Behavioral and physiological evaluation of pain in newborns performed by nursing staff
DOI:
https://doi.org/10.5935/2316-9389.2010.v14.50486Keywords:
Pain, Newborn, Neonatal Nursing, Intensive CareAbstract
INTRODUCTION: In the last few years, pain assessment in newborns (Rn) has become a subject of great interest to professionals of neonatal care. Since there is a language for pain in this age group, its assessment can guide professionals in the implementation of analgesic measures for painful procedures performed in the Neonatal Intensive Care Unit. OBJECTIVE: To recognize physiological and behavioral parameters used by the nursing team to assess pain in newborns. METHODS: cross-sectional study has a descriptive and quantitative approach and was carried out in four reference hospitals in Fortaleza, Ceará, Brazil, from August to October, 2007. A sample of 180 nursing professionals filled in a specific form and data were analyzed using simple descriptive statistics. RESULTS AND DISCUSSION: the nursing team assesses pain mainly by observing changes in the newborn's behavior, including changes in crying (98.3%), face (78.3%), mood (55%) and body movements (33%). The most frequently physiological changes referred by professionals were cardiovascular and respiratory changes (28.8% and 21.6%, respectively). Such changes were mostly remembered by nurses (40%). CONCLUSIONS: The prevalence of behavioral assessment of pain in newborns instead of the assessment of physiological aspects, characterizes a knowledge area that has little attention on practice, and that still does not establish a consistent approach with the current literature
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References
1. Jacob E, Puntillo KA. Pain in hospitalized children: pediatric nurses´ beliefs and practices. J Pediatr Nurs. 1999; 14(6): 379-91.
2. Bouwmeester J, Dijk MV, Tibboel D. Human neonates and pain. [Citado 2009 ago. 27]. Disponível em: <http://www.lal.org.uk/pdffiles/bouwm.pdf>. p.20-25.
3. Gaíva MAM. Dor no recém-nascido: práticas e conhecimentos atuais. Pediatr Mod. 2001; 37(5): 155-68.
4. Barbosa SMM, Santos E, Zapata A, Sapienza AJ, Krebs VJL, Okay Y. A dor no recém-nascido: prevenção e terapêutica. Rev Dor. 2000; 2(2): 26-35.
5. Bueno M. Dor no período neonatal. In: Leão ER, Chaves LD. Dor 5º sinal vital – reflexões e intervenções de enfermagem. 2ª ed. São Paulo: Livraria Martinari; 2007. p.228-49.
6. Medeiros MD, Madeira LM. Prevenção e tratamento da dor do recém-nascido em terapia intensiva neonatal. REME Rev Min Enferm. 2006; 10(2): 118-24.
7. Viana DL, Duppas G, Pedreira MLG. A avaliação da dor da criança pelas enfermeiras na Unidade de Terapia Intensiva. Rev Pediatr (São Paulo) 2006; 28(4): 251-61.
8. Ministério da Saúde (BR). Conselho Nacional de Saúde. Resolução nº 196/96 sobre pesquisa envolvendo seres humanos. Brasília: Ministério da Saúde; 1996. 24p.
9. Salanterä S, Lauri S, Salmi TT, Aantaa R. Nursing activities and outcomes of care in the assessment, management and documentation of children´s pain. J Pediatr Nurs. 1999; 16(6):408-15.
10. Barbosa FS, Do Valle IN. Dor em recém nascidos: avaliação e tratamento não-farmacológico em UTI Neonatal. Online Braz J Nurs [Online].2006; 5(2).
11. Guinsburg R. A linguagem da dor no recém-nascido. [Citado em: 2006 out. 27]. Disponível em: < http://www.sbp.com.br/img/documentos/doc_linguagem_bebes.pdf>.
12. Branco A, Fekete SMW, Rugolo LMSS, Rehder MI. Valor e variações da frequência fundamental no choro de dor de recém-nascidos. Rev CEFAC. 2006; 8(4): 529-35.
13. Scochi CGS, Carletti M, Nunes R, Furtado MCC, Leite AM. A dor na Unidade Neonatal sob a perspectiva dos profissionais de enfermagem de um hospital de Ribeirão Preto-SP. Rev Bras Enferm. 2006; 59(2): 188-94.
14. Broome M, Tanzillo H. Differentiating between pain and agitation in premature neonates. Perinato Neonatal Nurs. 1990; (4): 52-3.
15. Beachan PS. Behavioral and physiological indicators of procedural and postoperative pain in high-risk infants. JOGNN. 2004; 33(2): 246-55.
16. Guinsburg R. Dor no recém-nascido. In: Sociedade de Pediatria de São Paulo. Manual de Neonatologia. 2ª ed. Rio de Janeiro: Ed Revinter; 2000. p.63-9.
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