Publication:
Efficacy of Heel Warming on Pain Response to Heel Stick in Neonates

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorSapkota, Pratima Sharma
dc.contributor.authorBhandari, Sunita Shah
dc.contributor.authorKarn, Basanta Kumar
dc.contributor.authorYadhav, Upendra
dc.date.accessioned2025-12-12T06:21:34Z
dc.date.available2025-12-12T06:21:34Z
dc.date.issued2021
dc.descriptionPratima Sharma Sapkota Fishtail Hospital and Research Centre, Gairapatan, Pokhara, Nepal Sunita Shah Bhandari Department of Child Health Nursing, College of Nursing, BPKIHS, Dharan, Nepal Basanta Kumar Karn Department of Child Health Nursing, College of Nursing, BPKIHS, Dharan, Nepal Upendra Yadhav Department of Child Health Nursing, College of Nursing, BPKIHS, Dharan, Nepal
dc.description.abstractAbstract: Introduction: Heel prick is one of the commonest procedures carried out in the hospitalised newborns. Pain is a subjective experience for which the neonates, infants and children respond with behavioural reactions. Applying hot pack to the skin surface causes proximal blood vessels to dilate due to the raised temperature which may decrease the pain perception in neonates. We intended to study the effect of heel warming during heel prick in perception of pain in neonates. Method: An experimental study was conducted among neonates admitted in paediatric wards of BPKIHS. Total 92 participants undergoing heel prick/stick were selected by consecutive sampling technique and allocated randomly to experimental group and control group. Warmer was applied to the heel of the baby for three to five minutes which provided the baby’s heel with the warmth of 38°C to 40°C prior to heel stick in experimental group only. Newborn’s pain level was assessed in both experimental and control group through The Neonatal Infant Pain Scale (NIPS). Mann Whitney test was used to compare means of pain score between experimental and control groups. Results: The mean pain score among experimental group was 1.39 and in control group was 2.20. Experimental group showed significantly lower pain (p < 0.001) compared to the control group. Application of warmth before heel stick caused reduction in pain. Conclusions: The findings suggest that heat application prior to heel stick is effective in reducing pain in newborns.
dc.identifierhttps://doi.org/10.3126/jnps.v41i1.30786
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3584
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectHeel stick
dc.subjectHeat application
dc.subjectNeonates
dc.subjectPain
dc.titleEfficacy of Heel Warming on Pain Response to Heel Stick in Neonates
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage53
oaire.citation.startPage48
relation.isJournalIssueOfPublication6de7ba9f-9cce-481b-ab42-d3a1b3a0deab
relation.isJournalIssueOfPublication.latestForDiscovery6de7ba9f-9cce-481b-ab42-d3a1b3a0deab
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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