compare pain score ( Neonatal Infant Pain Scale :NIPS) between the pacifier suction method and the giving 24% oral sucrose solution during intravenous injection in newborns. Children's Ward 2, Nakhon Phanom Hospital

Abstract

Objective: To compare the Neonatal Infant Pain Scale (NIPS ) between suck the pacifier and 24% oral sucrose solution during intravenous injection in neonates.

Materials and Methods: The research is a form of intervention Research Randomized control trial study, a cross over design samples of newborns receive a needle for intravenous fluids. who receive services in pediatric wards 2, Nakhon Phanom Hospital Between 1 March 2020 - 30 September 2020, 30 persons the method of study is Randomly choose a pain relief method. by opening the sealed envelope Before inserting a needle for intravenous fluids, it was divided into 2 groups. Group 1 received pacifier aspiration as a method to reduce pain scores during the first IV injection. give a solution of sucrose 24% oral was a method for reducing pain scores during the first intravenous injection. The pain score was assessed twice (NIPS). Comparative analysis of patients' general characteristics was performed using statistical t-test and exact probability test. Multi-variable regression form cross over design

Results : General characteristics of the patients in both groups. Needle position for intravenous fluid delivery type of solution No difference, but 5 cases of neonatal jaundice in group 1 were 33.3% (p-value=0.042) with pain score (NIPS) for the 1st time, group 1, the value was 3 ± 2.0, group 2 was equal to 2.1 ± 1.7 (p-value=0.338 ) 2nd group, 1st group, equals 2.1 ± 1.9, 2nd group 3 ± 1.7 (p-value=0.096), but when analyzed by cross over design model using Multivariable regression adjusted for the influence of the jaundice stirring variable. It was found that the sucrose solution 24% oral in the 1st session reduced pain scores better than suck the pacifier (diff=1.4 p-value=0.030), but no difference was found in the second (diff.=0.03 p-value=0.937. )

Conclusion : Reduction of pain in infants requiring intravenous needle injection for the first time. 24% sucrose solution should be given by mouth, in the future, an analgesic solution may be considered as appropriate.