Metas de Enfermería

Metas de Enfermería

MAYO 1999 N° 15 Volumen 2

Pain in the early diagnosis of neonatal test: heel stick or hand

Section: Originals


1Mª Dolors Alcaraz Sanz, 2Neus Castán Laborda, 3Esther Casanovas Cuquet, 4Artur Vives Vidal


1Diplomada en Enfermería. Hospital General de Catalunya. Sant Cugat del Vallés, Barcelona.2Diplomada en Enfermería. Hospital General de Catalunya.3Diplomada en Enfermería. SOU Calella, Barcelona.4Diplomado en Enfermería. DAP Barcelona.

Contact address

Avda. Canaletas, 20. 08290 Cerdanyola del Vallés, Barcelona.


The aim of this study is to compare the pain degree in Newborn Metabolic Screening Test, as a puncture procedure function: hand or heel.

Neonates born at the "Hospital General de Catalunya" (Barcelona) from october to december of 1997 were chossen as study subjects.

A classical experimental true dessign was performed, cutting out an experimental group (hand punction) and a control group (heel punction).These one were stablished from a simple aleatory probabilistic method.

Physiological and behavioral parameters were observed in order to evaluate the pain intensity.

Obtenied data were analysed with inferencial and descriptive statistical test.

From results were observed that when heel were punctioned, there wasa statistically significant increase of: respiratory frequency, cry time, body movements, punctions number, and test duration.

From the study was concluded that hand punction is less painful that heel punction.


pain; newborn; heel punction; hand punctionnewborn metabolic screening test

Versión en Español


Dolor en la prueba del diagnóstico precoz neonatal: punción en el talón o en la mano