NON-NUTRITIVE SUCKING (NNS) AND PAIN RESPONSE NEONATAL

Authors

  • Lia Herliana Nursing Department of Tasikmalaya, Indonesia
  • Yanti Cahyati Health Polytechnics Ministry of Health Republic of Indonesia

DOI:

https://doi.org/10.31674/mjn.2019.v10i04.011

Abstract

Pain is a sensation that is difficult to remember. Pain exposure is a stimulus that can damage the development of the baby's brain and contribute to learning disorders and behavior in childhood. Therefore nursing intervention is needed that can reduce the pain response in infants, especially during hospital treatment. The aim of the study was to determine the effect of non-nutritive sucking (NNS) and ASI (Air Susu Ibu or Breast Milk) on oral responses to acute pain in the neonate when invasive actions were performed. The benefits of research as evidence-based practiced about administering NNS and ASI orally to pain responses in neonates when experiencing pain. The research design uses experimental nonequivalent control group before and after design. The population of all neonates admitted to Dr. Soekardjo Tasikmalaya, with a total sample of 30 respondents consisting of 15 ASI respondents and 15 respondents for the NNS group. Pain assessments instruments CRIES (Crying, Requiring an increase in oxygen, Increased vital sign, Expression, Sleeplessness) was applied. Data analysis used non parametric tests Mann Whitney and Wilcoxon. The results of the study showed no significant differences in pain response before and after the intervention (p-value 0.236). It was suggested that nurses can improve health education for parents to be able to provide breastfeeding during treatment, especially when the baby receives invasive action.

Keywords:

ASI, Non-Nutritive Sucking (NNS), Normal Newborns, Pain Response

Downloads

Download data is not yet available.

References

American Dental Association (ADA) (2007). Thumb sucking and pacifier use. Journal of the American Dental Association and the ADA Division of Dental Practice, 138, pp 1176.

Badr, L.K., Abdallah, B., Hawari, M., Sidani, S., Kassar, M. & Nakad, P. & Breidi, J. (2010). Determinants of premature infant pain responses to heel sticks. Pediatric Nursing, 36(3), pp 129-136.

Bellini, C.V., Bagnoli, F. & Perone, S., Nenci A., Cordelli, D.M., Fusi, M., Ceccarelli, S. & Buonocore, G. (2002). Effect of multisensory stimulation on analgesia in term neonates: A randomized controlled trial. Pediatrics, 51(4), pp 460-463.

Blass, E.M. & Miller, L.W. (2001). Effect of colostrum in newborn humans: Dissociation between analgesic and cardiac effect. Journal of Behavioral Pediatrics, 22(6), pp 385-390.

Buonocore, G. & Bellieni, C.V. (2008). Neonatal pain: suffering, pain, and risk of brain damage in the fetus and newborn. 1st Edition. Italy: Springer-Verlag.

Corbo, MG, Mansi, G., & Stagni, A. (2000). Non-critical measures for procedures that decrease behavioral distress in the newborn infant. Neonatology, 77, pp 162-167.

Franck, L. & Gregory, G. (1993). Clinical evaluation and treatment of infant pain in neonatal intensive care units. Baltimore: William & Wilkins.

Gibbins, S., Stevens, B., McGrath, P.J., Yamada, J., Beyene, J., & Breau, L., Camfield, C., Finley, A., Franck, L., Johnston, C., Howlett, A., McKeever, P., O'Brien, K. & Ohlsson, A. (2007). Comparison of pain responses in infants of different gestational ages. Neonatology, 93(1), pp 10-18.

Hockenberry, M.J. & Wilson, D. (2009). Wong's essentials of pediatric nursing. (8th edition). St. Louis: Elsevier.

Johnston, C.C., Stremler, R., Horton, L. & Friedman, A. (1999). Effect of Repeated doses of sucrose during heel stick procedure in preterm neonates. Biology of the Neonate, 75(3), pp 160-166.

Phillips, R.M., Chantry, C.J. & Gallaghar, M.P. (2005). Analgesic breastfeeding or pacifier use with the maternal holding in the term infant. Ambulatory Pediatrics, 5(6), pp 359-364.

Pinelli, J. & Symington, A.J. (2009). Non-nutritive sucking for promoting physiologic stability and nutrition in preterm infants. Cochrane Database of Systematic Reviews, (3):CD001071.

Potter, P.A. & Perry, A.G. (2006). Fundamental of Nursing. 4th edition. Jakarta: EGC Prasetyono, D.S. (2010). Smart book for exclusive breastfeeding. Yogyakarta: Diva Press.

Razek, A.A. & Dein, N.A.Z. (2009). Effect of breastfeeding on pain relief during infant immunization injections. International Journal of Nursing Practice,15, pp 99-104.

Schechter, N.L., Zempsky, W.T., Cohen, L.L., McGrath, P.J., McMurtry, C.M. & Bright, N.S. (2007) Pain reduction during pediatric immunizations: evidence-based review and recommendations. Pediatrics, 119, e1184-1198.

Shah, P.S., Herbozo, C., Aliwalas, L.L. & Shah, V.S. (2006). Breastfeeding or breast milk for procedural pain in neonates. Cochrane Database Systematic Review, 3, CD004950.

Wong, D.L., Perry, S.E. & Hockenberry, M.J. (2002). Maternal nursing care. 2nd edition. St. Louis: Mosby Elsevier.

Published

05-04-2019

How to Cite

Lia Herliana, & Yanti Cahyati. (2019). NON-NUTRITIVE SUCKING (NNS) AND PAIN RESPONSE NEONATAL . The Malaysian Journal of Nursing (MJN), 10(4), 83-87. https://doi.org/10.31674/mjn.2019.v10i04.011

Metrics