Effects of Facilitated Tucking on Pain Response to Heel Stick in Premature Infants

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Pratumwadee Thaobun
Tipawan Daramas
Chuanruedee Kongsaktrakol


This quasi-experimental research with a cross-over design aimed to investigate the effects of facilitated tucking on responses to pain, heart rates, and oxygen saturation. Purposive sampling was used to obtain 30 premature infants who were admitted into a neonatal intensive care unit at a university hospital. All subjects received the control condition and treatment condition, but the sequence of receiving the treatment was randomly assigned. The control condition included routine nursing care, while the experimental condition was when the infants received facilitated tucking. The Neonatal Infant Pain Scale (NIPS) was used to assess the pain scores. The Wilcoxon Signed-Rank test was used to analyze the data. The study results revealed that the mean pain scores of premature infants during and after heel stick at the 1st, 3rd , 7th, and 10th minutes and their mean heart rates after heel stick at the 1st minute in the experimental condition were lower than those in the control condition with statistical significance. The mean oxygen saturation of premature infants after heel stick at the 7th minute in the experimental condition was lower than that of infants in the control condition with statistical significance. The results of this study showed that facilitated tucking could reduce pain after heel stick in premature infants. Therefore, facilitated tucking should be utilized in clinical nursing practice to reduce pain from heel stick in premature infants.


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Thaobun P, Daramas T, Kongsaktrakol C. Effects of Facilitated Tucking on Pain Response to Heel Stick in Premature Infants. Rama Nurs J [Internet]. 2020 May 7 [cited 2022 Oct. 1];26(1):18-30. Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/192021


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