White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion

Abstract Background Early and continuous exposure to painful stimuli in premature infants leads to short-and long-term complications. Listening to white noise is an accessible and inexpensive non-invasive method that can be used as a safe nursing intervention in hospitals. This study aimed to assess...

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Main Authors: Omolbani Rahimi, FatemehSadat SeyedNematollah Roshan, Leila Nikrouz
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05431-z
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author Omolbani Rahimi
FatemehSadat SeyedNematollah Roshan
Leila Nikrouz
author_facet Omolbani Rahimi
FatemehSadat SeyedNematollah Roshan
Leila Nikrouz
author_sort Omolbani Rahimi
collection DOAJ
description Abstract Background Early and continuous exposure to painful stimuli in premature infants leads to short-and long-term complications. Listening to white noise is an accessible and inexpensive non-invasive method that can be used as a safe nursing intervention in hospitals. This study aimed to assess white noise’s effect on premature Infants’ physiological parameters during peripheral intravenous catheter insertion. Methods The present experimental study was conducted on 40 premature Infants. From 5 min before Indwelling catheters to 10 min after, white noise was played through headphones to infants at a controlled volume in the test group. Using a monitor, physiological parameters were recorded from 10 min before to 30 min after the Indwelling catheter. Statistical analysis was done through the SPSS version 27 software program. Results Regarding respiratory rate, there was no statistically significant difference between the two groups in the first, second, and sixth stages (p < 0.05). However, in the third, fourth, and fifth stages, RR in the control group was significantly higher than the test group (p ≤ 0.05). In terms of mean arterial blood pressure, there was no statistically significant difference between the two groups in any of the stages (p < 0.05). In terms of heart rate, there was no statistically significant difference between the two groups in the first, second, and sixth stages (p < 0.05). However, in the third, fourth, and fifth stages, HR in the control group was significantly higher than the test group (p ≤ 0.05). Regarding oxygen saturation percentage, there was no statistically significant difference between the two groups in the first, second, third, and sixth stages (p < 0.05). In contrast, in the fourth and fifth stages, the oxygen saturation percentage in the test group was significantly higher than in the control group (p < 0.05). Conclusions Although in both groups the painful procedure led to an increase in physiological variables (respiratory rate, heart rate, mean arterial blood pressure) and a decrease in blood oxygen saturation, in the test group these variables approached their initial state more quickly within half an hour after exposure to white noise. This confirms that the effect of white noise on the improvement of physiological variables is gradual. Clinical trial number Not applicable.
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spelling doaj-art-cf1b5eda5ba74711998923bb4a00ec022025-02-02T12:42:47ZengBMCBMC Pediatrics1471-24312025-01-012511910.1186/s12887-025-05431-zWhite noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertionOmolbani Rahimi0FatemehSadat SeyedNematollah Roshan1Leila Nikrouz2Neonatal Intensive Care Nursing, Bahrami Hospital, Tehran University of Medical SciencesDepartment of Nursing, Faculty of Midwifery and Nursing, Tehran Medical Sciences, Islamic Azad UniversityFaculty of Nursing, Yasouj University of Medical Sciences, Kohkiloyeh and Boyer-AhmadAbstract Background Early and continuous exposure to painful stimuli in premature infants leads to short-and long-term complications. Listening to white noise is an accessible and inexpensive non-invasive method that can be used as a safe nursing intervention in hospitals. This study aimed to assess white noise’s effect on premature Infants’ physiological parameters during peripheral intravenous catheter insertion. Methods The present experimental study was conducted on 40 premature Infants. From 5 min before Indwelling catheters to 10 min after, white noise was played through headphones to infants at a controlled volume in the test group. Using a monitor, physiological parameters were recorded from 10 min before to 30 min after the Indwelling catheter. Statistical analysis was done through the SPSS version 27 software program. Results Regarding respiratory rate, there was no statistically significant difference between the two groups in the first, second, and sixth stages (p < 0.05). However, in the third, fourth, and fifth stages, RR in the control group was significantly higher than the test group (p ≤ 0.05). In terms of mean arterial blood pressure, there was no statistically significant difference between the two groups in any of the stages (p < 0.05). In terms of heart rate, there was no statistically significant difference between the two groups in the first, second, and sixth stages (p < 0.05). However, in the third, fourth, and fifth stages, HR in the control group was significantly higher than the test group (p ≤ 0.05). Regarding oxygen saturation percentage, there was no statistically significant difference between the two groups in the first, second, third, and sixth stages (p < 0.05). In contrast, in the fourth and fifth stages, the oxygen saturation percentage in the test group was significantly higher than in the control group (p < 0.05). Conclusions Although in both groups the painful procedure led to an increase in physiological variables (respiratory rate, heart rate, mean arterial blood pressure) and a decrease in blood oxygen saturation, in the test group these variables approached their initial state more quickly within half an hour after exposure to white noise. This confirms that the effect of white noise on the improvement of physiological variables is gradual. Clinical trial number Not applicable.https://doi.org/10.1186/s12887-025-05431-zWhite noiseVital signsPhysiological parametersPremature infantsIntensive care unitPainful procedures
spellingShingle Omolbani Rahimi
FatemehSadat SeyedNematollah Roshan
Leila Nikrouz
White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion
BMC Pediatrics
White noise
Vital signs
Physiological parameters
Premature infants
Intensive care unit
Painful procedures
title White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion
title_full White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion
title_fullStr White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion
title_full_unstemmed White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion
title_short White noise’s effect on premature infants’ physiological parameters during peripheral intravenous catheter insertion
title_sort white noise s effect on premature infants physiological parameters during peripheral intravenous catheter insertion
topic White noise
Vital signs
Physiological parameters
Premature infants
Intensive care unit
Painful procedures
url https://doi.org/10.1186/s12887-025-05431-z
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AT leilanikrouz whitenoiseseffectonprematureinfantsphysiologicalparametersduringperipheralintravenouscatheterinsertion