PAIN-Perception and Assessment of Painful Procedures in the NICU

被引：37

作者：

Britto, Carl Denis ^{[1
]}

Rao, Suman P. N. ^{[1
]}

Nesargi, Saudamini ^{[1
]}

Nair, Sitara ^{[2
]}

Rao, Shashidhar ^{[1
]}

Thilagavathy, Theradian ^{[1
]}

Ramesh, Armugam ^{[3
]}

Bhat, Swarnarekha ^{[1
]}

机构：

[1] St Johns Med Coll, Dept Neonatol, Bangalore 560034, Karnataka, India

[2] St Johns Coll Nursing, Dept Pediat, Bangalore 560034, Karnataka, India

[3] St Johns Med Coll Hosp, Dept Otolaryngol Head & Neck Surg, Bangalore 560034, Karnataka, India

来源：

JOURNAL OF TROPICAL PEDIATRICS | 2014年 / 60卷 / 06期

关键词：

pain; perception; procedures; neonates; assessment; ANALGESIA; NEWBORNS;

D O I：

10.1093/tropej/fmu039

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

This prospective cross-sectional study was undertaken to determine the frequency of procedural pain among 101 neonates in the first 14 days of admission to a neonatal intensive care unit (NICU) in South India and to study the perception of health-care professionals (HCP) about newborn procedural pain. The total number of painful procedures was 8.09 +/- 5.53 per baby per day and 68.32 +/- 64.78 per baby during hospital stay. The most common procedure was heel prick (30%). The HCP were administered a questionnaire to assess their perception of pain for various procedures. Procedures were perceived as more painful by nurses than by doctors. Chest tube placements and lumbar puncture were considered most painful. This study shows that the neonates in the NICU in developing countries experience many painful procedures. The awareness about this intensity of pain should provide a valuable tool in formulating pain-reduction protocols for management in low resource settings.

引用

页码：422 / 427

页数：6

共 12 条

[1]

ANAND KJS, 1989, PEDIATR CLIN N AM, V36, P795

[2] EXPOSURE TO INVASIVE PROCEDURES IN NEONATAL INTENSIVE-CARE UNIT ADMISSIONS [J].

BARKER, DP ;

RUTTER, N .

ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 1995, 72 (01) :F47-F48

[3]

Benis MM, 2001, PEDIATR RES, V49, P392

[4] Epidemiology and treatment of painful procedures in neonates in intensive care units [J].

Carbajal, Ricardo ;

Rousset, Andre ;

Danan, Claude ;

Coquery, Sarah ;

Nolent, Paul ;

Ducrocq, Sarah ;

Saizou, Carole ;

Lapillonne, Alexandre ;

Granier, Michele ;

Durand, Philippe ;

Lenclen, Richard ;

Coursol, Anne ;

Hubert, Philippe ;

de Saint Blanquat, Laure ;

Boelle, Pierre-Yves ;

Annequin, Daniel ;

Cimerman, Patricia ;

Anand, K. J. S. ;

Breart, Gerard .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2008, 300 (01) :60-70

[5] Long-term consequences of pain in human neonates [J].

Grunau, Ruth E. ;

Holsti, Liisa ;

Peters, Jeroen W. B. .

SEMINARS IN FETAL & NEONATAL MEDICINE, 2006, 11 (04) :268-275

[6]

Johnston CC, 1996, PEDIATRICS, V98, P925

[7] Active sleep and its role in the prevention of apoptosis in the developing brain [J].

Morrissey, MJ ;

Duntley, SP ;

Anch, AM ;

Nonneman, R .

MEDICAL HYPOTHESES, 2004, 62 (06) :876-879

[8] The effect of handling and immobilization on the response to acute pain in newborn infants [J].

Porter, FL ;

Wolf, CM ;

Miller, JP .

PEDIATRICS, 1998, 102 (06) :1383-1389

[9] Expressed breast milk vs 25% Dextrose in procedural pain in neonates: A double blind randomized controlled trial [J].

Sahoo, Jagdish Prasad ;

Rao, Suman ;

Nesargi, Saudamini ;

Ranjit, Thomas ;

Ashok, C. ;

Bhat, Swarnarekha .

INDIAN PEDIATRICS, 2013, 50 (02) :203-207

[10] Do we still hurt newborn babies? - A prospective study of procedural pain and analgesia in neonates [J].

Simons, SHP ;

van Dijk, M ;

Anand, KS ;

Roofthooft, D ;

van Lingen, RA ;

Tibboel, D .

ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2003, 157 (11) :1058-1064

← 1 2 →