Pain management in neonatal intensive care units: A cross sectional study of neonatal nurses in Ilam City

Tarjoman, Asma; Vasigh, Aminolah; Pouy, Somaye; Safari, Saeid; Borji, Milad

doi:10.1016/j.jnn.2018.08.006

Cited by 25 publications

(17 citation statements)

References 13 publications

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“…Due to the prevalence of chronic diseases in children and infants, attention to their health is important (17,19). The study investigated the impact of home phototherapy on the treatment duration, complication prevalence, bilirubin mean, and treatment failure among neonatal jaundice patients.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Home Phototherapy in Neonatal Jaundice

2019

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Background: Jaundice is one of the most common problems in the neonatal period. Phototherapy is one of the most commonly used treatments for jaundice that can be used as a simple, practical home-based treatment. Hospitalization during the first days of birth to conduct phototherapy may result in problems like nosocomial infections and mother separation from the baby. Objectives: The aim of this study was to evaluate the efficacy of home phototherapy in the duration of treatment, mean bilirubin level, and complications. Methods: This clinical trial was performed on newborns with jaundice in Isfahan health centers. The sample was randomly divided into two groups: Phototherapy at home (32 patients) and phototherapy at the hospital (32 patients). A demographic questionnaire and a researcher-made checklist were used to collect data on variables such as the duration of treatment, the frequency of treatment failure, mean bilirubin, and phototherapy complications. Results: The mean duration of phototherapy in both groups was two days, which showed no significant difference (P = 0.32). The most common complication in both groups was skin rashes and restlessness, which also showed no significant between two groups (P > 0.05). There was no significant difference in terms of treatment failure (P = 0.246). Statistical tests also revealed that bilirubin reduction was the same in both groups. Conclusions: Home phototherapy can be suggested as a safe treatment with no complication to the patients.

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Section: Discussionmentioning

confidence: 99%

“…The major feature of home phototherapy is the lack of mother-infant separation (14). Neonatal and child health in adulthood is important (15)(16)(17). Phototherapy at home can be a proper substitute for hospital interventions if the parents are educated about home phototherapy it is done under the supervision of trained nurses.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Home Phototherapy in Neonatal Jaundice

2019

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“…Despite the important role and position of intensive care nurses in the assessment and management of patients’ pain, many texts refer to poor knowledge ( 18 - 22 ) and attitude of nurses toward pain and pain management in patients ( 18 - 20 ). Poor attitude of nurses leads to a lack of pain perception in unconscious patients and the lack of the implementation of a nonverbal pain scale.…”

Section: Introductionmentioning

confidence: 99%

Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

et al. 2020

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Background: Pain is one of the main complaints of many patients in intensive care units. However, most nurses and physicians are unable to properly monitor and relieve pain in these patients. Factors such as patients' inability to describe their pain and insufficient knowledge of nurses and physicians have made pain management difficult. Given that the knowledge and attitude of nurses play an important role in the effective implementation of the pain management process, this study aimed to investigate the effect of comprehensive pain management training program on the awareness and attitude of intensive care unit nurses. Methods: This quasi-experimental single-group study was conducted in two phases (pre and post-intervention) to investigate the awareness and attitude of all nurses employed in the intensive care unit of Tehran Modarres Hospital, based on the determined inclusion and exclusion criteria. In the pre-intervention phase, the awareness and attitudes of the nurses were assessed using a questionnaire. After conducting the pain management training course, an executive program and algorithm were implemented for pain management in ICUs. Then, the nurses' awareness and attitude toward pain management were assessed again. Finally, changes in the scores of the nurses' awareness and attitude were analyzed by SPSS V. 22 software in two phases before and after applying the interventions using the Wilcoxon test. The relationship between some demographic variables and the level of awareness and attitude of nurses was also investigated using the Kruskal-Wallis and Mann-Whitney tests. Results: The results of this study indicated that the mean score of the nurses' awareness was significantly different in pre-and postintervention phases (P < 0.05). Despite an increase in the post-intervention mean score of the nurses' attitude (71.03), no statistically significant change was observed. Additionally, among the demographic variables, there was only a significant relationship between the nurses' job experience in ICUs and their attitudes. Conclusions: Based on the results of this study, teaching and implementing a comprehensive program for pain management can play an effective role in promoting the nurses' awareness. Therefore, it is proposed to use pain management models to improve the nurses' knowledge and attitude toward pain management in ICU patients.

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“…However, it seems that due to the small space of NICU and accumulation of patients, the sound of music can be annoying for other babies, mothers and personnel. A study showed that stroking is the most common method, and music and feeding are the least common methods that were taught by nurses for pain management of newborns (Tarjoman et al 2019).…”

Section: Discussionmentioning

confidence: 99%

“…he International Association for the Study of Pain has defined the word "pain" as an unpleasant sensory and emotional experience associated with tissue damage that is always subjective (Carter & Brunkhorst 2017) and given its importance in human health, it is recognized as the fifth most important symptom (Witt et al 2016). Moreover, pain in hospitalized newborns, usually results from diagnostic and therapeutic interventions which has immediate, short-term and long-term effects, and evidence-based studies emphasize the long-term effects of pain on neurodevelopment of infants admitted to NICU; in other words, it is considered as one of the causes of attention, learning and behavioral disorders in this group of newborns (Tarjoman et al 2019).…”

Section: Introductionmentioning

confidence: 99%

The Viewpoint of Mothers on Pain Management in Neonatal Intensive Care Units

Bostanabad

Alizadeh

Areshtanab

et al. 2019

JCCNC

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Background: Parents play a vital role in the assessment and management of pain. There is limited knowledge about parental viewpoint or their participation in the pain management of the neonates admitted to the intensive care units. The present study aimed to assess the viewpoints of mothers about the pain management of neonates/ infants admitted to Tabriz hospitals. Methods: It was a descriptive cross-sectional study. A total of 255 mothers whose infants had been admitted to Neonatal Intensive Care Units (NICU) were recruited by convenience sampling method from September 2016 to August 2017. The required data were collected using a demographic questionnaire and PAIN questionnaire-Neonatal Intensive Care. The obtained data were analyzed using descriptive statistics in SPSS. Results: The Mean±SD age of the mothers was 28.38±6.10 years, and the majority of them (39%) had diploma. Among the mothers, 73% believed that their infants had experienced pain during admission to NICU. However, only 19% of the mothers stated that nurses tried to find the signs of pain in their infants; the majority of mothers (80%) indicated that to some extent, they were satisfied with the information they received from the treatment team regarding pain control for their newborns. Conclusion: Despite the prevalence of pain phenomenon in neonates, mothers' education for the symptoms of pain in their infants was inadequate. It seems that the mothers' participation in the pain management of their newborns makes them more capable of caring after discharge from the hospital. The study makes important findings available for future research.

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Pain management in neonatal intensive care units: A cross sectional study of neonatal nurses in Ilam City

Cited by 25 publications

References 13 publications

Efficacy of Home Phototherapy in Neonatal Jaundice

Efficacy of Home Phototherapy in Neonatal Jaundice

Effect of Comprehensive Pain Management Training Program on Awareness and Attitude of ICU Nurses

The Viewpoint of Mothers on Pain Management in Neonatal Intensive Care Units

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