Evaluation of pain of neonates during invasive procedures in intensive care

Cruz, Cibele Thomé da; Gomes, Joseila Sônego; Kirchner, Rosane Maria; Stumm, Eniva Miladi Fernandes

doi:10.5935/1806-0013.20160070

Cited by 13 publications

(16 citation statements)

References 7 publications

(7 reference statements)

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“…This perception is due to the performance of tests that require blood collection almost daily. A randomized clinical trial aimed at comparing the pain response in pre-term infants who received musical intervention and glucose with a group that did not receive any type of intervention showed that those who received musical intervention and glucose had better results in treatment and recovery, which shows the importance of non-pharmacological methods of pain relief for newborns (12) .…”

Section: Discussionmentioning

confidence: 99%

Stressors in patients of neonatal intensive care unit

et al. 2018

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Objective: to analyze the stressors on patients in neonatal intensive care unit. Methods: a cross-sectional study, develop in a reference public maternity hospital, with 60 nursing professionals who cared for the 24 hospitalized newborn babies. For data collected, a sociodemographic questionnaire and the Stressor Scale in Intensive Care Units were used to identify the stressors. A value of p<0.05 was used for the tests. Results: of the total of professionals, 18 (30.0%) were nurses. Most of the newborns were premature-moderate, with hospitalization time between eight and 15 days. Being punctured by needles was the most stressful factor and silencing alarms the main action mentioned as a strategy to reduce stressors. Conclusion: the 15 stressors evaluated presented high mean scores, showing that neonatal intensive care unit is an environment that varies between stressful and very stressful for newborns.

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Section: Discussionmentioning

confidence: 99%

Stressors in patients of neonatal intensive care unit

et al. 2018

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“…It was concluded that pain should be evaluated when performing handling procedures, especially in preterm infants, since their central nervous system is immature and painful sensations can lead to changes in physiological parameters, future pain perception, and the sleep-rest cycle, among others. (11) The analysis of the polysomnograms and images obtained by filming 25 newborns, to diagnose brain dysfunction and assess the influence of handling on sleep and ventilatory stability, found that the newborns studied were handled during all sleep stages. In 57% of the handling procedure, awakening occurred, and apnea was identified in 19.5% of the preterm infants.…”

Section: Introductionmentioning

confidence: 99%

O efeito da manipulação sobre o sono do recém-nascido prematuro

et al. 2017

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Objective: Identify the types of handling procedures performed on preterm infants and assess their influence on total sleep time, wake time and the objective sleep variables. Methods: Observational and correlational study conducted in the neonatal unit of a teaching hospital. The sample was made up of 12 preterm infants who met the inclusion and exclusion criteria established for the study. Data were collected from March 2013 to April 2014, by means of polysomnography, filming and observation for 24 uninterrupted hours. Descriptive statistics, the Friedman test, Pearson's correlation and linear regression, with significant values of p≤0.05, were used. Results: The preterm infants studied were predominantly late preterm, female, with low birth weight, and a mean chronological age of 14 days. The newborns were handled an average of 176.4 (±37.9) times during a 24-hour period; 58% of the handling procedures were for monitoring. The proportion of total sleep time was 57.2% in 24 hours. There was no statistically significant correlation between frequency and duration of direct and ambient handling and the sleep of preterm infants in a 24-hour period. Single handling procedures had a strong positive correlation with wake time. Conclusion: Handling was related to monitoring, therapeutic/diagnostic and hygiene/comfort, with a prevalence of direct, single handling procedures. No statistically significant influence on the objective sleep variables was identified, except for single handling procedures where there was a correlation with wake time. ResumoObjetivo: Identificar os tipos das manipulações realizadas em recém-nascidos prematuros e avaliar a influência sobre os tempos totais de sono, vigília e as variáveis objetivas do sono. Métodos: Estudo observacional e de correlação realizado em uma unidade neonatal de hospital universitário. A amostra foi constituída por 12 recém-nascidos prematuros que atenderam aos critérios de inclusão e exclusão estabelecidos para o estudo. Os dados foram coletados no período de março de 2013 à abril de 2014 e obtidos por meio do polissonígrafo, filmagem e observação durante 24 horas, ininterruptas. Utilizou-se a estatística descritiva, teste de Friedman, correlação de Pearson e regressão linear, com valores significantes p≤0,05. Resultados: Os prematuros estudados eram predominantemente tardios, do sexo feminino, com baixo peso ao nascer e idade cronológica média de 14 dias. Os neonatos foram manipulados em média 176,4(±37,9) vezes durante as 24 horas, sendo que 58% das manipulações foram para monitoramento. A proporção do tempo total de sono foi 57,2% em 24 horas. Não houve correlação estatisticamente significante entre as frequências e os tempos de duração das manipulações diretas e do ambiente com o sono dos RNPT em 24 horas. A forma única apresentou correlação fortemente positiva com a vigília. Conclusão: As manipulações relacionaram-se ao monitoramento, terapêutica/diagnóstica e cuidados de higiene e conforto, com prevalência das manipulações diretas e únicas, não sendo iden...

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“…Aspiration through an orotracheal tube and/or an airway is the main reason for this pain. 26 Furthermore, the routine procedures and painful stimuli within the unit increasingly corroborate the need for minimal handling of these patients. 27 Non-pharmacological and low-risk resources that promote the reduction of stress and pain levels in PTNB should be encouraged, such as hammock positioning.…”

Section: Discussionmentioning

confidence: 99%

Effects of Hammock Positioning on Clinical Parameters in Preterm Infants Admitted to a Neonatal Intensive Care Unit: A Systematic Review

Menger

Mafaldo

Schiwe

et al. 2021

Rev. paul. pediatr.

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Objective: To review the effects of the hammock positioning on clinical parameters of preterm newborn infants (PTNB) admitted to the Neonatal Intensive Care Unit (NICU). Data sources: This was a systematic review performed by searching the Pubmed, Lilacs, SciELO and PEDro databases. Intervention studies in English, Portuguese and Spanish that evaluated the effects of hammock positioning on clinical parameters of PTNB admitted to the NICU were selected. Three search strategies were used: 1) hammock positioning OR patient positioning AND intensive care units AND infant, newborn; 2) hammock positioning OR patient positioning AND intensive care units; 3) hammock positioning OR patient positioning AND intensive care units, neonatal. There was no restriction on the year of publication of the articles. Methodological quality was assessed by the PEDro scale. Data synthesis: Among 597 articles, only six were included and 139 neonates with gestational ages between 26 and 37 weeks and an average gestational weight <2240g were analyzed. Four studies included patients without any associated pathology and most of them placed the PTNB supine in hammock positioning. The duration of the intervention ranged from 15 to 180 minutes and most applied it at just one moment. There was an improvement in heart rate (HR), respiratory rate (RR) and pain (3/4 studies), as well as gains in peripheral oxygen saturation (SpO2) (2/4 studies). Only one study reported worsening of SpO2 with the intervention. The methodological quality of the studies was classified as low. Conclusions: Although this review suggests improvement with hammock positioning in HR, RR and pain in PTNB, the low methodological quality makes the results inconsistent.

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Evaluation of pain of neonates during invasive procedures in intensive care

Cited by 13 publications

References 7 publications

Stressors in patients of neonatal intensive care unit

Stressors in patients of neonatal intensive care unit

O efeito da manipulação sobre o sono do recém-nascido prematuro

Effects of Hammock Positioning on Clinical Parameters in Preterm Infants Admitted to a Neonatal Intensive Care Unit: A Systematic Review

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