Effects of yakson method applied by mother and swaddling on pain and physiological parameters during heel stick in newborn

OBJECTIVES: The research was conducted as a randomized controlled experimental study to examine the effects of Yakson touch applied by mother and swaddling applied during the heel lance from newborns on pain and physiological parameters. METHODS: The population of the study was newborns hospitalized in the maternity ward of a public hospital in Adana between November and December 2022, and the sample consisted of 48 newborns who didnt have congenital anomalies and had not been administered analgesic or sedative drugs in the last 6 hours (Yakson touch group = 16; swaddling group = 16; control group=16) Mother and Baby Information Form, Observation Form, The Neonatal Infant Pain Scale and pulse oximeter device were used to collect data. Data were analyzed using SPSS 25.0 program, Shapiro Wilks for normality, Kruskal Wallis H Test, Wilcoxon Signed Rank Test, chi-square and Friedman test. Newborns in the experimental groups were swaddled or applied Yakson touch 10 minutes before heel lance, depending on the group. Nonpharmacological intervention was continued until 5 minutes after heel blood was taken. Pain and physiological parameters, crying duration, and procedure duration were evaluated in all groups. RESULTS: Newborns and mothers in the research groups were similar in terms of identifying characteristics (p>0,05). There was no difference between the groups in terms of pain score, crying duration, peak heart rate and oxygen saturation values during blood collection (p> 0,05). Although there was no significant difference, it was observed that the pain score and crying duration of the swaddling group were the lowest during and after the procedure. Peak heart rate values were higher in the Yakson group before and after the procedure. The procedure time was found to be significantly longer in the control group. CONCLUSION: It was concluded that during heel lance, the Yakson touch applied by the mother and swaddling did not affect the pain and physiological parameters during the procedure, and the procedure time was shorter in the swaddling and Yakson group. It is recommended to investigate the effect of Yakson touch when the mother feels better and during different painful interventions.