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

Fatma Ertürk

Makale detayları

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

Yazarlar:

Fatma Ertürk

Yayıncı:

Hacettepe University

Ana Başlıklar:

Çocuk Sağlığı ve Hastalıkları Hemşireliği | Yoğun Bakım Hemşireliği

Dergi:

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi Vol.10 Issue 2, pp.93-101

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295593

pISSN:

2148-3590

Anahtar kelimeler:

Özet:

 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.

 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.

 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.

 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 Ünitesinde 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 5.431.86 olduğu ve 35.5inin 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.

Makale detayları

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

Yazarlar:

Fatma Ertürk

Yayıncı:

Hacettepe University

Ana Başlıklar:

Çocuk Sağlığı ve Hastalıkları Hemşireliği | Yoğun Bakım Hemşireliği

Dergi:

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi Vol.10 Issue 2, pp.93-101

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295593

pISSN:

2148-3590

Chronic pain

mechanical ventilation

neonatal intensive care unit

nurse

premature infantHemşire

kronik ağrı

mekanik ventilasyon

prematüre bebek

yenidoğan yoğun bakım ünitesi

Sayı

Makale detayları

Yazarlar: Fatma Ertürk

Yayıncı: Hacettepe University

Ana Başlıklar: Çocuk Sağlığı ve Hastalıkları Hemşireliği | Yoğun Bakım Hemşireliği

Dergi: Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi Vol.10 Issue 2, pp.93-101

Belge Tipi: Makale

Yayın Tarihi: 1/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001295593

pISSN: 2148-3590

Sayı

Yazarlar:

Fatma Ertürk

Yayıncı:

Hacettepe University

Ana Başlıklar:

Çocuk Sağlığı ve Hastalıkları Hemşireliği | Yoğun Bakım Hemşireliği

Dergi:

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi Vol.10 Issue 2, pp.93-101

Belge Tipi:

Makale

Yayın Tarihi:

1/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001295593

pISSN:

2148-3590