DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20192750

Effect of music therapy intervention in pain reduction during venepuncture in neonates

S. Ragasivamalini, N. S. Ragupathy

Abstract


Background: Neonates in a neonatal intensive care unit are exposed to a high number of painful procedures. Since repeated and sustained pain can have consequences for the neurological and behavior‐oriented problem in the future. Non‐pharmacological treatment methods are being increasingly discussed with regard to pain prevention and relief during mild or moderate procedures. The aim of this study was to identify effectiveness of music therapy interventions on pain reduction during venipuncture in neonates.

Methods: Total of 60 neonates undergoing venepuncture in the postnatal ward was included in this study. They were divided into the music group (n-30) and control group (n-30) by convenient sampling method. The neonates in music group were exposed to pre-recorded lullaby 5 minutes before starting the venepuncture and during the procedure of venepuncture. The NPASS was done 5 minutes before, during and 5 minutes after the procedure.

Results: Compared to the control group neonates, music group neonates showed significantly (P <0.05) less pain perception during intravenous needle puncture. The results showed that music group neonates have significantly less score of NPASS than control group neonates (P<0.001) all five domains.

Conclusions: Hence for routine painful procedures like venepuncture, music therapy could be helpful in neonates in reducing the pain perception. Further studies are needed to validate our findings in large sample with proper study design in future.


Keywords


Music therapy, Pain perception, Venepuncture

Full Text:

PDF

References


Johnston CC, Fernandes AM, Yeo CM. Pain in neonates is different. Pain. 2011;152(3):S65-73.

Barrington KJ, Batton DG, Finley GA, Wallman C. Prevention and management of pain in the neonate: an update. Paediat Child Heal. 2007;12(2):137-8.

Ferguson SA, Ward WL, Paule MG, Hall RW, Anand KJ. A pilot study of pre-emptive morphine analgesia in preterm neonates: effects on head circumference, social behaviour, and response latencies in early childhood. Neurotoxicol Teratol. 2012;34(1):47-55.

De Graaf J, van Lingen RA, Simons SH, Anand KJ, Duivenvoorden HJ, Kuperus WN, et al. Long-term effects of routine morphine infusion in mechanically ventilated neonates on children’s functioning: five-year follow-up of a randomized controlled trial. Pain. 2011;152(6):1391-7.

Grunau RE, Tu MT. Long-term consequences of pain in human neonates. Pain Neonat Infants. 2007;3:45.

Doesburg SM, Chau CM, Cheung TP, Moiseev A, Ribary U, Herdman AT, et al. Neonatal pain-related stress, functional cortical activity and visual-perceptual abilities in school-age children born at extremely low gestational age. Pain. 2013;154(10):1946-52.

Yeo CM, Fernandes A, Johnston C. Procedural pain management for neonates using nonpharmacological strategies: Part 2 mother-driven interventions. Advan Neonat Care. 2011;11(5):312-8.

Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Rompay VM, et al. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998;280(18):1569-75.

Liaw JJ, Zeng WP, Yang L, Yuh YS, Yin T, Yang MH. Non-nutritive sucking and oral sucrose relieve neonatal pain during intramuscular injection of hepatitis vaccine. J Pain Symptom Manag. 2011;42(6):918-30.

Freitas RL, Kübler JM, Filho DH, Coimbra NC. Antinociception induced by acute oral administration of sweet substance in young and adult rodents: the role of endogenous opioid peptides chemical mediators and μ1-opioid receptors. Pharm Biochem Behavior. 2012;101(2):265-70.

Hummel P, Puchalski M, Creech SD, Weiss MG. Clinical reliability and validity of the N-PASS: neonatal pain, agitation and sedation scale with prolonged pain. J Perinatol. 2008;28(1):55.

Haarika V, Soundararajan P, Sundar S, Rajaramalingam, Gunasekaran D, Pand K. The effectiveness of music and mother's voice on pain reduction during venepuncture in neonates- a randomized control trial. Int J Adv Res. 2017;5(2):2575-9 .

Lander JA, Weltman BJ, So SS. EMLA and amethocaine for reduction of children's pain associated with needle insertion. Cochrane Database Systematic Reviews. 2006(3):1-31.

Barraclough NE, Xiao D, Baker CI, Oram MW, Perrett DI. Integration of visual and auditory information by superior temporal sulcus neurons responsive to the sight of actions. J Cognitive Neurosci. 2005;17(3):377-91.

Kirby LA, Oliva R, Sahler OJ. Music therapy and pain management in paediatric patients undergoing painful procedures: a review of the literature and a call for research. J Alternative Med Res. 2010;2(1):7-16.

Bach FW. β‐endorphin in the brain. A role in nociception. Acta Anaesthesiol Scand. 1997;41(1):133-40.

Zangen A, Herzberg U, Vogel Z, Yadid G. Nociceptive stimulus induces release of endogenous β-endorphin in the rat brain. Neurosci. 1998;85(3):659-2.

Campbell-Yeo M, Johnston C, Benoit B, Latimer M, Vincer M, Walker CD, et al. Trial of repeated analgesia with Kangaroo mother care (TRAKC Trial). BMC Pediatr. 2013;13(1):182.