The application of facilitated tucking in premature infants on pain response during care procedures
Keywords:
Facilitated Tucking, Premature Infants, Premature, Pain Management, PIPP-RAbstract
Premature infants have a lower pain threshold due to the immaturity of their nervous system, making them more sensitive to invasive procedures during hospitalization. Repeated pain responses can have long-term impacts on neurological development. One non-pharmacological technique proven effective in reducing pain in neonates is facilitated tucking. This study aimed to analyze the effectiveness of facilitated tucking in reducing pain responses in premature infants during invasive care procedures. This study is a qualitative case study conducted at Jember regional hospital. Samples were selected using purposive sampling. Pain responses were measured using the Premature Infant Pain Profile-Revised (PIPP-R) instrument, before, during, and after the procedure. The facilitated tucking intervention showed a reduction in Premature Infant Pain Profile-Revised (PIPP-R) scores across all observed procedures. Facilitated tucking performed before, during and after the procedure was associated with improved physiological and behavioural stability, as indicated by PIPP-R (lower heart rate and respiratory rate, increased oxygen saturation, nasolabial furrow, eyes squeeze, and brow bulge), compared to when the intervention was not applied or the baseline condition. On average, infants returned to their baseline condition within one minute after the procedure. Facilitated tucking is effective in reducing pain responses in premature infants during invasive procedures such as blood sampling, intravenous insertion and OGT, this pain management can be utilized as a non-pharmacological intervention.
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