Öz
Amaç
Yenidoğanlarda görme taraması için yapılan göz muayeneleri ağrı ve stres oluşturabilir. Bu çalışmada, taburculuk sonrası göz muayenesi yapılan sağlıklı term yenidoğanlarda beyaz gürültü ve kundaklamanın ağrı, kalp hızı ve oksijen satürasyonu üzerine etkisi değerlendirildi.
Yöntem
Çalışma, 1 Eylül 2022-1 Mart 2023 tarihleri arasında bir doğum hastanesinin yenidoğan göz polikliniğinde yürütüldü. Randomize kontrollü bu çalışmaya 120 term yenidoğan dahil edildi ve dört gruba ayrıldı: beyaz gürültü (n=30), kundaklama (n=30), beyaz gürültü + kundaklama (n=30) ve kontrol (n=30). Ağrı, kalp hızı ve periferik kapiller oksijen satürasyonu (SpO2), prematüre bebek ağrı profili ölçeği ve pulse oksimetre kullanılarak muayene öncesi, muayeneden 30 saniye sonra ve muayene sonunda ölçüldü.
Bulgular
Gruplar arasında ağrı skorları, kalp hızı ve SpO2 seviyeleri açısından anlamlı bir fark gözlenmedi (p>0,05). Ancak, tüm gruplarda muayene sırasında bazal değerlere kıyasla ağrı skorları ve kalp hızında anlamlı artış, SpO2’de ise anlamlı düşüş görüldü (p<0,001).
Sonuç
Beyaz gürültü, kundaklama ve bunların kombinasyonu, term yenidoğanlarda göz muayenesi sırasında ağrıyı azaltmadı ve fizyolojik parametreleri iyileştirmedi.
Anahtar Kelimeler: Ağrı yönetimi, beyaz grültü, göz muayenesi, kundaklama, term bebek
Kaynakça
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