Music and 25% Glucose Pain Relief for the Premature Infant: A Randomized Clinical Trial

Maria Vera Lúcia Moreira Leitão Cardoso
Leiliane Martins Farias
Gleicia Martins de Melo

Abstract

Objective: To analyze the total Premature Infant Pain Profile scores of premature infants undergoing arterial puncture during music and 25% glucose interventions, and to assess their association with neonatal and therapeutic variables. Method: A randomized clinical trial with 80 premature infants; 24 in the Experimental Group 1 (music), 33 in the Experimental Group 2 (music and 25% glucose), 23 in the Positive Control Group (25% glucose). All premature infants were videotaped and a lullaby was played for ten minutes before puncture in Experimental Groups 1 and 2; 25% glucose administered in Experimental Group 2 and the Positive Control Group two minutes before puncture. Results: 60.0% of premature infants had moderate or maximum pain; pain scores and intervention groups were not statistically significant. Statistically significant variables: Experimental Group 1: head and chest circumference, Apgar scores, corrected gestational age; Experimental Group 2: Chest circumference, Apgar scores, oxygen therapy; Positive Control group: Birth weight, head circumference. Conclusion: Neonatal variables are associated with pain in premature infants. Brazilian Registry of Clinical Trials: UTN: Ullll-1123-4821. (PsycINFO Database Record (c) 2016 APA, all rights reserved)