The effect of the use of pacifier and pacifier with dextrose on reducing pain during orogastric tube insertion in newborns

Thesis Type: Postgraduate

Institution Of The Thesis: Bursa Uludağ University, Sağlık Bilimleri Fakültesi, Hemşirelik, Turkey

Approval Date: 2020

Thesis Language: Turkish


Supervisor: Nurcan Özyazıcıoğlu


The study was carried out as a randomized controlled experimental study in order to evaluate the effect of the use of pacifier and pacifier with dextrose in reducing pain while inserting the orogastric tube (OGT) in newborns. The population consisted of term newborns who were hospitalized in Istanbul Tuzla State Hospital Neonatal Intensive Care Unit between April and December 2019. The sample group consisted of 60 newborns (Control group: 20, Intervention group with only pacifier:20, with dextrose flavored pacifier:20). 20 babies in the intervention group were given only pacifier and 20 babies were given a pacifier flavored with dextrose 2 minutes before the OGT insertion. The procedure was performed by leaking the tube from the edge of the pacifier. Routine OGT insertion was performed in the control group. The data collection process was recorded with a camera. The data were collected using a pacifier, 25% dextrose, camera, monitor, information form including the characteristics of the infant and mother, the highest heart rate and lowest oxygen saturation from physiological pain responses, duration of crying from behavioral pain responses. Additionally, the Neonatal Infant Pain Scale (NIPS) was used for pain assessment. Variance analysis, Shapiro Wilk, Kruskal Wallis, Chi-square, Dunn Bonferro and Wilcoxon tests were used in the statistical analysis of the study. The SPSS v22 package program was used for statistical analysis and the significance level was taken α=0.05. Prior to the procedure, the groups were similar in terms of variables such as newborn and maternal characteristics that may affect the severity of pain (p>0.05). It was found that the use of pacifier and 25% dextrose-flavored pacifier in newborns reduced the severity of pain (NIPS) during and after OGT insertion and that newborns in the intervention groups showed less behavioral and physiological pain responses than the control group. In the control group, increased pain severity (NIPS) and more behavioral and physiological pain responses were observed during and after the procedure. The use of 25% dextrose-flavored pacifier has been shown to be more effective in reducing the duration of crying compared to other groups.