Identificação E Avaliação Da Percepção Dos Profissionais De Enfermagem Em Relação a Dor/Desconforto Do Recém-Nascido

Abstract

Não há conflito de interesse ARTIGO ORIGINAL Recebido em 18/06/2015 Aceito em 21/09/2015 Identificação e avaliação da percepção dos profissionais de enfermagem em relação a dor/desconforto do recémnascido Identification and evaluation of sense of professional nursing in relation to pain / discomfort of newborns

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

“…Article 16 Rodrigues, Souza and Werneck 25 Analyze the knowledge of the nursing professionals in the process of identifying, evaluating, and acting in the control of the pain in NB hospitalized at three NICU.…”

“…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 .…”

“…In respect to the use of scales, articles 3,7,11,13,14,15,16,18, and 20 confirmed their application and awareness on the part of the professionals. 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 .…”

“…When the care performed to prevent the pain were analyzed, it was highlighted, through the articles 1, 5, 6, 7, 8, 10, 12, 16, and 17, the use of a sweetened solution (non-nutritive suction with gauze and breast milk, or glucose 25%), the wrapping of the NB, change of decubitus, breastfeeding associated to the skinto-skin contact, promotion of the humanized care, and sleeping periods, and precautions regarding the environment's light and acoustics 10,[14][15][16][17]19,21,25,26 . Exceptionally, article 9 presented the improvements in the pain management after using aquatic therapy.…”

O manejo da dor em crianças percebido pela equipe de enfermagem [Pain management in children as perceived by the nursing team] [El manejo del dolor en niños, percibido por el equipo de enfermería]

“…Quanto mais tenra a idade, menor a definição e localização da dor. Os neonatos e lactentes não verbalizam a dor que sentem, a sua identificação se dá através de alterações comportamentais como choro vigoroso e inconsolável, expressões faciais, tremor no queixo, contorções musculares, agitação, inquietação, irritação, expressões corporais como posição desconfortável, movimentação de braços e pernas e alterações fisiológicas, como taquicardia, alteração dos sinais vitais e queda de saturação 8,9 .…”