Akademik Veri Yönetim Sistemi
Journal of Pediatric Nursing, cilt.86, ss.426-433, 2026 (SCI-Expanded, SSCI, Scopus)
Background The development of the mother–baby relationship and the optimal functional and structural brain development of newborns occur during the first hours after birth; hence, this period is considered the sacred hours. However, invasive procedures performed on newborns after birth cause pain, distress, and discomfort. Aim To investigate the effects of white noise on newborns' pain, comfort, crying times, and physiological parameters during their first invasive intervention. Materials and methods This randomized, controlled experimental study was performed on 75 newborns who were exposed to white noise for 5 min before an invasive intervention (i.e., intramuscular vitamin K injection). The procedure was recorded by a camera from the start of the playback of the white noise until 5 min after vitamin K administration. The Neonatal Comfort Behavior Scale (COMFORTneo), Neonatal Infant Pain Scale (NIPS), and Infant Information Form scores were collected and analyzed. Results The heart rates of the experimental group were significantly lower than those of the control group during and after the administration (p < 0.05). The SpO2 values of the experimental group were significantly higher than those of the control group (p < 0.05). The NIPS and COMFORTneo (total value, distress estimation, and pain estimation) scores of the experimental group were significantly lower than those of the control group as evaluated by observers. Conclusion Considering the relaxing effects of white noise during intramuscular administration, playing white noise in delivery rooms is recommended.