The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units

Fawzia El Sayed Abusaad; Rehab Abd El Aziz El Sayed Abd El Aziz; Nehad Abd Elsallam Nasef

doi:doi:10.11648/j.ajns.20170601.18

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The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units

Fawzia El Sayed Abusaad, Rehab Abd El Aziz El Sayed Abd El Aziz, Nehad Abd Elsallam Nasef

Published in American Journal of Nursing Science (Volume 6, Issue 1)

Received: 22 December 2016 Accepted: 5 January 2017 Published: 28 January 2017

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Abstract

Preterm infants are exposed to serious health problems that require advanced highly specialized nursing skills in order to sustain their life. Developmental positioning is one of an essential skill for neonatal intensive care unit nurses. This study aimed to investigate the effectiveness of developmentally supportive positioning on preterm infants' pain responses at NICU. A Quasi experimental design was used to conduct the study at neonatal intensive care unit on a sample of (56)preterm infants who admitted through nine months and were equally divided randomly into the study and control group after fulfilling the inclusion criteria using demographic characteristics of Preterm infants. Infant Position Assessment Tool (IPAT) and Preterm Infant Pain Profile (PIPP) Tool. The results indicated that all the preterm infants (100%) had an unacceptable positioning in both groups, and none of preterm infants in both groups had no- or- minimal pain at baseline assessment. While after one week of intervention about two third (64.3%) of the infants were placed in an acceptable position in the study group and only less than one quarter (21.4%) of the preterm infants in the control group were placed in an acceptable position. Regarding pain response at day seven of intervention five minutes after morning routine care, about half (53.6%) of infants in the study group had no-or-minimal pain while none of infants in the control group had no-or-minimal pain and about one third (32.1%) of infants in the control group had severe pain and none of the infants in the study group had severe pain. The present study concluded that preterm infants who were placed in developmentally supportive positioning had acceptable position and exhibited less pain scores. It is recommended to replicate the present study on a larger sample.

Published in	American Journal of Nursing Science (Volume 6, Issue 1)
DOI	10.11648/j.ajns.20170601.18
Page(s)	63-71
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Infant Position Assessment, Preterm Infant Pain Profile, Developmental Supportive Positioning

References

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APA Style

Fawzia El Sayed Abusaad, Rehab Abd El Aziz El Sayed Abd El Aziz, Nehad Abd Elsallam Nasef. (2017). The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units. American Journal of Nursing Science, 6(1), 63-71. https://doi.org/10.11648/j.ajns.20170601.18

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ACS Style

Fawzia El Sayed Abusaad; Rehab Abd El Aziz El Sayed Abd El Aziz; Nehad Abd Elsallam Nasef. The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units. Am. J. Nurs. Sci. 2017, 6(1), 63-71. doi: 10.11648/j.ajns.20170601.18

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AMA Style

Fawzia El Sayed Abusaad, Rehab Abd El Aziz El Sayed Abd El Aziz, Nehad Abd Elsallam Nasef. The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units. Am J Nurs Sci. 2017;6(1):63-71. doi: 10.11648/j.ajns.20170601.18

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@article{10.11648/j.ajns.20170601.18,
  author = {Fawzia El Sayed Abusaad and Rehab Abd El Aziz El Sayed Abd El Aziz and Nehad Abd Elsallam Nasef},
  title = {The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {1},
  pages = {63-71},
  doi = {10.11648/j.ajns.20170601.18},
  url = {https://doi.org/10.11648/j.ajns.20170601.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170601.18},
  abstract = {Preterm infants are exposed to serious health problems that require advanced highly specialized nursing skills in order to sustain their life. Developmental positioning is one of an essential skill for neonatal intensive care unit nurses. This study aimed to investigate the effectiveness of developmentally supportive positioning on preterm infants' pain responses at NICU. A Quasi experimental design was used to conduct the study at neonatal intensive care unit on a sample of (56)preterm infants who admitted through nine months and were equally divided randomly into the study and control group after fulfilling the inclusion criteria using demographic characteristics of Preterm infants. Infant Position Assessment Tool (IPAT) and Preterm Infant Pain Profile (PIPP) Tool. The results indicated that all the preterm infants (100%) had an unacceptable positioning in both groups, and none of preterm infants in both groups had no- or- minimal pain at baseline assessment. While after one week of intervention about two third (64.3%) of the infants were placed in an acceptable position in the study group and only less than one quarter (21.4%) of the preterm infants in the control group were placed in an acceptable position. Regarding pain response at day seven of intervention five minutes after morning routine care, about half (53.6%) of infants in the study group had no-or-minimal pain while none of infants in the control group had no-or-minimal pain and about one third (32.1%) of infants in the control group had severe pain and none of the infants in the study group had severe pain. The present study concluded that preterm infants who were placed in developmentally supportive positioning had acceptable position and exhibited less pain scores. It is recommended to replicate the present study on a larger sample.},
 year = {2017}
}

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TY  - JOUR
T1  - The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units
AU  - Fawzia El Sayed Abusaad
AU  - Rehab Abd El Aziz El Sayed Abd El Aziz
AU  - Nehad Abd Elsallam Nasef
Y1  - 2017/01/28
PY  - 2017
N1  - https://doi.org/10.11648/j.ajns.20170601.18
DO  - 10.11648/j.ajns.20170601.18
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 63
EP  - 71
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20170601.18
AB  - Preterm infants are exposed to serious health problems that require advanced highly specialized nursing skills in order to sustain their life. Developmental positioning is one of an essential skill for neonatal intensive care unit nurses. This study aimed to investigate the effectiveness of developmentally supportive positioning on preterm infants' pain responses at NICU. A Quasi experimental design was used to conduct the study at neonatal intensive care unit on a sample of (56)preterm infants who admitted through nine months and were equally divided randomly into the study and control group after fulfilling the inclusion criteria using demographic characteristics of Preterm infants. Infant Position Assessment Tool (IPAT) and Preterm Infant Pain Profile (PIPP) Tool. The results indicated that all the preterm infants (100%) had an unacceptable positioning in both groups, and none of preterm infants in both groups had no- or- minimal pain at baseline assessment. While after one week of intervention about two third (64.3%) of the infants were placed in an acceptable position in the study group and only less than one quarter (21.4%) of the preterm infants in the control group were placed in an acceptable position. Regarding pain response at day seven of intervention five minutes after morning routine care, about half (53.6%) of infants in the study group had no-or-minimal pain while none of infants in the control group had no-or-minimal pain and about one third (32.1%) of infants in the control group had severe pain and none of the infants in the study group had severe pain. The present study concluded that preterm infants who were placed in developmentally supportive positioning had acceptable position and exhibited less pain scores. It is recommended to replicate the present study on a larger sample.
VL  - 6
IS  - 1
ER  -

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Author Information

Fawzia El Sayed Abusaad

Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Mansoura City, Egypt
Rehab Abd El Aziz El Sayed Abd El Aziz

Pediatric Nursing Department, Faculty of Nursing, Mansoura University, Mansoura City, Egypt
Nehad Abd Elsallam Nasef

Pediatric Medicine Department, Faculty of Medicine Mansoura University, Mansoura City, Egypt

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Fawzia El Sayed Abusaad, Rehab Abd El Aziz El Sayed Abd El Aziz, Nehad Abd Elsallam Nasef. (2017). The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units. American Journal of Nursing Science, 6(1), 63-71. https://doi.org/10.11648/j.ajns.20170601.18

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ACS Style

Fawzia El Sayed Abusaad; Rehab Abd El Aziz El Sayed Abd El Aziz; Nehad Abd Elsallam Nasef. The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units. Am. J. Nurs. Sci. 2017, 6(1), 63-71. doi: 10.11648/j.ajns.20170601.18

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AMA Style

Fawzia El Sayed Abusaad, Rehab Abd El Aziz El Sayed Abd El Aziz, Nehad Abd Elsallam Nasef. The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units. Am J Nurs Sci. 2017;6(1):63-71. doi: 10.11648/j.ajns.20170601.18

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@article{10.11648/j.ajns.20170601.18,
  author = {Fawzia El Sayed Abusaad and Rehab Abd El Aziz El Sayed Abd El Aziz and Nehad Abd Elsallam Nasef},
  title = {The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {1},
  pages = {63-71},
  doi = {10.11648/j.ajns.20170601.18},
  url = {https://doi.org/10.11648/j.ajns.20170601.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170601.18},
  abstract = {Preterm infants are exposed to serious health problems that require advanced highly specialized nursing skills in order to sustain their life. Developmental positioning is one of an essential skill for neonatal intensive care unit nurses. This study aimed to investigate the effectiveness of developmentally supportive positioning on preterm infants' pain responses at NICU. A Quasi experimental design was used to conduct the study at neonatal intensive care unit on a sample of (56)preterm infants who admitted through nine months and were equally divided randomly into the study and control group after fulfilling the inclusion criteria using demographic characteristics of Preterm infants. Infant Position Assessment Tool (IPAT) and Preterm Infant Pain Profile (PIPP) Tool. The results indicated that all the preterm infants (100%) had an unacceptable positioning in both groups, and none of preterm infants in both groups had no- or- minimal pain at baseline assessment. While after one week of intervention about two third (64.3%) of the infants were placed in an acceptable position in the study group and only less than one quarter (21.4%) of the preterm infants in the control group were placed in an acceptable position. Regarding pain response at day seven of intervention five minutes after morning routine care, about half (53.6%) of infants in the study group had no-or-minimal pain while none of infants in the control group had no-or-minimal pain and about one third (32.1%) of infants in the control group had severe pain and none of the infants in the study group had severe pain. The present study concluded that preterm infants who were placed in developmentally supportive positioning had acceptable position and exhibited less pain scores. It is recommended to replicate the present study on a larger sample.},
 year = {2017}
}

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TY  - JOUR
T1  - The Effectiveness of Developmentally Supportive Positioning on Preterm Infants' Pain Response at Neonatal Intensive Care Units
AU  - Fawzia El Sayed Abusaad
AU  - Rehab Abd El Aziz El Sayed Abd El Aziz
AU  - Nehad Abd Elsallam Nasef
Y1  - 2017/01/28
PY  - 2017
N1  - https://doi.org/10.11648/j.ajns.20170601.18
DO  - 10.11648/j.ajns.20170601.18
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 63
EP  - 71
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20170601.18
AB  - Preterm infants are exposed to serious health problems that require advanced highly specialized nursing skills in order to sustain their life. Developmental positioning is one of an essential skill for neonatal intensive care unit nurses. This study aimed to investigate the effectiveness of developmentally supportive positioning on preterm infants' pain responses at NICU. A Quasi experimental design was used to conduct the study at neonatal intensive care unit on a sample of (56)preterm infants who admitted through nine months and were equally divided randomly into the study and control group after fulfilling the inclusion criteria using demographic characteristics of Preterm infants. Infant Position Assessment Tool (IPAT) and Preterm Infant Pain Profile (PIPP) Tool. The results indicated that all the preterm infants (100%) had an unacceptable positioning in both groups, and none of preterm infants in both groups had no- or- minimal pain at baseline assessment. While after one week of intervention about two third (64.3%) of the infants were placed in an acceptable position in the study group and only less than one quarter (21.4%) of the preterm infants in the control group were placed in an acceptable position. Regarding pain response at day seven of intervention five minutes after morning routine care, about half (53.6%) of infants in the study group had no-or-minimal pain while none of infants in the control group had no-or-minimal pain and about one third (32.1%) of infants in the control group had severe pain and none of the infants in the study group had severe pain. The present study concluded that preterm infants who were placed in developmentally supportive positioning had acceptable position and exhibited less pain scores. It is recommended to replicate the present study on a larger sample.
VL  - 6
IS  - 1
ER  -

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