Efficacy of Heel Warming on Pain Response to Heel Stick in Neonates

  • Pratima Sharma Sapkota Fishtail Hospital and Research Centre, Gairapatan, Pokhara, Nepal
  • Sunita Shah Bhandari Department of Child Health Nursing, College of Nursing, BPKIHS, Dharan, Nepal
  • Basanta Kumar Karn Department of Child Health Nursing, College of Nursing, BPKIHS, Dharan, Nepal
  • Upendra Yadhav Department of Child Health Nursing, College of Nursing, BPKIHS, Dharan, Nepal
Keywords: Heel stick, Heat application, Neonates, Pain

Abstract

Introduction: Heel prick is one of the commonest procedures carried out in the hospitalised newborns. Pain is a subjective experience for which the neonates, infants and children respond with behavioural reactions. Applying hot pack to the skin surface causes proximal blood vessels to dilate due to the raised temperature which may decrease the pain perception in neonates. We intended to study the effect of heel warming during heel prick in perception of pain in neonates.

Method: An experimental study was conducted among neonates admitted in paediatric wards of BPKIHS. Total 92 participants undergoing heel prick/stick were selected by consecutive sampling technique and allocated randomly to experimental group and control group. Warmer was applied to the heel of the baby for three to five minutes which provided the baby’s heel with the warmth of 38°C to 40°C prior to heel stick in experimental group only. Newborn’s pain level was assessed in both experimental and control group through The Neonatal Infant Pain Scale (NIPS). Mann Whitney test was used to compare means of pain score between experimental and control groups.

Results: The mean pain score among experimental group was 1.39 and in control group was 2.20. Experimental group showed significantly lower pain (p < 0.001) compared to the control group. Application of warmth before heel stick caused reduction in pain.

Conclusions: The findings suggest that heat application prior to heel stick is effective in reducing pain in newborns.

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Abstract
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Published
2021-04-24
How to Cite
Sharma Sapkota, P., Bhandari, S., Karn, B., & Yadhav, U. (2021). Efficacy of Heel Warming on Pain Response to Heel Stick in Neonates. Journal of Nepal Paediatric Society, 41(1), 48-53. https://doi.org/10.3126/jnps.v41i1.30786
Section
Original Articles