Dor Em Recém-Nascidos: Identificação, Avaliação E Intervenções

Araujo, Gabriella Carvalho; Miranda, Juliana de Oliveira Freitas; Santos, Deisy Vital dos; Camargo, Climene Laura de; Sobrinho, Carlito Lopes Nascimento; Rosa, Darci de Oliveira Santa

doi:10.18471/rbe.v29i3.13695

Cited by 9 publications

(20 citation statements)

References 5 publications

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“…Na prevenção e controle da dor no RN prematuro, os profissionais de saúde devem fazer uso de intervenções farmacológicas e não farmacológicas como, glicose via oral, amamentação, contato pele a pele e enrolamento de conforto (MOTTA; CUNHA, 2015). No presente estudo, identificou--se que 92,6% dos profissionais entrevistados não fazem uso da massagem para o alívio da dor no RN, para Araújo et al (2015) o contato rítmico pode diminuir as sensações de dor e promover o relaxamento muscular.…”

Section: Discussionunclassified

Dor No Recém-Nascido: Perspectivas Da Equipe Multiprofissional Na Unidade De Terapia Intensiva Neonatal

Moretto

Perondi

Trevisan

et al. 2019

Arq. Ciênc. Saúde Unipar

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MORETTO, L. C. A.; PERONDI, E. R.; TREVISAN, M. G.; TEIXEIRA, G. T.; HOESEL, T. C.; COSTA, L. D. Dor no recém-nascido: perspectivas da equipe multiprofissional na unidade de terapia intensiva neonatal. Arq. Cienc. Saúde UNIPAR, Umuarama, v. 23, n. 1, p, 29-34, jan./abr. 2019. RESUMO:Objetivou-se analisar a dor no recém-nascido sob a perspectiva da equipe multiprofissional de uma Unidade de Terapia Intensiva Neonatal. Trata-se de um estudo descritivo e exploratório, com abordagem quantitativa, realizado com 27 profissionais. A coleta de dados deu-se durante o mês de junho de 2016 por meio de um questionário estruturado fechado elaborado com base no questionário utilizado por Chermont et al. (2003). O instrumento abordou dados sociodemográficos, os critérios de identificação da dor, a conduta assistencial adotada, os sinais clínicos que motivaram a escolha da conduta, a análise da efetividade das intervenções e os procedimentos assistenciais capazes de ocasionar a dor. Os dados foram submetidos à análise estatística descritiva e distribuição de frequências por meio do programa Statistical Package for Social Science (SPSS) versão 21.0. A equipe multiprofissional concordou que o recém-nascido sente dor (100%). O choro e a expressão facial foram as manifestações comportamentais mais observadas (88,9%). Os parâmetros fisiológicos utilizados para detectar a presença de dor identificaram a frequência cardíaca (81,5%), frequência respiratória (74,1%) e êmese, pressão arterial e hipertermia (11,1%). O enrolamento de conforto foi a conduta de intervenção não farmacológica mais citada (66,7%). Conclui--se que, a equipe multiprofissional identifica a dor no recém-nascido, contudo, suas assistências não se fundamentam em boas práticas por meio da aplicação de escalas e protocolos. PALAVRAS-CHAVE: Enfermagem pediátrica. Recém-nascido. Unidade de terapia intensiva. ABSTRACT:This study aims to analyze pain in the newborn from the perspective of the multi-professional team in a Neonatal Intensive Care Unit. This is a descriptive and exploratory study, using a quantitative approach, performed with 27 professionals. Data were collected during the month of June 2016 through a closed structured questionnaire based on the questionnaire used by Chermont et al. (2003). The instrument covered sociodemographic data, pain identification criteria, adopted care behavior, clinical signs that led to the choice of conduct, analysis of effectiveness of the interventions, and assistance procedures that could cause pain. Data were submitted to descriptive statistical analysis and frequency distribution using the Statistical Package for Social Science (SPSS) version 21.0. The multi-professional team agreed that newborns feel pain (100%). Crying and facial expression were the most frequent behavioral manifestations (88.9%). The physiological parameters used to detect the presence of pain identified were heart rate (81.5%), respiratory rate (74.1%) and emesis, blood pressure and hyperthermia (11.1%). Comfort pacing was the most frequently mentioned n...

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Section: Discussionunclassified

Dor No Recém-Nascido: Perspectivas Da Equipe Multiprofissional Na Unidade De Terapia Intensiva Neonatal

Moretto

Perondi

Trevisan

et al. 2019

Arq. Ciênc. Saúde Unipar

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“…Article 12 Araujo et al 21 Describe the nursing staff strategies in the identification, evaluation, and interventions of pain in NB hospitalized in the NICU.…”

Section: Articlementioning

confidence: 99%

“…In all the articles, except number 8 that does not provide this information, the nursing professionals acknowledged that the NB feels pain [10][11][12][13][14][15][16][18][19][20][21][22][23][24][25][26][27][28][29] . In this sense, the knowledge went through modifications since before the 1970s it was believed that the NB did not have neuroanatomical and neuroendocrine elements vital to the perception of the pain stimulus 15 .…”

Section: Perception Of the Pain Stimulus By The Nu-rsing Staffmentioning

confidence: 99%

“…The most used scales to evaluate the pain in the NB and mentioned in these studies were the Neonatal Facial Coding System (NFCS), which uses facial mimicry to analyze the pain, and the Neonatal Infant Pain Scale (NIPS), which adds behavioral indicators and a physiological predictor for this evaluation 12,16,20,[22][23][24][25]27,29 . Articles 1, 2, 5, 6, and 12 revealed the lack of knowledge/use of the scales on the part of the professionals 10,11,14,15,21 . The absence of the verbalization from the child was pointed out as the main difficulty to perform this evaluation, followed by the unpreparedness of the professionals, who claimed to ignore this new instrument in the assistance of the pain management 22 .…”

Section: Evaluation Of the Neonatal Painmentioning

confidence: 99%

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Neonatal pain: knowledge, attitude and practice of the nursing team

Campos¹

2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Neonates have special peculiarities, and these should be much more widespread in the scientific environment, both for the knowledge of professionals and students, and for the mothers' help. The objective of this study was to evaluate the knowledge, attitude and practice of the nursing team in management of neonatal pain. CONTENTS: This is a bibliographical research with a descriptive study conducted from 2013 to 2017, through a survey in the Medline (International Literature in Health Sciences), Scielo (Scientific Electronic Library Online) and LILACS (Latin American Literature in Health Sciences) electronic database. Twenty scientific articles were selected and detailed studied with the purpose of grouping the similar information and verify its particularities to be exposed in categories. CONCLUSION: There is a need to insert this theme in undergraduate and postgraduate courses and training in maternity units on a continuous basis so that the professional can relate the theory to practice and then offer the best therapy to the newborn and orientations to the mothers.

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“…They argued that it was not part of the routine NICU that the use of pain scales was mandatory [28].…”

Section: S10mentioning

confidence: 99%

Evaluation Of Pain In Newborn In Intensive Therapy In The Vision Of Health Professionals

Motta¹,

Costa²,

Souza³

et al. 2017

int arch med

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Objective: Evaluate how health professionals perceive the pain in the NBs hospitalized in the Neonatal Intensive Care Unit.Method: This is a descriptive, exploratory research with a qualitative approach, developed in the maternity hospital Instituto de Saúde Elpídio de Almeida (ISEA), in the period from February to March 2016, after approval by the Research Ethics Committee (CESED), where the technique of data collection was through an interview with a prior script divided into two parts: the first part deals with socio-demographic issues, while the second part deals with issues related to pain in the NB, where they were recorded and transcribed in their entirety, using the content treatment through content analysis of the thematic type proposed by Laurence Bardin. Results:The results show that all health professionals perceive the pain in the neonate, where three categories emerged: "relates the evaluation of pain with physiological and behavioral measurements"; "know, but do not evaluate with pain score", "do not evaluate with pain score". Regarding the use of some method for pain relief, two categories emerged: "use of non-pharmacological methods for pain

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Dor Em Recém-Nascidos: Identificação, Avaliação E Intervenções

Cited by 9 publications

References 5 publications

Dor No Recém-Nascido: Perspectivas Da Equipe Multiprofissional Na Unidade De Terapia Intensiva Neonatal

Dor No Recém-Nascido: Perspectivas Da Equipe Multiprofissional Na Unidade De Terapia Intensiva Neonatal

Neonatal pain: knowledge, attitude and practice of the nursing team

Evaluation Of Pain In Newborn In Intensive Therapy In The Vision Of Health Professionals

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