Use of facilitated tucking for nonpharmacological pain management in preterm infants: a systematic review.
BACKGROUND
Neonatal care demands attention to interventions that effectively reduce pain with pharmacological and nonpharmacological methods in preterm infants during invasive procedures.


OBJECTIVE
The aim of this systematic review was to determine the efficacy of facilitated tucking as nonpharmacological pain management in preterm infants.


METHODS
Electronic searches were conducted using the following databases: Ovid, Blackwell Synergy, ScienceDirect, PsychINFO, and CINAHL and with the following key words: facilitated tucking, preterm infant's pain responses, and randomized clinical trials for the period of 1995 to May 2008.


RESULTS
The search generated 15 articles; 5 articles fit to the criteria of the systematic review. The following outcomes were statistically significant: heart rate; increase in oxygen saturation; sleep-wake state; Premature Infant Pain Profile scores; and neonate infant pain scores.


CONCLUSIONS
The studies reviewed provide important preliminary findings that suggest facilitated tucking may be beneficial to preterm infants in attenuating their responses to painful procedures.
Obeidat
Hala
H
Faculty of Nursing, Princess Muna College of Nursing, Amman, Jordan. obeidathala@yahoo.com
Kahalaf
Inaam
I
Callister
Lynn Clark
LC
Froelicher
Erika Sivarajan
ES
D000529:Complementary Therapies / Q000379:methods / Q000706:statistics & numerical data*; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D007224:Infant Care / Q000379:methods*; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D015931:Intensive Care, Neonatal / Q000379:methods; D008297:Male; D017283:Neonatal Nursing / Q000379:methods*; D010146:Pain / Q000451:nursing* / Q000517:prevention & control; D010147:Pain Measurement; D016032:Randomized Controlled Trials as Topic; D014110:Touch