Massage for pain relief in newborns submitted to puncture: systematic review.

OBJECTIVE: To analyze in the scientific literature the effects of massage on pain relief in newborns submitted to puncture. METHOD: Systematic review with meta-analysis performed in October 2020, using PubMed, Web of Science, CINAHL, Scopus, Cochrane and Gale databases. Studies without time frame were included, which used massage as the main technique for relieving neonatal pain during puncture. Data were extracted using standardized forms and the synthesis of results occurred in a descriptive way. RESULTS: From the 12 studies included, massage was effective in pain relief in 83.3% of the studies. The comparative meta-analysis of massage versus routine care that assessed duration of crying obtained a statistically significant result (p = 0.0002; 95% CI -85.51 to -27.09). CONCLUSION: Massage contributes to neonatal pain relief by reducing pain score and reducing crying time in newborns submitted to puncture.

Glucose and reflexology for pain relief during arterial puncture in neonates: a protocol.

OBJECTIVE: To present a study protocol to compare glucose and reflexology in pain relief in neonate intensive care during arterial punctures. METHODS: A randomized, controlled, double-blind clinical trial protocol will be carried out at a teaching hospital maternity, with30 newborns admitted to neonate intensive care who are to undergo blood collection by arterial puncture. They will be randomly assigned to a control group (25% glucose) or an intervention group (foot reflexology). The primary outcome will be neonate pain scores during and after arterial puncture. Secondary outcomes will be crying time and variation in neonates' vital signs during and after the arterial puncture procedure. Registration number RBR-639bff. DISCUSSION: The results of this trial will provide new insights into the most appropriate intervention for the relief of neonate pain during painful procedures.

Glucose and reflexology for pain relief during arterial puncture in neonates: a protocol / Glucosa y reflexoterapia para alivio del dolor durante la punción arterial en neonatos: un protocolo / Glicose e reflexoterapia para alívio da dor durante punção arterial em neonatos: um protocolo

ABSTRACT Objective To present a study protocol to compare glucose and reflexology in pain relief in neonate intensive care during arterial punctures. Methods A randomized, controlled, double-blind clinical trial protocol will be carried out at a teaching hospital maternity, with30 newborns admitted to neonate intensive care who are to undergo blood collection by arterial puncture. They will be randomly assigned to a control group (25% glucose) or an intervention group (foot reflexology). The primary outcome will be neonate pain scores during and after arterial puncture. Secondary outcomes will be crying time and variation in neonates' vital signs during and after the arterial puncture procedure. Registration number RBR-639bff. Discussion The results of this trial will provide new insights into the most appropriate intervention for the relief of neonate pain during painful procedures.

RESUMEN Objetivo Presentar un protocolo de estudio para comparar glucosa y reflexología en el alivio del dolor en cuidados intensivos neonatales durante la punción arterial. Método Protocolo de ensayo clínico aleatorizado, controlado, doble ciego, en 30 recién nacidos en cuidados intensivos neonatales en la maternidad de un hospital escuela, que necesiten extracción de sangre por punción arterial. Serán asignados aleatoriamente a un grupo control (25% de glucosa) o a un grupo de intervención (reflexología podal). El resultado primario serán los escores de dolor neonatal durante y después de la punción arterial. Los resultados secundarios serán el tiempo de llanto y la variación en los signos vitales de los recién nacidos durante y después del procedimiento de punción arterial. Número de registro RBR-639bff. Discusión Los resultados de este ensayo proporcionarán nuevos conocimientos sobre la intervención más adecuada para el alivio del dolor neonatal durante los procedimientos dolorosos.

RESUMO Objetivo Apresentar um protocolo de estudo para comparar a glicose e reflexoterapia no alívio da dor em terapia intensiva neonatal durante a punção arterial. Método Protocolo de ensaio clínico randomizado, controlado, duplo-cego, será realizado em 30recém-nascidos internados em terapia intensiva neonatal de uma maternidade escola que apresentem indicação de coleta de sangue por punção arterial. Serão distribuídos aleatoriamente em grupo controle (glicose 25%) ou grupo intervenção (reflexoterapia podal). O desfecho primário será escores de dor neonatal durante e após a punção arterial. Os desfechos secundários serão o tempo de choro e variação nos sinais vitais dos neonatos durante e após o procedimento da punção arterial. Número do registro RBR-639bff. Discussão Os resultados deste ensaio fornecerão novos conhecimentos sobre a intervenção mais adequada para o alívio da dor neonatal durante procedimentos dolorosos.

Massagem no alívio da dor neonatal em unidades de terapia intensiva: scoping review / Massage for neonatal pain relief in intensive care units: a scoping review

RESUMO Objetivo mapear o uso da massagem no alívio da dor neonatal durante os procedimentos realizados em Unidades de Terapia Intensiva. Métodos revisão de escopo realizada em 11 fontes de dados, seguindo recomendações do Instituto Joanna Briggs. Questionou-se: qual é o conhecimento sobre o uso da massagem no alívio da dor de recém-nascidos durante procedimentos dolorosos em unidade de terapia intensiva neonatal? Selecionaram-se 12 estudos para os resultados. Resultados a massagem terapêutica em neonatos mostra-se positiva na redução da pontuação em escalas de dor, diminuição das frequências cardíaca e respiratória, aumento na saturação de oxigênio, melhorias no estado comportamental, ganho de peso, desenvolvimento neurológico, menor tempo de choro e realização do procedimento doloroso. Conclusão a massagem/reflexoterapia mostra-se efetiva na redução da dor neonatal em unidades de terapia intensiva, sendo realizada em membros inferiores, calcanhar, dorso ou no local do procedimento, com pressão leve a moderada e duração média de cinco minutos.

ABSTRACT Objective to map the use of massage to relieve neonatal pain during procedures performed in Intensive Care Units. Methods a scoping review conducted in 11 data sources, following the Joanna Briggs Institute recommendations. The question was: what is the knowledge about the use of massage to relieve pain in newborns during painful procedures in a neonatal intensive care unit? 12 studies were selected for the results. Results therapeutic massage in newborns is positive in reducing the score on pain scales, decreasing heart and respiratory rates, increasing oxygen saturation, improvements in behavioral status, weight gain, neurological development, shorter crying time and performing the painful procedure. Conclusion massage/reflexotherapy is effective in reducing neonatal pain in intensive care units, being performed on lower limbs, heel, back or at the procedure site, with light to moderate pressure and an average duration of five minutes.