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Review Article| Volume 67, e113-e122, November 2022

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An integrative review of clinician-administered comforting touch interventions and acute stress responses of preterm infants

  • Marliese Dion Nist
    Marliese Dion Nist
    Correspondence
    Corresponding author.
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    Affiliations
    The Ohio State University College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA
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  • Audrey Robinson 1
    Author Footnotes
    1 Present address: Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
    Audrey Robinson
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    Footnotes
    1 Present address: Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
    Affiliations
    The Ohio State University College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA
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  • Tondi M. Harrison
    Tondi M. Harrison
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    The Ohio State University College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA
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  • Rita H. Pickler
    Rita H. Pickler
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    The Ohio State University College of Nursing, 1585 Neil Avenue, Columbus, OH 43210, USA
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  • Show footnotesHide footnotes
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    1 Present address: Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
Published:September 19, 2022DOI:https://doi.org/10.1016/j.pedn.2022.08.020
An integrative review of clinician-administered comforting touch interventions and acute stress responses of preterm infants
Previous ArticleOptimal complementary feeding practices and associated factors among mothers having children 6 to 23 months, south WOLLO zone, Dessie ZURIA, Ethiopia
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      Highlights

      • •
        Comforting touch helps decrease preterm infant stress responses.
      • •
        Comforting touch could be an adjunct for pain relief during painful procedures.
      • •
        Comforting touch is insufficient pain management for highly intrusive procedures.

      Abstract

      Problem

      Preterm infants experience numerous stressors in the neonatal intensive care unit. Non-pharmacological interventions, including maternal comforting touch, reduce stress responses of preterm infants; however, the effects of clinician-administered comforting touch are unclear. The purpose of this integrative review was to synthesize findings from clinical trials to determine the effect of clinician-administered comforting touch on preterm infants' acute stress responses.

      Eligibility criteria

      Eligible clinical trials were published in English between 2001 and October 2021 and reported effects of clinician-administered comforting touch on acute stress responses in preterm infants.

      Sample

      Thirty clinical trials were included.

      Results

      Researchers tested the effect of comforting static touch, massage, massage with kinesthetic stimulation, sensorial saturation, and Yakson. There was significant heterogeneity in study design, comparison condition, and context of intervention delivery. Results varied; some studies demonstrated efficacy of comforting touch in reducing acute stress responses and others showed no effect. Generally, comforting touch provided during stressful procedures was associated with lower stress responses compared to standard care and was an effective adjunct to other stress management strategies. However, comforting touch alone was insufficient for managing pain, especially during skin-breaking procedures.

      Conclusions

      While comforting touch may be a useful part of stress management plans for preterm infants, additional research is needed to determine when comforting touch is appropriate and effective.

      Implications

      Comforting touch is beneficial to preterm infants and should be provided for stress management. For highly intrusive or painful procedures, comforting touch can be provided as part of a comprehensive stress management plan.

      Keywords

      • Premature infant
      • Neonatal nursing
      • Touch
      • Stress
      • Pain management
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      Article info

      Publication history

      Published online: September 19, 2022
      Accepted: August 29, 2022
      Received in revised form: August 26, 2022
      Received: July 19, 2022

      Identification

      DOI: https://doi.org/10.1016/j.pedn.2022.08.020

      Copyright

      © 2022 Elsevier Inc. All rights reserved.

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