Roshanray, Atefeh

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rsjfl .dLoto g 63Liruy o.rSr.iil.l6;tiarj *i"tf sJ,sli'iJLS CLI" d.Li 0!q:glJ'rs,rJJ J *jC*;S g;La ei-! 4+ iL-,1. J J,rLo ,JigiI 6l a-,ul'5a J*:ti cr..IJJ+Jr+ !tf-L{J+:i ct il+ jS.f ar oii.rS arilf 611113'1 3.1 g;;iS.jF il .,*tLi12 JL.r3.l gllr.s6l_, UTJASJ +ibLs :Ja-r3,rc#h., JJEI4!6 .is.r :Lalal3 .rt-3..,,1U6a,t Llla-o.,fs.r :Jgl Sgtriio uti..rld-Ai l-5JLc .isl :p3.r 33Liio .lli. ,,f\ flt-lV :"J=ua.s: Jl*.r. ,YoUbqr"ffi//tti,!:r,;P,&ttKerman University of Medical Sciences:Faculty of Nursing and MidwiferyIn Partial Fulfillment of the Requirements for the Degree(M.Sc)Title:The Evaluation of the Comparative Effect of Maternal HooldingandMassage on Physiological Responses and Pain Resulted From Blood-TakingFrom Neonates Referring to Bandar Abbas Health Center in2017By:Atefeh Roshan RaySupervisor:Dr. Masoud RaianiAdvisors:Dr. Mahalgha DehghanDr.Aref FaghihYex:2017(Uft'"a;0 rflllor4-s}(-r(oOJ.\5€ eF os-:L ,r>l.1 a,6l:l;9; 1: af c-*,1 .#! ."*"i + &q 1: .r-cGr ,--nti .i :1: : .oJ.i.:,$tL- c,,,rs ,a:l i,|'s.,n ,, *--r-,-f"ts;' f Lyf Jrf g Slty 1) ),1; .p1;9j q)?d *4U ol;1 ;-f.ra;r + ;lrl19; r: ;'l ,artf 9 J;;S 9.:1.: jl ,sxSyt+ "sl,,"r .eb o* ,sF.tV + I.il ..r;U e a.ttits gtlg--;.lJU .,o gl:119.; ,r .:;.: 6"5--; crill, f gb cr,r,r;l;Lt 9 pL ,;'9;1 .c"-l 6yyo..ft;.:1r ctli-):o.col o.r:rf pb..;l ;bl;9; st A#f jl,/tj :.,1r r, jLL 9 ;tV ,9,2;i r:t a--8" .i.r.o L a,Jtt-*;\fA 6il .t 4Jit .r; it .jl \Y1t JL,,, of $! ..r. .51 aL'1.r. ai J ;-;tr aJLt" :;[5 O;9,r. "";;! ;t sx3A .t'., stS oS e raL.* c^q. at (da fY L YA) ri J* Jt-- d",F-) 1: ;1;11;3tf ,r *+lr.yl.".r+ aL-Xj r.'f Jfij c*;[q; f r +(tF otf ,Jf ;l,o2 bf .5b1e1.rA,,) .Sf )i b^S ,rf ,;L"l^ o9f 9 ;;L J*i '# 1: ,r-i:L; a:?o + gl:l;g .t-i 6is a.ly-x )rr e ily 6;Vis.jb &q 6Ff .;lr+ ao*r d t e#f ;l.s al---l,il-L 4fif ;l J^i "tfc*-*; 8 AF olot--.;o L ,i Neonatal Infant Pain Scale (NIPS) ;lrlly :r: 6;Vi1 ,2l>;-r s"lg-;) :r: .5.-jl9,,i-, ,"JU" .J,_),5 c*i 9 6F olhil ,r9,, t&l .* a,Jlt :.,9. gt^ otF cjla ,Ur*; c#d,rT^A.J,-),5 &i , c"').t,Si- .#1./L- "tK;: ! (Of Oi1JI6[jl-u,-;r 9 t:i ,S g\s-.* SF o;lslrrlsl;l *if 1l o:t-d-l lt u*,b + orfu L' U.r- )l 6ln;e; *.rS ;l^;:;if 1l .w a!-t-il-L :119 :r: ;l'* ,6iti,*$ O!r- aJt- :19-" ogsS a-, p .:b ;l .:,: p-b :ba;itr-i. jr9;i ,s_F f ;1: ;l;" 9 *t3' oq- S.6f ;l -q a-o*sr A Llc*l a:it .r!.liel S#f ;l .|^6 + c*;);1 *i- e^ ,r) crg> tL;l .t1,,.. L:* rl-r;' ,.: Jl .^l a;;l: J;5 I |*G osf +. w; 6 r;-:\,. -;-: !.J.i;.i o'r,-r .511:t; ;*n sFr;1 ro r: l_r.,..j&-)ly*,o,Ur .r+a 9 rlr ";oLl c,sL lrL G*i ;, n;y S*F )f I rl: ;l ; to+^s! :.gf a$l-c;rl -L-'9" 9 :rls;L; .r-l- ol;q;'q : {L .-,.- Lr)[_j dr f e_p ,s"St d-l ofu-l + 4+9, li LJ r:,-<-.)f; cf ^r*y Altlti ;1 S.6f pl(;o 1; ,yy ,y.l;l orlcl,...l I_Li .f ,ool.p 1,, 3b119, ;* .)l)i,s#f r,,r ,4jl*:f &t",jLt,r.:L;9i :da*15 OFilg .:-il droal\ U i:/),: L ai*;L '' :,.:,-r.r:r5 ar- a.> .'a- ,l ,: .:=-jllL)ral f. ) \) +:-(q?(.-Y**->.;1-r*l) ;r: -(--';f" 6:7"1 .-,s#r;l +Pu ,i*l'#L!hi:i of AbstractIntroduction: Pain is a mechanisrn of defense in response to tissue damage that is easiiyoverlooked in neonates. The most impofiant clinical eflects of carly experience of nconataland childhood pain are neural evolution, attention, learning ability, and bchavioral problcms.Therefore, it is necessary to use methods to prevent and control pain and rcduce it in neonatesafter painflil stirnuli. Matemal liolding and massagc are non-pharmacological pain reliefmethods in neonates. fhe aim of this study has been to coixpare the efTect of maternal holdingand massage on the pain associated with neonatal blood-taking.]{ethods: This is an interventional study conducted in 2017. The study w'as perfbrmed oir 90healthy full-term neonates (38 to 42 w'eeks) rvho rcfcri'ed to the health ccnter of Bandar Abbastbr hypothyroidism screening (taking blood fiom the heel 4 to 6 days aftcr birth). Neonatesu'ere assigned randomly to maternal holding group, massage group and control group.In allrhree groups, neonatal behavioral response to pain \\-as measured and recorded before,immediately after and 5 minutes after blood taking based on neonatai infant pain scale (l'{IPS):1- an obseruer rvho was una\ /are of the allocation of sarnples to the groups. The physiological.igns of pain (hearl rate. respiration and blood oxygcll saturation percent) u,ere evaluated and::corded by pulse oximeter, and the duration of crying was measured from beginning to.-lence in second using a standard stopu,atcll.R.esults: The results shotved that the hcarl rate, respiration, and pain intensify havc increased:: :11 three groups immediately after blood taking compared to before blood taking. However,: ::rinutcs after blood taking, thc heart rate and pain in the matcrnal holding group have.:,rced compared to the massage and control groups. But, therc was no significant difference,:t: number of respiration and blood saturation in any of the gror4)s after blood taking.il.-,nclusion: The results show'ed that the placement of the baby in the maternalholding-:--..s the pain and improves the physiological symptoms. Therefore, considcdng that thiseli6ixethod does not require a lot of tirne, cost and special equipnrent, it can prrimote the health ofnewborns' It is recommended to use this method rvhen taking bloocl from neonates.Keywords" tr4aternalHolding, massage, physioiogic response, pain of blood taking, neonate..5v ./.1)t.. ry,ur1V, rt,1.Y7.. f.(.S "ru;""""" .i!P,tl; al*r+.U Ofr-h ;t gtsc a.,-ta;19.o6toy' "S.fy, p/r c'5- -otS.lls*J,^$ gi-6l a*,-l.ra fyU ,rrlrtt ;19:s- c,->;1Y;bl;9; o.irl .rq!*alr $rl (J-tji)lt.59:';;:b All d*;lgl aillc ;L; ;L'iJ *U Ot-L' +^cles 3-"cllprr4 Ou-.rer, ci*;l*a f r *.5;g.;J a.*>|,.o i)lllly ), 6Ff jl cr^ju l.,r I 4j/y-:t' ,-stl ryu. y.juL s rlb -- "-,;l ;S.*-;1.9irc,1"4 p;-*^6L-cl:y*\ lYiYl\tc-,rat-.J..;9,\Y/l';'cL,,t.tL-.rJo*r:sJ,-91!i.111';^11 a'l"\ftoi-''6gtrsoti.ol9.;q.o6ir, jur-l$)h$or$1rI5lfs#$ryL;.1 ,r.folt'U eU I eUdJ. itr . co:-..o ;Js , cGlg&J/av l*r-o1, .rL:-.I : .-cJl-.u? 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The evaluation of the comparative effect of maternal hooldingand massage on physiological responses & pain resulted from blood-taking from neonates referring to Bandar Abbas health center in 2017

http://eprints.kmu.ac.ir/28590/1/6640.pdf

The evaluation of the comparative effect of maternal hooldingand massage on physiological responses & pain resulted from blood-taking from neonates referring to Bandar Abbas health center in 2017

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