• Child Health Nursing Research
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• v.11 no.3
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• pp.356-364
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• 2005

Purpose: This study is to assess and compare the analgegic effects of $25\%$ sucrose coating pacifier and pacifier. Method: The participants are 75 healthy infants of neonatal age 1-7 days and randomized to receive heel prick before 2 minutes to blood sampling and physiological test in Nursery of A Medical Center from 24. January to 28, February, 2003. The experimental group assigned to one of three treatment groups: no treatment, a pacifier, $25\%$ sucrose coating pacifier. Collected data were analyzed with the SPSS 11.0 program using $x^2$-test, one-way ANOVA and Scheffe, repeated mesured ANOVA. Results: The pain score of $25\%$ sucrose coating pacifier is lower than no treatment group and pacifier group. In heart rate, there were statistical significant differences between three groups. In repiratory rate, there were no statistical significant differences between three groups. In $SaO_2$, there were statistical significant difference between three groups. Conclusion: The $25\%$ sucrose coating pacifier showed pain relief effect in behavior responses and heart rate and $SaO_2$. Accordingly, the sucrose coating pacifier should be applied nursing intervention for simple pain management as heel prick.

• Korean Parent-Child Health Journal
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• v.13 no.2
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• pp.78-85
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• 2010

Purpose: The purpose of this study was to examine the pain reducing effects of the dextrose-coated pacifier on venipuncture in premature infants. Methods: The design of this study is a nonequivalent control group pretest-posttest design and a crossover trial. The analysed cases were 40 premature infants (20 in experimental group and 20 in control group) in neonatal intensive care unit of a University Hospital, Gyeongnam Province, Korea. The data were collected from April to October, 2009. The experimental treatment was carried out nursing 20% dextrose-coated pacifier on venipuncture for IV injection. The instruments were $O_2$ saturation and heart rate on pulse oxymeter monitor to measure physiologic pain responses, and NIPS to measure behavioral pain responses. Collected data were analyzed with $x_2$ test, t-test using SPSS program. Results: The effects of the 20% dextrose-coated pacifier were found in the physiologic (only heart rate) and behavioral pain response on venipuncture. Conclusion: These finding is suggested that the dextrose-coated pacifier could be an effective nursing intervention for reducing pain on venipuncture in premature infants.

• Child Health Nursing Research
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• v.7 no.1
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• pp.35-50
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• 2001

The ability of neonates to perceive and react to pain, has been acknowledged recently. Recent researches have been shown that even short term pain can have lasting negative effects. We know that most of the anatomical pathway and neurotrans-mitter function necessary for pain perception are fully or nearly fully developed in the neonatal period. Many people are still reluctant to believe that pain felt by neonates may be as severe as that felt by older children or adults yet. The objective of the study is to assess and compare the analgesic effects of orally administered sucrose and pacifiers. And to determine the synergistic analgesic effects of sucrose and pacifiers. The tools for this study is Lawrence's NIPS (neonatal infant pain scale) with behavioural pain responses and index for pain physiological reponses as heart rate, respiratory rate and degree of SaO₂. The participants are 96 healthy infants of neonatal age 1-7days and randomised to receive heel prick before 2minutes to blood sampling and physiological test in Nursery of K Medical University Hospital on May-July, 2000. The experimental group assigned to one of three treatment groups : no treatment; a pacifier; placebo(2ml 25％ sucrose). Collected data were analyzed with the SAS program using X²-test, ANOVA and Duncan's multiple range test as post hoc. The results were as follows. 1) Pain behaviour responses: The pain score of placebo group(2ml 25％ sucrose) is lower than no treatment group and pacifier group significantly(P=.000). Placebo group is different from no treatment and pacifier group with Duncan's multiple range test. 2) Pain physiologic responses (1) heart rate: The heart rate of placebo group(2ml 25％ sucrose) is different from that of no treatment group and pacifier group significantly(P=.000). The heart rate change of placebo group is less than the other groups. (2) respiratory rate: The respiratory rate of placebo group(2ml 25％ sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.2340). But, the respiratory rate of placebo group is lower than the other groups. (3) SaO₂: The SaO₂ score of placebo group(2ml 25％ sucrose) is different from that of no treatment group and pacifier group insignificantly (P=.3265). But, the change of SaO₂ score of placebo group is less than the other groups. In conclusion, the sucrose placebo showed pain relief effect in behavior responses and less physiological responses. Accordingly, the sucrose placebo should be applied nursing intervention for simple pain management as heel prick.

• Journal of Korean Academy of Nursing
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• v.36 no.5
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• pp.732-741
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• 2006

Purpose: This study was to investigate the effects of non-nutritive sucking on physiological and behavioral state of pre-term infants during tube feeding. Method: This nonequivalent, non-synchronized experimental study included 50 pre-term infants. An attempt was made to match gestational age and birth weight of infants in each group. Infants in the experimental group were given a pacifier 2 minutes before, during, and for 2 minutes after tube feeding. Infants in the control group did not get a pacifier. Both groups were tested at three stages for changes in the physiologic state and behavioral state - 2 minutes before, during, and 2 minutes after feeding. Date was analyzed with SPSS WIN 10.0 using an $X^2$-test, t-test, and repeated measures ANOVA. Result: Heart rates and oxygen saturation levels of the two groups were significantly different(P=.001, P=.000). The behavioral states of the two groups were significantly different during and post feeding(P=.000, P=.000). Conclusion: This result suggests non-nutritive sucking by using a pacifier is an effective intervention for pre-term infants during tube feeding.

• Journal of the korean academy of Pediatric Dentistry
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• v.34 no.3
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• pp.383-389
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• 2007

The purpose of this study was to investigate the prevalence of severe early childhood caries and feeding pratices in preschool children. The subjects of study were six hundred and seventy-two preschool children in Iksan city. Severe early childhood caries(S-ECC) was defined as the presence of one or more cavitated, missing due to caries, or filled smooth surfaces in primary maxillary anterior teeth. The caregivers of children were given a questionnaire including age, gender, birthweight, and feeding practices. The prevalence of S-ECC was 34.5%. The prevalence was significantly higher when there were the habit of sleeping while feeding, the habit of feeding sour or sweet content in the bottle, and the habit of using the pacifier. Birth weight, breast-feeding, bottle-feeding, and the sippy cup habit showed no significant association with the prevalence of S-ECC. There were significant positive associations between breast-feeding and sleeping while feeding, between bottle-feeding and the pacifier, between sleeping while feeding and sour or sweet content in the bottle, between sleeping while feeding and the sippy cup, between sleeping while feeding and the pacifier, and between the sippy cup and the pacifier. There were significant negative associations between breast-feeding and the pacifier.

• Neonatal Medicine
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• v.18 no.2
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• pp.353-358
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• 2011

Purpose: The goal of this study was to compare the efficacy of oral 25% dextrose treatment or/and pacifier for analgesia in healthy newborns during intramuscular injection of a hepatitis B vaccine. Methods: A prospective, randomized, partially blinded, clinical trial was performed in 132 healthy newborns. They were assigned randomly to 4 treatment groups: control group (2 mL distilled water), dextrose group (2 mL 25% dextrose), pacifier group, dextrose+pacifier group (pacifier coating with 25% dextrose) during intramuscular injection of hepatitis B vaccine. For all groups, Neonatal Infant Pain Scale (NIPS), Neonatal Facial Coding System (NFCS), Premature Infant Pain Profile (PIPP) scores were evaluated before the injection, during the injection, and at 2 minutes after the injection. Pain scores were compared among the 4 groups. Results: Maternal and neonatal characteristics were similar among the 4 groups. 25% dextrose treatment led to lower NIPS pain scores during injection (6.4${\pm}$0.9 vs. 5.5${\pm}$1.7, P=0.01) and after injection (1.6${\pm}$2.0 vs. 0.6${\pm}$0.9, P=0.01) and NFCS pain scores after injection (1.5${\pm}$2.3 vs. 0.7${\pm}$0.8, P=0.04) than control group. The number of neonates who feel the pain (indication of scores: NIPS${\geq}$4, NFCS${\geq}$3) decreased (9 (23.1%) vs. 0 (0%), P=0.04 via NIPS, 7 (17.9%) vs. 0 (0%), P=0.02 via NFCS). However, all treatment groups did not decreased PIPP scores, compared with the control group. Conclusion: Oral 25% dextrose is effective than distilled water or using pacifier with or without 25% dextrose in reducing pain during intramuscular injection of hepatitis B vaccinations. Further study based on this preliminary study need about nonpharmacologic management of pain in newborns.

• Journal of Korean Academy of Nursing
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• v.13 no.3
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• pp.119-126
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• 1983

Early extra-uterine development of the newborn infant has the potential for clarifying important questions of nature and care taking environment. In this study, tactile and auditory stimulation is used on .a group of infants to determine the effects of their response. Infants were tested by EKG at 24∼48 hrs after birth ana all they are free from complication. Stimuli presented were-touch and sound (40dB, 70dB and 40∼70dB). The result of the study were as follows: 1) The heart rate was seen to depend on their sleep-wake state. (light sleep ; 125/min, eyes: open & motor activity increase ； 151/min crying ; 185/min). 2) The heart rate affected by tactile & auditory stimulus. The heart rate response was acceleration above the prestimulus level. (tactile, 231min increase, auditory ; 16∼21/min increase), and heart rate change was seen to depend on prestimulus rate. (γ=.73) 3) There was a decrease in heart rate when they were soothe. (touch ; 24.8sec, 21/min decrease, pacifier ; 14.5sec, 26/min decrease) and significant difference in time between touch and pacifier (t= 1.76, p<0.05). This result support the evaluation of newborn infant's sensory abilitics, and has even begin to influence changes in nursing care. But systemic monitoring of newborn infants response would. further define.

• Child Health Nursing Research
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• v.25 no.3
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• pp.255-261
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• 2019

Purpose: This study compared the pain-relieving effects of human milk, sucrose, and distilled water during examinations for retinopathy of prematurity. Methods: Forty-five preterm infants were randomly assigned to receive a pacifier dipped in one of three solutions: human milk (n=14), 24% sucrose (n=15), or distilled water (n=16), 2 minutes before an eye examination. Their pain score, pulse rate, and oxygen saturation were measured at three time points: 5 minutes before the examination, 30 seconds after speculum introduction, and 2 minutes after the examination. Results: The infants' mean gestational age and weight at birth were $33.1{\pm}2.1$ weeks and $1,842{\pm}470g$, respectively. There were no between-group differences in pain relief during the eye examination. The pain score significantly increased both during (p<.001) and after the examinations (p=.003). Oxygen saturation decreased during the examinations (p<.001); however, the infants in the 24% sucrose group showed higher oxygen saturation (p=.047) during the examinations than the infants in the other groups. Conclusion: Sucking on a pacifier dipped in human milk or 24% sucrose did not reduce the pain associated with eye examinations in preterm infants. Pacifiers dipped in sucrose can be used to maintain better oxygen saturation during these examinations.

• Journal of the korean academy of Pediatric Dentistry
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• v.41 no.3
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• pp.247-256
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• 2014

The purpose of this study was to determine the prevalence of non-nutritive sucking in preschool children in Daejeon. This study assessed the relationship between contributing factors influencing the prevalence of non-nutritive sucking. Also, the effects of non-nutritive sucking on the primary dentition were investigated. The study included 841 children 18~65 months of age that visited a pediatric private dental clinic for oral examination. Both children and their guardians were surveyed. It was found that 32.8% of children exhibited non-nutritive sucking, and 37.7% of females displayed this behavior. The number of females showing this behavior was significantly greater than that of males. The prevalence decreased significantly with the breast-feeding period, and there was no association with either birth rank or maternal occupation. Finger sucking (62.6%) was more prevalent and of longer duration than pacifier sucking (37.4%). Malocclusion of the primary dentition was associated with the duration of this behavior.

• Korean Journal of Child Studies
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• v.26 no.6
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• pp.321-334
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• 2005

This research investigated television and video viewing of young children in early childhood all-day program settings and teachers' recognition of its effects on young children through the survey of 452 early childhood teachers. The results show that television and video viewing is used as a whole group activity during transition period and/or waiting time activity for children who come earlier in the morning and remain late until closing time. It means television and video viewing at early childhood settings is mainly used as a group baby sitter or pacifier. Daily viewing time is about 44.02 minutes and early childhood teachers show low recognition of their role in children's viewing habits. Young children's viewing patterns and time are differed by teachers' variables so that young children of beginning teachers at small size settings appear more viewing time. Teachers show more negative recognition of television and video viewing on young children when they are older and have higher educational level and longer education experiences. The results also show that the more teachers have positive recognition on television and video viewing, the more young children are exposed to television and video viewing in their classes.