SavedAdd your journal

Journals / Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi / 2023 / Cilt: 10 Sayı: 2

Evaluation of Chronic Pain in Premature Infants on Invasive and Noninvasive Mechanical Ventilation

İnvaziv ve Noninvaziv Mekanik Ventilasyondaki Prematüre Bebeklerde Kronik Ağrının Değerlendirilmesi

Fatma ERTÜRK
Emine GEÇKİL
Pages
93–101
Publication Date
2023-08-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

It was found that the chronic pain scores increased as the length of hospital stay and the duration of mechanical ventilation increased in premature infants who were applied mechanical ventilation (p <.05).

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: This descriptive study was conducted to evaluate chronic pain in premature infants on invasive and noninvasive mechanical ventilation.
📊
Key Findings & Data:Material and Methods: The sample of this study consisted of 110 premature infants with a gestational age of ≥25 weeks and ≤36 weeks in the Neonatal Intensive Care Unit.
💡
Conclusion & Impact:It was found that the chronic pain scores increased as the length of hospital stay and the duration of mechanical ventilation increased in premature infants who were applied mechanical ventilation (p <.05).
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Hemşire · kronik ağrı · mekanik ventilasyon

Abstract

Aim: This descriptive study was conducted to evaluate chronic pain in premature infants on invasive and noninvasive mechanical ventilation. Material and Methods: The sample of this study consisted of 110 premature infants with a gestational age of ≥25 weeks and ≤36 weeks in the Neonatal Intensive Care Unit. Data were collected between February 2018 and April 2019 with the Descriptive Information Form to determine the infants' characteristics and the Newborn Pain and Discomfort Scale (EDIN). The data were analyzed with tests suitable for normal distribution, and the significance level was accepted as p <.05. Results: It was determined that the average total pain score of premature infants from the EDIN scale was 5.43 ± 1.86, and 35.5% of them experienced pain (> 6 points). It was found that the chronic pain scores increased as the length of hospital stay and the duration of mechanical ventilation increased in premature infants who were applied mechanical ventilation (p <.05). It was determined that the average chronic pain score was higher in infants with a risk of impaired skin integrity (p <.01). Conclusions: It has been recommended to give importance to skin assessment of premature infants receiving mechanical ventilation, to perform routine pain assessment, and to take measures to reduce pain in infants whose duration of stay on mechanical ventilation exceeds five days.

Özet

Amaç: İnvaziv ve noninvaziv mekanik ventilasyondaki prematüre bebeklerin kronik ağrısını değerlendirmek amacıyla yürütülen bu çalışma tanımlayıcı olarak yapılmıştır. Gereç ve Yöntem: Bu araştırmanın örneklemini Yenidoğan Yoğun Bakım Ünitesi’nde yatan, gestasyon yaşları ≥25 hafta ve ≤ 36 hafta olan 110 prematüre bebek oluşturmuştur. Veriler bebeklerin özelliklerini belirlemek amacıyla Tanımlayıcı Bilgi Formu ve Yenidoğan Ağrı ve Rahatsızlık Ölçeği (EDIN) ile Şubat 2018- Nisan 2019 tarihleri arasında toplanmıştır. Veriler normal dağılıma uygunluk durumuna uygun testler ile analiz edilmiş ve önemlilik düzeyi p<.05 olarak kabul edilmiştir. Bulgular: Prematüre bebeklerin EDIN ölçeğinden aldıkları toplam ağrı puan ortalamalarının 5.43±1.86 olduğu ve %35.5’inin ağrı yaşadığı (>6 puan) tespit edilmiştir. Mekanik ventilasyon uygulanan prematüre bebeklerin yatış süresi ve mekanik ventilasyon uygulama süresi arttıkça kronik ağrı puanlarının arttığı tespit edilmiştir (p<.05). Deri bütünlüğünde bozulma riski olan bebeklerin kronik ağrı puan ortalamasının yüksek olduğu saptanmıştır (p<.01). Sonuç: Mekanik ventilasyon alan prematüre bebeklerin cilt değerlendirmesine önem verilmesi, rutin ağrı değerlendirilmesinin yapılması, mekanik ventilasyonda kalış süreleri 5 günü geçen bebeklerde ağrının azaltılmasına yönelik önlemlerin alınması önerilmiştir.

🔖

Cite This Article

ERTÜRK, F., GEÇKİL, E. (2023). Evaluation of Chronic Pain in Premature Infants on Invasive and Noninvasive Mechanical Ventilation. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, Cilt: 10 Sayı: 2, 93–101. https://ajindex.com/articles/955418

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Preterm birth [İnternet]. 2018 [Erişim Tarihi: 07 Nisan 2019]. Erişim Adresi: https://www.who.int/news-room/fact-sheets/detail/preterm-birth.
  2. Karagöz F, Kılıçbay F. Premature bebek. Health Sciences Student Journal. 2021;1(2):59-67.
  3. Williams EE, Greenough A. Lung protection during mechanical ventilation in the premature ınfant. Clin. Perinatol. 2021;48(4):869-80.
  4. Khabbache K, Hennequin Y, Vermeylen D, Van Overmeire B. Current respiratory support practices in premature infants: an observational study. Pan Afr Med J. 2021;39:1. Açıkgöz A. Mekanik ventilasyon desteği alan yenidoğanda uygulanan açık ve kapalı sistem aspirasyon işleminin ağrı üzerine etkisi [Doktora Tezi]. İstanbul: İstanbul Üniversitesi; 2012.
  5. Fink RM, Makic MBF, Poteet AW, Oma KS. The ventilated patient’s experience. Dimens Crit Care Nurs. 2015;34(5):301-8.
  6. Caldwell CD, Watterberg KL. Effect of premedication regimen on infant pain and stress response to endotracheal intubation. J. Perinatol. 2015;35(6):415-8.
  7. Ranger M, Grunau RE. Early repetitive pain in preterm infants in relation to the developing brain. Pain Manag. 2014;4(1):57-67.
  8. Dursun M, Bülbül A. Mekanik ventilasyondaki yenidoğan bebeğin bakımı. Şişli Etfal Hastanesi Tıp Bülteni. 2014;(48)2:67-8.
  9. Roberts M, Bortolotto SJ, Weyant RA, Jock L, LaLonde T, Henderson A. The experience of acute mechanical ventilation from the patient's perspective. Dimens Crit Care Nurs. 2019;38(4):201-12.
  10. Ancora G, Lago P, Garetti E, Pirelli A, Merazzi D, Mastrocola M et al. Efficacy and safety of continuous infusion of fentanyl for pain control in preterm newborns on mechanical ventilation. J. Pediatr. 2013;163(3):645-51.
  11. Çiftci K, Yayan EH. The effect of three different methods applied during peripheral vascular access in prematures on pain and comfort levels. J Pediatr Nurs. 2022;67:e129-34. Taplak AŞ, Bayat M. Psychometric testing of the Turkish version of the premature infant pain profile revised-PIPP-R. J Pediatr Nurs. 2019;48:e49-e55. Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik. 12. Baskı. Ankara: Hatipoğlu Yayınevi; 2007. sf. 266-7.
  12. Debillon T, Zupan V, Ravault N, Magny JF, Dehan M. Development and initial validation of the EDIN scale, a new tool for assessing prolonged pain in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2001;85(1):F36-F41. Ancora G, Mastrocola M, Bagnara C, Zola D, Pierantoni L, Rossi G et al. Influence of gestational age on the EDIN score: an observational study. Arch Dis Child Fetal Neonatal Ed. 2009;94(1):F35-8. Bayraktar S