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The Effect of Yakson Touch on Pain and Physiological Parameters of the Newborn

Yıl 2024, Cilt: 17 Sayı: 2, 295 - 306

Merve Ekinci Hülya Karataş Zehra Arslan

https://doi.org/10.46483/jnef.1468685

Öz

Background: The stressors faced by the newborn can directly affect the newborn’s sensory development, brain development and organization by causing pain in the newborn. Yakson touch, a traditional Korean cultural practice, is known to reduce the pain in the newborn.

Aims: The aim of this study is to examine the effect of Yakson touch applied to the newborn on pain and physiological parameters during the heel prick procedure.

Methods: The study was conducted using a randomized controlled trial design (experimental, control). The study sample consisted of 80 newborns (experimental group = 40, control group = 40), all born between 35-40 gestational weeks and considered suitable for clinical conditions. Yakson touch is a technique that involves warm, pressure less, slow, and compassionate touch, following a fixed fifteen-minute protocol. The Yakson touch protocol was initiated for the experimental group before the heel prick procedure. Research data were obtained using the Parent and Baby Information Form, Physiological Parameters Observation Form and Newborn Baby Pain Scale. Data analysis was performed using IBM SPSS V23 and the significance level was taken as p < .05.

Results: There was no difference between the experimental and control groups in terms of neonatal oxygen saturation, heart rate, and pain score before, during, and after the procedure (p > .05). There was no difference in cry duration between the two groups before and after the heel prick procedure, but the newborns in the experimental group cried less during the heel prick procedure compared to the control group (p = .007).

Conclusion: The newborns in the experimental group, who receives Yakson touch during the heel pricking procedure, had shorter crying times than those in the control group. Therefore, it is recommended to include Yakson touch in nursing interventions during this procedure.

Anahtar Kelimeler

Pain Newborn Yakson Touch Heel Blood Nursing

Kaynakça

  • Arıkan, D., Çelebioğlu, A., & Tüfekçi, G.F. (2018). Growth and Development.In. Çavuşoğlu, H. (ed). Pediatric Nursing Mind Notes. Ankara: Sun Medical Bookstore. 1-15.
  • Bijari, B.B., Iranmanesh, S., Eshghi, F., & Baneshi, R.M. (2012). Gentle Human Touch and Yakson: The Effect on Preterm’s Behavioral Reactions. International Scholarly Research Notices Nursing. 2012 Article ID 750363., 6 pages. https://doi.org/10.5402/2012/750363
  • Can, Ş., & Kaya, H. (2022). The Effect of Therapeutic Touch Training Given to Mothers with Preterm Babies on Mothers’ Attachment Level and Babies’ Responses. Health Care Women Int, 43(5), 479-498. https://doi.org/10.1080/07399332.2021.1958817.
  • Çağlayan, N., & Oskay, Y.Ü. (2015). The Effects of Compassionate Touch Applied by Their Mothers on Preterm Newborns on Mother and Baby Health. Istanbul University Institute of Health Sciences. Department of Women›s Health and Diseases Nursing.
  • Çelebioğlu, A., & Üğücü, G. (2019). Pain and Nursing Management in Neonatal and Infancy. In. Özyazıcıoğlu, N. (ed). Pain and Nursing Approaches in Children. (1st edition.) Ankara: Turkey Clinics. 27-34.
  • Dehghani, K., Bagheri Ahmadabadi, A., Fallahzade, H., & Salimi, T. (2019). Comparison of the Effect of Yakson Touch and Oral Glucose on the Severity of Phlebotomy Pain in Preterm Infants. Iranıan Journal Of Neonatology,10(4), 25-32. https://doi.org/10.22038/IJN.2019.38769.1614
  • Dur, Ş., Çağlar, S., Yıldız, U.N., Doğan, P. & Varal, G.i. (2020). The Effect of Yakson and Gentle Human Touch Methods on Pain and Physiological Parameters in Preterm İnfants During Heel Lancing. İntensive Critical Care Nursing, 61,102886. https://doi.org/10.1016/j.iccn.2020.102886
  • Erdim, L., & İnal, S. (2018). Responsibilities of Nurses in Taking and Sending Samples in Newborn Screening Tests. Journal of Health Sciences and Professions, 5(1), 102-106.
  • Güven, T.Ş, & Dalgıç, İ.A.(2017). An Individualized Supportive Developmental Care Program for Premature Newborns. International Refereed Journal of Obstetrics and Maternal Child Health,.41-58. http://dx.doi.org/10.17367/JACSD.2017.1.004
  • Hockenberry, M., Wilson, D., & Rodgers, C.C.(2017). Pain Assesment and Management in Children. İn: Wong’s Essentials of Pediatric Nursing.(10th edition). Canada:Elsevier, 275-279.
  • Im, H. (2005). Effect of Yakson therapy on growth and stable state of preterm infants and on marternal attachment. In: College of Nursing. Seoul; Korea University. Corpus ID: 74162543
  • Im, H.(2006). Yakson vs. GHT therapy effects on growth and physical response of preterm infants and on maternal attachment. Taehan Kanho Hakhoe Chi., 36(2), 255-64. https://doi.org/10.4040/jkan.2006.36.2.255
  • Im, H., Kim, E., Sung, K., & Oh, W. (2007). Pain reduction of heel stick in neonates: Yakson compared to non-nutritive sucking. Journal of Tropical Pediatrics, 54(1), 31-5. https://doi.org/10.1093/tropej/fmm083
  • Im, H., & Kim, E. (2009). Effect of Yakson and gentle human touch versus usual care on urine stress hormones and behaviors in preterm infants: A Quasi-Experimental Study. Int.J. Nurs. Stud. 46, 450–458.
  • Karabudak, S., & Ergün, S. (2018). Neonatal Diseases and Nursing Care. In. Conk, Z., Başbakkal, Z., Bal Yılmaz, H., & Bolışık, B. (eds). Pediatric Nursing. Ankara: Academician Medical Bookstore, 289-301.
  • Kaynak, S., Yılmaz, B.H., Başbakkal, Z., & Yardımcı, F.(2020). Developmental Care in the Neonatal Intensive Care Unit. KSU Medical Journal ,15(3) , 82-87.
  • Kemer, D., & Dalgıç, İ.A. (2020) Evidence-Based Nonpharmacological Nursing Practices Used in Pain Management in Newborns. Balikesir Journal of Health Sciences; 9(3),197-204.
  • Kim, J. (2016). A Concept Analysis on the Use of Yakson in the NICU. Journal of Obstetric Gynecologic Neonatal Nursing.,45(6),836–841. https://doi.org/10.1016/j.jogn.2016.07.009
  • Liu, W.F., Laudert, S., Perkins, B., York, M., & Martin, S.(2007). The development of potentially better practices to support the neurodevelopment of infant in the NICU. Journal of Perinatology, 27, 48-74.
  • Mir, M., Vashani, B.H., Sadeghi, T., Boskabadi, H., & Khorshahi, A. (2018). Effects of Yakson Therapeutic Touch and Heel Warming on Pain Caused by Heel Stick Procedure, Vital Signs, and Cry Duration in Full-term Neonates. Evidence Based Care Journal.,8(2),49-57. http://dx.doi.org/10.22038/ebcj.2018.28347.168
  • Özçevik, D., & Ocakçı, F.A.(2019). Pain in the Newborn: Assessment, Management and the Role of the Nurse. ASHD. 18(1),18-26.
  • Parashar, P., Samuel, J.A, Bansal, A., & Aranka, P.V. (2016). Yakson touch as a part of early intervention in the Neonatal Intensive Care Unit: A systematic narrative review. Indian Journal of Critical Care Medicine, 20(6), 349–352. https://dx.doi.org/10.4103%2F0972-5229.183897
  • Park, S.E., & Sung, S.A et al. (2006). Pain Relieving Effect of Yakson Therapy for Infants. Journal of Korean Academy of Nursing. 36(6), 897-904. https://doi.org/10.4040/jkan.2006.36.6.897
  • Sarı, Y.H., & Çiğdem. Z. (2013). Planning the Baby’s Developmental Care According to the Weeks of Gestation. Dokuz Eylul University School of Nursing Electronic Journal , 6 (1), 40-48.
  • Semnani, N., Hojjati, H., & Akhoundzadeh, G. (2020). The Effect of Yakson Touch on Pain Control Due to Nasogastric Intubation in Premature Infants Admitted to the Neonatal Intensive Care Unit of Taleghani Gonbad Hospital in 2019. Journal of Health and Care. http://dx.doi.org/10.52547/jhc.22.2.93
  • Turkish Neonatology Association (TND). (2021). Pain in the Neonatal Period and Its Treatment Guide 2021 Update. URL: http://www.neonatology.org.tr/wpcontent/uploads/2021/10/agri-01-donusturuldu.pdf (Date of access: 13.11.21)
  • Turkish Statistical Institute. (TUIK). (2020). Child with Statistics. URL: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Cocuk-2020-37228 (Date of access: 13.11.21)
  • Yiğit, R., & Üğücü G. (2019). GHistorical Development of High-Risk Newborn and Care: The World and Turkey. Adnan Menderes University Faculty of Health Sciences Journal, 3(3), 200-211.

Yakson Dokunmanın Yenidoğanın Ağrı ve Fizyolojik Parametreleri Üzerine Etkisi

Yıl 2024, Cilt: 17 Sayı: 2, 295 - 306

Merve Ekinci Hülya Karataş Zehra Arslan

https://doi.org/10.46483/jnef.1468685

Öz

Giriş: Yenidoğanın karşılaştığı stresörler yenidoğanda ağrı algısı oluşturmakla birlikte duyu gelişimini, beyin gelişimini ve organizasyonunu doğrudan etkileyebilmektedir. Geleneksel Kore kültüründen gelen Yakson dokunmanın yenidoğanın ağrı tepkilerini azaltmada yardımcı olduğu bilinmektedir.

Amaç: Bu çalışmanın amacı topuktan kan alınması sırasında yenidoğana uygulanan Yakson dokunmanın ağrı ve fizyolojik parametreler üzerine etkisinin incelenmesidir.

Yöntem: Araştırma, randomize kontrollü deneysel desende (deney-kontrol) gerçekleştirilmiştir. Araştırmanın örneklemini, klinik koşuldaki bebeklerin uygunluğu düşünülerek 35-40 gestasyonel haftasına sahip toplam 80 yenidoğan (deney= 40, kontrol= 40) oluşturmuştur. Yakson, belirlenmiş on beş dakikalık bir protokolü olan sıcak, basınçsız, yavaş ve şefkatli dokunma tekniğidir. Deney grubuna topuk kanı alınmadan önce Yakson dokunma protokolüne başlanmıştır. Araştırma verileri Ebeveyn ve Bebek Bilgi Formu, Fizyolojik Parametreler Gözlem Formu ve Yenidoğan Bebek Ağrı Ölçeği kullanılarak elde edilmiştir. Verilerin analizi IBM SPSS V23 kullanılarak yapılmış ve anlamlılık düzey p < .05 olarak alınmıştır.

Bulgular: Deney ve kontrol grupları arasında işlem öncesi, işlem sırası ve işlem sonrasında yenidoğanın oksijen satürasyonu, kalp hızı ve ağrı skoru açısından fark yoktu (p > .05). Topuk kanı alma işlemi öncesi ve sonrası ağlama süresi açısından iki grup arasında fark bulunmazken, topuk kanı alma işlemi sırasında deney grubu bebeklerin ağlama süresi kontrol grubundan daha düşük bulunmuştur (p = .007).

Sonuç: İşlem sırasında Yakson dokunma uygulanan deney grubundaki yenidoğanların ağlama sürelerinin kontrol grubuna göre daha kısa olduğu görüldü. Yakson’ un topuktan kan alma sürecinde hemşirelik girişimlerine dahil edilmesi önerilir.

Anahtar Kelimeler

Ağrı Yenidoğan Yakson Dokunma Topuk Kanı Hemşirelik

Kaynakça

  • Arıkan, D., Çelebioğlu, A., & Tüfekçi, G.F. (2018). Growth and Development.In. Çavuşoğlu, H. (ed). Pediatric Nursing Mind Notes. Ankara: Sun Medical Bookstore. 1-15.
  • Bijari, B.B., Iranmanesh, S., Eshghi, F., & Baneshi, R.M. (2012). Gentle Human Touch and Yakson: The Effect on Preterm’s Behavioral Reactions. International Scholarly Research Notices Nursing. 2012 Article ID 750363., 6 pages. https://doi.org/10.5402/2012/750363
  • Can, Ş., & Kaya, H. (2022). The Effect of Therapeutic Touch Training Given to Mothers with Preterm Babies on Mothers’ Attachment Level and Babies’ Responses. Health Care Women Int, 43(5), 479-498. https://doi.org/10.1080/07399332.2021.1958817.
  • Çağlayan, N., & Oskay, Y.Ü. (2015). The Effects of Compassionate Touch Applied by Their Mothers on Preterm Newborns on Mother and Baby Health. Istanbul University Institute of Health Sciences. Department of Women›s Health and Diseases Nursing.
  • Çelebioğlu, A., & Üğücü, G. (2019). Pain and Nursing Management in Neonatal and Infancy. In. Özyazıcıoğlu, N. (ed). Pain and Nursing Approaches in Children. (1st edition.) Ankara: Turkey Clinics. 27-34.
  • Dehghani, K., Bagheri Ahmadabadi, A., Fallahzade, H., & Salimi, T. (2019). Comparison of the Effect of Yakson Touch and Oral Glucose on the Severity of Phlebotomy Pain in Preterm Infants. Iranıan Journal Of Neonatology,10(4), 25-32. https://doi.org/10.22038/IJN.2019.38769.1614
  • Dur, Ş., Çağlar, S., Yıldız, U.N., Doğan, P. & Varal, G.i. (2020). The Effect of Yakson and Gentle Human Touch Methods on Pain and Physiological Parameters in Preterm İnfants During Heel Lancing. İntensive Critical Care Nursing, 61,102886. https://doi.org/10.1016/j.iccn.2020.102886
  • Erdim, L., & İnal, S. (2018). Responsibilities of Nurses in Taking and Sending Samples in Newborn Screening Tests. Journal of Health Sciences and Professions, 5(1), 102-106.
  • Güven, T.Ş, & Dalgıç, İ.A.(2017). An Individualized Supportive Developmental Care Program for Premature Newborns. International Refereed Journal of Obstetrics and Maternal Child Health,.41-58. http://dx.doi.org/10.17367/JACSD.2017.1.004
  • Hockenberry, M., Wilson, D., & Rodgers, C.C.(2017). Pain Assesment and Management in Children. İn: Wong’s Essentials of Pediatric Nursing.(10th edition). Canada:Elsevier, 275-279.
  • Im, H. (2005). Effect of Yakson therapy on growth and stable state of preterm infants and on marternal attachment. In: College of Nursing. Seoul; Korea University. Corpus ID: 74162543
  • Im, H.(2006). Yakson vs. GHT therapy effects on growth and physical response of preterm infants and on maternal attachment. Taehan Kanho Hakhoe Chi., 36(2), 255-64. https://doi.org/10.4040/jkan.2006.36.2.255
  • Im, H., Kim, E., Sung, K., & Oh, W. (2007). Pain reduction of heel stick in neonates: Yakson compared to non-nutritive sucking. Journal of Tropical Pediatrics, 54(1), 31-5. https://doi.org/10.1093/tropej/fmm083
  • Im, H., & Kim, E. (2009). Effect of Yakson and gentle human touch versus usual care on urine stress hormones and behaviors in preterm infants: A Quasi-Experimental Study. Int.J. Nurs. Stud. 46, 450–458.
  • Karabudak, S., & Ergün, S. (2018). Neonatal Diseases and Nursing Care. In. Conk, Z., Başbakkal, Z., Bal Yılmaz, H., & Bolışık, B. (eds). Pediatric Nursing. Ankara: Academician Medical Bookstore, 289-301.
  • Kaynak, S., Yılmaz, B.H., Başbakkal, Z., & Yardımcı, F.(2020). Developmental Care in the Neonatal Intensive Care Unit. KSU Medical Journal ,15(3) , 82-87.
  • Kemer, D., & Dalgıç, İ.A. (2020) Evidence-Based Nonpharmacological Nursing Practices Used in Pain Management in Newborns. Balikesir Journal of Health Sciences; 9(3),197-204.
  • Kim, J. (2016). A Concept Analysis on the Use of Yakson in the NICU. Journal of Obstetric Gynecologic Neonatal Nursing.,45(6),836–841. https://doi.org/10.1016/j.jogn.2016.07.009
  • Liu, W.F., Laudert, S., Perkins, B., York, M., & Martin, S.(2007). The development of potentially better practices to support the neurodevelopment of infant in the NICU. Journal of Perinatology, 27, 48-74.
  • Mir, M., Vashani, B.H., Sadeghi, T., Boskabadi, H., & Khorshahi, A. (2018). Effects of Yakson Therapeutic Touch and Heel Warming on Pain Caused by Heel Stick Procedure, Vital Signs, and Cry Duration in Full-term Neonates. Evidence Based Care Journal.,8(2),49-57. http://dx.doi.org/10.22038/ebcj.2018.28347.168
  • Özçevik, D., & Ocakçı, F.A.(2019). Pain in the Newborn: Assessment, Management and the Role of the Nurse. ASHD. 18(1),18-26.
  • Parashar, P., Samuel, J.A, Bansal, A., & Aranka, P.V. (2016). Yakson touch as a part of early intervention in the Neonatal Intensive Care Unit: A systematic narrative review. Indian Journal of Critical Care Medicine, 20(6), 349–352. https://dx.doi.org/10.4103%2F0972-5229.183897
  • Park, S.E., & Sung, S.A et al. (2006). Pain Relieving Effect of Yakson Therapy for Infants. Journal of Korean Academy of Nursing. 36(6), 897-904. https://doi.org/10.4040/jkan.2006.36.6.897
  • Sarı, Y.H., & Çiğdem. Z. (2013). Planning the Baby’s Developmental Care According to the Weeks of Gestation. Dokuz Eylul University School of Nursing Electronic Journal , 6 (1), 40-48.
  • Semnani, N., Hojjati, H., & Akhoundzadeh, G. (2020). The Effect of Yakson Touch on Pain Control Due to Nasogastric Intubation in Premature Infants Admitted to the Neonatal Intensive Care Unit of Taleghani Gonbad Hospital in 2019. Journal of Health and Care. http://dx.doi.org/10.52547/jhc.22.2.93
  • Turkish Neonatology Association (TND). (2021). Pain in the Neonatal Period and Its Treatment Guide 2021 Update. URL: http://www.neonatology.org.tr/wpcontent/uploads/2021/10/agri-01-donusturuldu.pdf (Date of access: 13.11.21)
  • Turkish Statistical Institute. (TUIK). (2020). Child with Statistics. URL: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Cocuk-2020-37228 (Date of access: 13.11.21)
  • Yiğit, R., & Üğücü G. (2019). GHistorical Development of High-Risk Newborn and Care: The World and Turkey. Adnan Menderes University Faculty of Health Sciences Journal, 3(3), 200-211.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Merve Ekinci 0000-0003-2481-6605

Hülya Karataş 0000-0001-6312-5028

Zehra Arslan 0000-0002-1939-405X

Erken Görünüm Tarihi 15 Nisan 2024
Yayımlanma Tarihi
Yayımlandığı Sayı Yıl 2024 Cilt: 17 Sayı: 2

Kaynak Göster

APA Ekinci, M., Karataş, H., & Arslan, Z. (2024). The Effect of Yakson Touch on Pain and Physiological Parameters of the Newborn. Etkili Hemşirelik Dergisi, 17(2), 295-306. https://doi.org/10.46483/jnef.1468685
 Kapak Resmi İndir

Etkili Hemşirelik Dergisi ULAKBİM Türk Tıp Dizini, Türk Medline, Türkiye Atıf Dizini, Şubat 2021 tarihinden beri EBSCO Host ve 26 Ekim 2021 tarihinden itibaren DOAJ ve 18 Ocak 2022 tarihinden beri Index Copernicus, 14 Kasım 2022 tarihinden beri SCOPUS tarafından indekslenmektedir.

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