Authors:
Roshni Rani, Nandini Mannadath, Senthilkumar Thavasiappan

Addresses:
Department of Paediatrics, Western Health, Melbourne, Victoria, Australia. Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Sakhir, Southern Governorate, Bahrain. Department of Medical Surgical Nursing, Lourde College of Nursing, Kannur, Kerala, India. 

Abstract:

Pain in newborns is a ubiquitous phenomenon; they are routinely subjected to pain, including routine immunisation, and it is important to make them comfortable during painful procedures. Hence, a study was undertaken to evaluate the effectiveness of facilitated tucking on the physiological and behavioural responses of neonates undergoing BCG vaccination at a selected hospital in Thrissur. It was a quasi-experimental study; a quantitative approach, based on Kolcaba's Comfort Theory. After obtaining informed consent from the primary caregivers, 60 neonates (30 in each group) who attended the immunisation OPD at Aswini Hospital for BCG vaccination were selected using nonprobability purposive sampling. The primary caregiver collected the neonate's demographic data, and the investigator facilitated tucking only for the experimental group during BCG vaccination. The physiological and behavioural responses of neonates were assessed immediately before and at 1 minute after BCG vaccination in both the experimental and control groups. The results indicate that the facilitated tucking intervention was effective in reducing pain (U = 25.00) and physiological responses (HR, SPO2; t = 13.826, -4.699, respectively). There is no correlation between the behavioural (pain) and physiological responses (HR, SPO2) in neonates, with r = 0.097 and 0.002, respectively. 

Keywords: Responses of Neonates; Facilitated Tucking; Physiological Response; Behavioural Response; BCG Vaccination; Paediatric Pain; Neonatal Pain; Tissue Damage; Assessment Strategies.

Received on: 24/09/2024, Revised on: 15/11/2024, Accepted on: 15/01/2025, Published on: 09/09/2025

DOI: 10.69888/FTSHS.2025.000516

FMDB Transactions on Sustainable Humanities and Society, 2025 Vol. 2 No. 3, Pages: 121-130

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