THE EFFECT of NONPHARMACOLOGICAL METHODS on PAİN and STRESS LEVEL DURİNG OROGASTRIC TUBE INSERTION in PRETERM NEONATES: A RANDOMIZED CONTROLLED EXPERIMENTAL STUDY

Abstract

Orogastric probe or nasogastric probe can be used in neonatal intensive care units for the nutrition of newborn babies who cannot be fed enough orally and during their treatment. The research was designed as a randomized controlled experimental study to examine the effect of breast milk and 25% dextrose use on pain and stress during orogastric tube insertion in preterm neonates. The research population consists of preterm neonates whose postnatal ages are between 32⁺⁰-36⁺⁶ in the neonatal intensive care unit at a public hospital in Istanbul between April 2021 and April 2022. N-PASS, newborn stress scale, peak heart rate, and oxygen saturation scores of infants before the procedure do not differ significantly according to the groups (p>0.05). Regarding the orogastric tube insertion, upon examination of the behavioral responses of preterm neonates during and after the procedure, pain and stress scores showed similarities in the control and breast milk groups. In contrast, the dextrose group had a significantly lower pain and stress score.  It was found that 25% dextrose given to the lingual site two minutes before orogastric tube insertion positively affected pain score, stress score, and physiological parameters compared to breast milk and the control group. Upon the scrutinization of the pain and stress scores between the groups in the study, the scores before the procedure do not show significant differences between the groups (p>0.05). As a result, it was observed that 25% dextrose given in the lingual region 2 minutes before the OGS insertion rate had a positive effect on the maternal cycle and control group rate rate, stress score and outcome.