Hernández-Trejo M, Sánchez-Jiménez B, Barbosa-Ángeles R

Language: Spanish
References: 17
Page: 10-16
PDF size: 134.25 Kb.

ABSTRACT

Introduction: Once the wrong knowledge that newborn babies do not feel pain has been rejected, there are strategies to assess and treat that pain. Objectives: Recognize pain level using two measurement scales for newborn infants during transcutaneous punctures. Methods: With a descriptive, longitudinal and analytical study we assessed simultaneously with two scales pain during transcutaneous punctures in neonates hospitalized in neonatal therapies. Neonatal Infant Pain Scale (NIPS) which examines the behaviour parameters but not physiological measures, and Neonatal Pain Assessment Scale (NPAS) that values pain with physiological and behavioural indicators were used. Results: out of 119 punctures performed to 60 neonates, pain was detected with NIPS in 103 punctures (87%), and with NPAS in 118 (99%), p ‹ 0.025, difference of proportions: 12% (95% CI 5.7%, 18.3%). No significant differences between the degree of pain and site, material and kind of puncture, age, clinical status and weight were found. Conclusions: Transcutaneous punctures are very painful for babies. NPAS has more likelihood to discover severe pain that NIPS.

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