Comparing the behavioral and physiological signs of pain between the first and the second tries of the aggressive procedures in neonates admitted to Ramhormoz hospital in 2017
Subject Areas : Journal of Family Centered Health Care
Behnaz
Torkan
1
(Nursing School, Faculty of Health and Social Development, University of British Columbia Okanagan, Canada)
Alkhamis
Ameneh
2
(Mother Hospital, Ramhormoz, Iran)
Keywords: pain, neonate, painful procedures, painful interventions, physical sign, behavioral sign,
Abstract :
Introduction: Pain monitoring of newborns during aggressive interventions and painful procedures has often been limited to the first time of the invasive procedures, and pain monitoring during the repetition of procedures has been neglected. This research aims to determine and compare the behavioral and physiological signs of pain in newborns during the first and the second consecutive invasive procedures.Methods: In this quantitative and descriptive study, 100 infants were selected conveniently from Mother Hospital of Ramhormoz city based on the inclusion criteria. Data was collected by demographic questionnaire, standard infant-infant pain assessment tool, and objective measurement tools during five months. Data analysis was done with descriptive statistics and t-test at the error level of 0.05.Findings: The results showed that in the first round of diagnostic and therapeutic measures, the most reactions to the painful procedure were frowning (97%), leg flexion/extension (96%) and arm flexion/extension (94%) and in the second round the most reaction was in the form of no change in face (99%), normal breathing pattern change (96%), and flexion/extension of legs and arms (96%). The average number of heart rate and breathing during the procedure was increased in both the first and the second time compared to before the procedure. The average score of pain behavior symptoms in the second round was significantly higher than the first round.Conclusion: It is necessary for all nurses to evaluate the symptoms of pain during repeated interventions in order plan for controlling and reducing the pains in both times of performing consecutive procedures
1-Golchin M, Sheikhan Soudani E, Bahrami P, Shams Soulari Z. The effect of combined use of nonnutritive sucking and sucrose on cardiorespiratory indices and pain behavior during blood drawing-phlebotomy procedures in preterm infants in intensive care unit. Journal of Anesthesia and Pain 2016;6(4):41-54.
2-Soleimani F, Nayeri F, Mohammadi Shahboulaghi F, Shariat M, Dalili H. Neonatal sub-specialty graduates’ perceived experiences of developmental care: Content analysis. The Journal of Medical Education and Development 2016; 11(3): 273-285
3-Belachew, A., Tewabe, T., & Dessie, G.Neonatal mortality and its association with antenatal care visits among live births in Ethiopia: a systematic review and meta-analysis. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, (2022). 35(2), 348–355. https://doi.org/10.1080/14767058.2020.1718093
4-Garcia-Rodriguez, M. T., Bujan-Bravo, S., Seijo-Bestilleiro, R., & Gonzalez-Martin, C. Pain assessment and management in the newborn: A systematized review. World journal of clinical cases, (2021). 9(21), 5921–5931. https://doi.org/10.12998/wjcc.v9.i21.5921
5- Talebi, M., Amiri, S., Roshan, P. A., Zabihi, A., Zahedpasha, Y., & Chehrazi, M. The effect of concurrent use of swaddle and sucrose on the intensity of pain during venous blood sampling in neonate: a clinical trial study. BMC pediatrics, (2022). 22(1), 263. https://doi.org/10.1186/s12887-022-03323-0
6- Verklan MT, Walden M. Core curriculum for neonatal intensive care nursing. 4. Sunders: Elsevier; 2015.
7- Kassab, M. I., Roydhouse, J. K., Fowler, C., & Foureur, M. The effectiveness of glucose in reducing needle-related procedural pain in infants. Journal of pediatric nursing, (2012). 27(1), 3–17. https://doi.org/10.1016/j.pedn.2010.10.008
8- Celebioglu, A., Akpinar, R. B., & Tezel, A. The pain response of infants in Turkey to vaccination in different injection sites. Applied nursing research : ANR, (2010). 23(2), 101–105. https://doi.org/10.1016/j.apnr.2008.03.003
9- Azizi S, Plarek F, Sadeghi F, Molai nezhad M. Behavioral and Physiological Signs of Pain in Newborn in Bandar Abbas. Journal of Health Breeze 2015; 4(1): 41-479-
10- Sadat Hosseini A., Mehran A., Movahedi Z. The effect of familiar olfactory stimulus on pain responses due to blood sampling in infants. Scientific Journal of Hamadan University of Medical Sciences and Services 2011; 1:10-19
11- Cheraghi F. Ahamsaei F., Evaluation of neonatal pain symptoms in neonatal wards of Hamadan University of Medical Sciences. Scientific research journal of Mazandaran University of Medical Sciences 2002;37:55-62.
12- Saki M., Mohsenzadeh A., Tarrahi MJ. Evaluation of the effect of back, lying on the back and in the mother's arms (mother-skin contact with the baby) on neonatal pain during venous blood sampling. Lorestan University of Medical Sciences Quarterly Journal 2008; 3:65-70.
13- Paliwoda, M., New, K., Bogossian, F., & Ballard, E. Physiological vital sign reference ranges for well late preterm newborns calculated during a typical 2 h newborn period between 2 h and 7 days of life. Physiological measurement, (2021). 42(9), 10.1088/1361-6579/ac155b. https://doi.org/10.1088/1361-6579/ac155b
14- Lagunas AM., RH Heather. Improving pain management in neonates exposed to intravenous insertions: A quality improvement initiative. Journal of Neonatal Nursing 2016; 22(6): 277-283.
15- Hockenberry, M.J; Wilson, D. Wong’s nursing care of infants and children. In: Hockenberry M J. Pain Assessment and Management in Children. 10th ed. Canada, 2015; P: 158
16- Manworren, R. C., & Stinson, J. Pediatric Pain Measurement, Assessment, and Evaluation. Seminars in pediatric neurology, (2016). 23(3), 189–200. https://doi.org/10.1016/j.spen.2016.10.001
17- Asadi Noghabi F, Soudagar S, Nazari O. Knowledge, attitude and performance of nurses regarding pain assessment and measurement, Bandar Abbas, Iran. Medical Journal of Hormozgan university 2011; 16(5): 403-413.
18- Ghasemi F., Valizadeh F. Najafi S. Mohsenzade A. Comparison of the effect of breast milk and formula on pain caused by intramuscular injection of infants. Daneshver Medicine: Basic and Clinical Research Journal 2007; 14(68):43-49.
19- Sohrabi MB, Aghayan SM , Zolfaghari P, Delmoradi F, Amerian F, Ghasemian Aghmashhadi M. Study on Signs of Pain in Neonatals. Knowledge & Health 2011; 6(3): 50-53.
20- Pereira, A. L., Guinsburg, R., de Almeida, M. F., Monteiro, A. C., dos Santos, A. M., & Kopelman, B. I. Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants. Sao Paulo medical journal = Revista paulista de medicina, (1999). 117(2), 72–80. https://doi.org/10.1590/s1516-31801999000200005
21- Maitre, N. L., Stark, A. R., McCoy Menser, C. C., Chorna, O. D., France, D. J., Key, A. F., Wilkens, K., Moore-Clingenpeel, M., Wilkes, D. M., & Bruehl, S. Cry presence and amplitude do not reflect cortical processing of painful stimuli in newborns with distinct responses to touch or cold. Archives of disease in childhood. Fetal and neonatal edition, (2017). 102(5), F428–F433. https://doi.org/10.1136/archdischild-2016-312279
22- Erkut, Z., & Yildiz, S. The Effect of Swaddling on Pain, Vital Signs, and Crying Duration during Heel Lance in Newborns. Pain management nursing : official journal of the American Society of Pain Management Nurses, (2017). 18(5), 328–336. https://doi.org/10.1016/j.pmn.2017.05.007
23- Cremillieux, C., Makhlouf, A., Pichot, V., Trombert, B., & Patural, H. Objective assessment of induced acute pain in neonatology with the Newborn Infant Parasympathetic Evaluation index. European journal of pain (London, England), (2018). 22(6), 1071–1079. https://doi.org/10.1002/ejp.1191