Special Needs of Preterm Infants in the Management of Pain and Discomfort

Stevens, Bonnie; Franck, Linda S.

doi:10.1111/j.1552-6909.1995.tb02571.x

Cited by 30 publications

(15 citation statements)

References 51 publications

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“…Invasive treatments and examinations are inevitable, such as injection, heelstick, insertion of central venous catheter, etc. These treatments generally contribute to acute pain, in turn leading to physiological and behavioral changes in premature infants, for instance, acceleration of heartbeat and respiration, decline of oxygen saturation, elevation of intracranial pressure (Stevens & Johnston, 1994;Stevens, Johnston, & Grunau, 1995), increase in insulin, glucagon, and epinephrine levels (Anand, Phil, & Hickey, 1987), increase in facial and body actions, and intense crying (Stevens & Franck, 1995;Johnston et al, 1999). These pain-related physiological and behavioral responses are believed to be responsible for later abnormalities in neurology and behavior (Grunau, Whitfied, & Petrie, 1994;Grunau, Whitfied, Petrie, & Fryer, 1994).…”

Section: Introductionmentioning

confidence: 98%

Comparison of Pain Responses of Premature Infants to the Heelstick Between Containment and Swaddling

Huang

Tung

Kuo

et al. 2004

Journal of Nursing Research

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The objective of this study was to compare the effects of containment and swaddling on premature infants' heart rates (HR), oxygen saturation (SpO 2 ), and the Premature Infant Pain Profile (PIPP) scores after heelstick. The study used a cross-over experimental design, 32 premature infants with gestational age < 37 weeks, bodyweight £ 2,500 grams, and no diagnosis of congenital heart disease, deformity, sepsis or ³ Grade 3 intraventricular hemorrhage were selected as subjects. Each subject was randomly assigned to containment or swaddling once while undergoing two heelsticks in different time periods. Heart rate, oxygen saturation, facial expression and PIPP score were recorded from 5 minutes before to 11 minutes after heelstick. According to the paired t test, the results showed (1) that mean HR was higher and mean SpO 2 was lower than their respective baseline values under the two interventions after heelstick (p < .05), and that premature infants in swaddling returned to their baseline HR and SpO 2 values in shorter time periods compared to those in containment, though the variations of HR and SpO 2 between the two interventions exhibited no significant differences; and (2) that pain responses to heelstick under swaddling yielded lower scores than those under containment according to the total PIPP scores, but significant difference between the two interventions was only found at the 3rd and 7th minute. As a whole, there is little difference between the effects of swaddling and containment on attenuating physiological and behavioral stress caused by acute pain. The results of this study can serve as an evidence basis for nursing interventions in acute pain for premature infants. In clinical practice, containment and swaddling can be administered interchangeably according to patients' individual differences.

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Section: Introductionmentioning

confidence: 98%

Comparison of Pain Responses of Premature Infants to the Heelstick Between Containment and Swaddling

Huang

Tung

Kuo

et al. 2004

Journal of Nursing Research

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“…In general we say that crying is an essential part of the process of adaptation to outside womb life and acts directly on the NB's anatomical/physiological changes during this transition. However, it is also considered a global indicator of stress and can be triggered by both painful and painless procedures (3) . Some authors draw attention to both immediate and long-term repercussions of excessive NB crying.…”

Section: Introductionmentioning

confidence: 99%

O contato pele a pele ao nascimento e o choro de recém-nascidos durante vacinação contra Hepatite B

Vivancos¹,

Leite

Scochi

et al. 2010

Acta paul. enferm.

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Objective:To test the effectiveness of skin to skin contact, between mother and child after birth, in reducing stress and pain behavior manifested by the cries of the newborn (NB), from the procedure of vaccination against Hepatitis B. Methods: This is a quasi-experimental comparative study covering 40 full-term newborns, divided into two groups, with or without skin contact with their mothers after birth, and were compared in terms of time crying during vaccination against Hepatitis B. Results: We observed, in both groups, changes in crying time during the phases of the process. Conclusion: The effect of contact in reducing crying time of neonates was not demonstrated statistically. Clinically, during the treatment time was observed Calling Syndrome caused by stress, as well as the effectiveness of the contact period in modulating the behavior of crying in newborns. Keywords: Mother-child relations; Infant, newborn; Postpartum period; Crying RESUMO Objetivo: Testar a efetividade do contato pele a pele entre mãe e filho após o nascimento na redução do comportamento de estresse/dor manifestado pelo choro do recém-nascido (RN), decorrente do procedimento de vacinação contra a Hepatite B. Métodos: Estudo comparativo quase-experimental abrangendo 40 RN a termo, divididos em dois grupos, com ou sem contato pele a pele com suas mães após o nascimento, e que foram comparados quanto ao tempo de choro durante a vacinação contra Hepatite B. Resultados: Variações no tempo de choro foram observadas nos dois grupos durante as fases desse procedimento. Conclusão: O efeito do contato na diminuição do tempo de choro dos RN, não foi demonstrado estatisticamente. Clinicamente, a Síndrome do Chamado pelo Estresse foi observada, bem como a efetividade do período de contato, na modulação do comportamento de choro dos neonatos, enquanto estes estiveram sob o momento terapêutico. Descritores: Relações mãe-filho; Recém-nascido; Período pós parto; Choro RESUMEN Objetivo: Comprobar la efectividad, del contacto piel con piel entre madre e hijo después del nacimiento, en la reducción del comportamiento de estrés y dolor manifestado por el llanto del recién nacido (RN), proveniente del procedimiento de vacunación contra la Hepatitis B. Métodos: Se trata de un estudio comparativo casi-experimental abarcando 40 RN a término, divididos en dos grupos, con o sin contacto piel con piel con sus madres después del nacimiento, y que fueron comparados en lo que se refiere al tiempo de llanto durante la vacunación contra la Hepatitis B.. Resultados: Se observó en los dos grupos, variaciones en el tiempo de llanto durante las fases de ese procedimiento. Conclusión: El efecto del contacto en la disminución del tiempo de llanto de los RN, no fue demostrado estadísticamente. Clínicamente, durante el momento terapéutico, fue observado el Síndrome del Llamado causado por el estrés; así como la efectividad del período de contacto en la modulación del comportamiento del llanto en los recién nacidos. Maternal-Infant Nursing and Public Health Departm...

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“…As manifestações fisiológicas não foram descritas isoladamente pelos entrevistados, ou seja, foram abordadas em conjunto com as manifestações comportamentais. Estas manifestações não podem ser consideradas isoladamente, pois embora sejam objetivas, não são específicas, ou seja, elas podem também aparecer em situações estressantes, porém não dolorosas (14,17) . Em relação ao reconhecimento de situações dolorosas em UCIN os relatos dos profissionais corroboram com estudos que consideram intervenções como punção venosa, intubação traqueal, aspiração de cânula traqueal, sondagem gástrica, entre outras, situações potencialmente promotoras de dor (18)(19)(20) .…”

Section: Discussionunclassified

A dor na unidade neonatal sob a perspectiva dos profissionais de enfermagem de um hospital de Ribeirão Preto-SP

Scochi¹,

Carletti

Nunes³

et al. 2006

Rev. Bras. Enferm.

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INTRODUÇÃOOs estudos sobre dor em recém-nascidos (RNs) têm evoluído desde a metade da década de 80 do século passado. Atualmente é plenamente aceito que tanto o RN a termo como o pré-termo apresentam todos os componentes anatômicos, funcionais e neuroquímicos essenciais para a nocicepção, ou seja, para a recepção, transmissão e integração do estímulo doloroso (1,2) . Sendo assim, com o desenvolvimento do conhecimento da fisiologia da dor no RN, os pesquisadores

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Special Needs of Preterm Infants in the Management of Pain and Discomfort

Cited by 30 publications

References 51 publications

Comparison of Pain Responses of Premature Infants to the Heelstick Between Containment and Swaddling

Comparison of Pain Responses of Premature Infants to the Heelstick Between Containment and Swaddling

O contato pele a pele ao nascimento e o choro de recém-nascidos durante vacinação contra Hepatite B

A dor na unidade neonatal sob a perspectiva dos profissionais de enfermagem de um hospital de Ribeirão Preto-SP

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