THE IMPACT OF COMBINATION OF BREASTFEEDING AND EFFLEURAGE MASSAGE IN REDUCING PAIN RESPONSE IN INFANTS INDUCED BY BLOOD SAMPLING IN C-REACTIVE PROTEIN TEST: AN OBSERVATIONAL CROSS-SECTIONAL STUDY

Alfi Maziyah, Diyah Fatmasari, Desak Made Wenten Parwati, Rr. Sri Endang Pujiastuti


DOI: https://doi.org/10.33546/bnj.353

Abstract


Background: C-reactive protein test is one of clinical assessments to minimize risks of infection in infants. However, its procedure may cause pain. Pain in the infants may result in negative metabolic behavior, physiology and metabolic response.

Objective: This study was to describe the infant's pain response by administering a combination of breastfeeding and an effleurage massage on the blood sampling procedure of C-reactive protein examination.         

Methods: This was a descriptive observational cross-sectional study. There were 30 infants selected using consecutive sampling technique, which 15 samples assigned in an intervention group (combination of breastfeeding and effleurage massage) and a control group. Premature Infant Pain Profile (PIPP) instrument was used to measure pain. Univariate analysis was performed with the aim to describe data in mean and median.

Results: The average of pain response at one-minute observation in the combination of breastfeeding and effleurage massage group was 7.47 ± 1.356, and the average of pain response in the control group was 10.80 ± 1.897. The average pain at five-minutes observation in the intervention group was 3.53 ± 1.922 and control group was 6.00 ± 1.852. 

Conclusions: Pain responses in the combination of breastfeeding and effleurage massage group were lower than the pain response in the control group.


Keywords


breastfeeding; effleurage massage; baby; pain; blood sampling

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References


Abdallah, B., Badr, L. K., & Hawwari, M. (2013). The efficacy of massage on short and long term outcomes in preterm infants. Infant Behavior and Development, 36(4), 662-669.

Afriyanti, E. (2010). Peranan c-reaktive protein (CRP) sebagai parameter diagnosis sepsis neonatorum [Roles of c-reactive protein as sepsis diagnosis parameter in neonatorum]. Padang: Universitas Andalas.

Anand, K. (2001). Consensus statement for the prevention and management of pain in the newborn. Archives of Pediatrics and Adolescent Medicine, 155(2), 173-180.

Astuti, I. T. (2011). Studi komparasi pemberian ASI dan larutan gula terhadap respon nyeri saat imunisasi pada bayi di Puskesmas Ngesrep Semarang [Comparative study of breast milk and sugar solution on pain response during immunization at Ngesrep health center Semarang. (Tesis). Jakarta: Universitas Indonesia.

Badr, L. K., Abdallah, B., Hawari, M., Sidani, S., Kassar, M., Nakad, P., & Breidi, J. (2010). Determinants of premature infant pain responses to heel sticks. Pediatric Nursing, 36(3), 129.

Carbajal, R., Rousset, A., Danan, C., Coquery, S., Nolent, P., Ducrocq, S., . . . Durand, P. (2008). Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA, 300(1), 60-70.

Hegar, B., Suradi, R., Hendarto, A., & Partiwi, I. (2008). Bedah ASI [Breast milk review]. Jakarta: Balai Penerbit FKUI.

Jain, S., Kumar, P., & mcmillan, D. D. (2006). Prior leg massage decreases pain responses to heel stick in preterm babies. Journal of Paediatrics and Child Health, 42(9), 505-508.

Lissauer, T., Fanaroff, A. A., Miall, L., & Fanaroff, J. (2015). Neonatology at a glance. New Jersey: John Wiley & Sons.

Nathan, P. (1976). The gate-control theory of pain: A critical review. Brain, 99(1), 123-158.

Perry, A. G., & Potter, P. A. (2005). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik [Teaching book of fundamental of nursing]. Jakarta: EGC.

Phillips, R. M., Chantry, C. J., & Gallagher, M. P. (2005). Analgesic effects of breast-feeding or pacifier use with maternal holding in term infants. Ambulatory Pediatrics, 5(6), 359-364.

Schollin, J. (2004). Analgesic effect of expressed breast milk in procedural pain in neonates. Acta Paediatrica, 93(4), 453-455.

Simbolon, D. (2008). Faktor risiko sepsis pada bayi baru lahir di RSUD Curup kabupaten Rejang Lebong [Risk factors of sepsis in newborn at RSUD Curup kabupaten Rejang Lebong]. Buletin Penelitian Kesehatan, 36(3 Sep).

Stevens, B., Johnston, C., Petryshen, P., & Taddio, A. (1996). Premature infant pain profile: Development and initial validation. The Clinical Journal of Pain, 12(1), 13-22.

Tanjung, Z. I. (2016). Intervensi keperawatan mandiri pada pasien yang mengalami nyeri di Rumah Sakit Pku Muhammadiyah Yogyakarta unit II. Yogyakarta: Universitas Muhammadiyah Yogyakarta.


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