• K E Corff, R Seideman, P S Venkataraman, L Lutes, and B Yates.
• Neonatal intensive care unit, Children's Hospital of Oklahoma, Oklahoma City, USA.
• J Obstet Gynecol Neonatal Nurs. 1995 Feb 1;24(2):143-7.

ObjectiveTo identify the effectiveness of "facilitated tucking," a nonpharmacologic nursing intervention, as a comfort measure in modulating preterm neonates' physiologic and behavioral responses to minor pain.DesignProspective, repeated measure, random sequencing, and experimental.SettingLevel III neonatal intensive-care unit of a tertiary care university pediatric hospital.ParticipantsThirty preterm neonates, 25-35 weeks gestation.InterventionsHeart rate, oxygen saturation, and sleep state were recorded 12 minutes before, during, and 15 minutes after two heelsticks, one with and one without facilitated tucking.HypothesisPremature neonates will have less variation in heart rate and hemoglobin oxygen saturation, shorter crying and sleep disruption times, and less fluctuation in sleep states in response to the painful stimulus of a heelstick with facilitated tucking than without.ResultsNeonates demonstrated a lower mean heart rate 6-10 minutes post-stick (p < 0.04), shorter mean crying time (p < 0.001), shorter mean sleep disruption time (p < 0.001), and fewer sleep-state changes (p = 0.003) after heelstick with facilitated tucking than without.ConclusionFacilitated tucking is an effective comfort measure in attenuating premature neonates' psychologic and behavioral responses to minor pain.

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