Comparison of mother’s therapeutic touch and voice stimulus in reduce pain in premature infants undergoing invasive procedures

Published: 20 May 2021
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  • Defi Efendi Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West Java; Neonatal Intensive Care Unit, Universitas Indonesia Hospital, Depok, West Java, Indonesia.
  • Nining Caswini Pediatric Special Care Unit, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
  • Reisy Tane Faculty of Nursing, Health Institute Deli Husada Deli Tua, Deli Tua, North Sumatera, Indonesia.
  • Maria Dyah Kurniasari College of Nursing, Taipei Medical University, Taipei, Taiwan; Faculty of Medicine and Health Science, Universitas Kristen Satya Wacana, Salatiga, Central of Java, Indonesia.
  • Huda Mega Hasanul College of Nursing, Taipei Medical University, Taipei, Taiwan, Province of China.
  • Raudha Ilmi Farid Neonatal Intensive Care Unit, Universitas Indonesia Hospital, Depok, West Java, Indonesia.

Invasive procedures commonly cause recurring pain in preterm infants. Noninvasive pain management is an essential part of nursing intervention in the Neonatal Intensive Care Unit (NICU). The study’s aim is to identify the impact of touch therapy on pain in premature infants undergoing invasive treatments. The method was a quasi- experiment with 63 premature infants. The premature infants were classified into four groups: i) Mother’s touch Therapy (MTT), ii) Mother’s Voice Stimulus (MVS), iii) a combination of MTT and MVS, and iv) routine care. The observed infants’ pain scores were determined through a multiple regression model using the Generalized Estimating Equation (GEE) method. The GEE test showed that the combination of touch and sound therapy significantly reduced pain in premature infants undergoing invasive measures (p<0.05). A combined application of MTT and MVS is the most effective in reducing pain scores in infants undergoing invasive procedures and thus, can used safely as part of nursing intervention in the NICU.

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Efendi, D. ., Caswini, N., Tane, R., Kurniasari, M. D., Hasanul, H. M., & Farid, R. I. (2021). Comparison of mother’s therapeutic touch and voice stimulus in reduce pain in premature infants undergoing invasive procedures. La Pediatria Medica E Chirurgica, 43(s1).


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