368
- Email: gulcinozalp@gmail.com
Study Contact Backup
- Name: Duygu Deniz EROL, RN
- Phone Number: 05449309951
- Email: duygudeniz.erol@hotmail.com
Study Locations
-
-
-
İzmir, Turkey, 35100
- Recruiting
- Gülçin Özalp Gerçeker
-
Contact:
- Gülçin Ö Gerçeker
- Phone Number: 05306411368
- Email: gulcinozalp@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Babies who are 32 weeks and older given to their mothers who were born healthy
Exclusion Criteria:
- Newborns 32 weeks and over
- Delivery of the newborn to the mother after birth
- no congenital anomalies or genetic disorders
- The newborn has passed the audiology test
- Obtaining consent form from parent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: White noise group
In the white noise group, it will be explained to the mother of the baby that the white noise sound to be used in the research will be used for pain relief.
Dr. Harvery Karp's song "The Happiest Baby", consisting of intrauterine sounds only, will be used for white noise.
The sound will be set to 45 db.
The loudspeaker will be placed on the tip of the foot, approximately 30 cm from the newborns ear, five minutes before the procedure, and will be played to the baby during the procedure.
5 minutes without taking heel blood.
Before, during the procedure and 5 minutes after the end of the procedure, this sound will be played to the baby and the data will be recorded by the observer.
|
Dr. Harvery Karp's song "The Happiest Baby", consisting of intrauterine sounds only, will be used for white noise.
The sound will be set to 45 db.
|
Experimental: therapeutic touch group
Therapeutic touch steps:
|
In the group where therapeutic touch will be applied, the heel blood collection procedure and the study will be explained to the family, and after the consent is obtained, the therapeutic touch will be applied to the baby 5 minutes before, during and after the procedure.
|
Experimental: therapeutic touch and white noise group
the group where therapeutic touch and white noise will be applied together, after the family is informed about the procedure, white noise will be listened to 5 minutes before, during and 5 minutes after the heel blood collection, and therapeutic touch steps will be applied during this time.
Meanwhile, the data will be recorded on the form by the observer.
|
the group where therapeutic touch and white noise will be applied together, after the family is informed about the procedure, white noise will be listened to 5 minutes before, during and 5 minutes after the heel blood collection, and therapeutic touch steps will be applied during this time.
|
No Intervention: Control group
Non-pharmacological intervention will not be made for the baby in the control group,
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Neonatal Infant Pain Scale (NIPS)
Time Frame: 5 minutes
|
The Newborn Infant Pain Scale (NIPS) was developed by Lawrence et al. in 1993.
Turkish validity and reliability were established by Akdovan in 1999 (Akdovan, 1999).
Newborn infant pain scale, facial movements (0; relaxed, 1; restless), crying (0; no crying, 1; groaning, 2; loud crying), breathing (0; relaxed, 1; variable-irregular), arm (0 It is a likert-type scale consisting of 6 parameters: relaxed-free, 1; flexion-extension), leg (0; comfortable-free, 1; flexion-extension) and sleep-wake (0; sleeping-waking peaceful, 1; restless). .
The assessment of pain is based on the total score.
|
5 minutes
|
The newborn comfort behavior scale
Time Frame: 5 minutes
|
The newborn comfort behavior scale is a Likert type scale developed to evaluate the comfort needs, pain and distress of newborn babies.
This scale was developed by Ambuel et al. (1992) to evaluate comfort, pain and stress in newborn babies receiving mechanical ventilator support in the intensive care unit (Ambuel et al., 1992).
As a result of the application of this scale, a total score of 6-30 is reached.
If the total score obtained as a result of the evaluation is between 9-13, it is emphasized that the baby is comfortable, if it is 14 and above, the baby's comfort level is low and additional interventions may be required to increase comfort.
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5 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
heart rate
Time Frame: 10 minutes
|
Babies to be included in the study in each group; Until 30 minutes before the start of the procedure, they will be in their beds, in the rest period, where they are not disturbed.
All babies; 5 minutes before, during and up to 5 minutes after blood collection.
Heart rate will recorded.
|
10 minutes
|
oxygen saturation
Time Frame: 10 minutes
|
Babies to be included in the study in each group; Until 30 minutes before the start of the procedure, they will be in their beds, in the rest period, where they are not disturbed.
All babies; 5 minutes before, during and up to 5 minutes after blood collection.
Oxygen saturation will recorded.
|
10 minutes
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Gülçin Özalp Gerçeker, RN, PhD, Assoc. Prof.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 6943 GOA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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