Year 2018 / Volume 25 / Number 5

Original

Experience in two hospitals about the observation of pain responses in hospitalized preterm infants

Rev. Soc. Esp. Dolor. 2018; 25(5): 271-277 / DOI: 10.20986/resed.2018.3633/2017

María Celeste Gómez


ABSTRACT

Introduction: Every child born before 37 weeks gestation is considered preterm. These children need support to achieve survival, that is how the Iberoamerican Society of Neonatology, children born preterm undergo various procedures in most cases cause pain. All children under 32 weeks gestational age are subjected to between 5 and 14 painful procedures per day and 80 % did not receive analgesics. It is important to consider that the fact of having pain could generate consequences in its development, either in the short or long term.
General objectives: To observe the pain reactions of preterm infants in different gestational age categories and to collaborate in the awareness of health personnel about the issue of pain in preterm infants.
Material and methods: Therefore conducted an observational study of 27 cases in two hospitals in Argentina, one private and other public. It was observed painful procedures made to premature infants hospitalized in Neonatal Intensive Care Unit (NICU) and recorded both physiological and behavioral values.
Results: The results show that there are differences in the reactions of children as rated by gestational ages, especially in regard to Heart Rate and gestures.
Conclusions: It`s concluded that the adequate pain management is a right for premature wich it is not always taken into account, so it is postulated the need for further work in developing a specific scale for these children and raising awareness of health personnel, humanizing interventions in the child.



RESUMEN

Introducción: Todo niño nacido antes de las 37 semanas de edad gestacional es considerado prematuro. Estos infantes necesitan apoyo para lograr la supervivencia; es así como, según la Sociedad Iberoamericana de Neonatología, los niños nacidos pretérmino son sometidos a diversos procedimientos que en la mayoría de los casos producen dolor. Los bebés prematuros menores de 32 semanas de edad gestacional son sometidos a entre 5 y 14 procedimientos dolorosos por día, y el 80 % de ellos no recibe analgésicos. Es importante, a su vez, considerar que el hecho de sufrir dolor podría generar consecuencias en su desarrollo, ya sea a corto o largo plazo.
Objetivos generales: Observar las reacciones de dolor de niños nacidos prematuros en diferentes categorías de edades gestacionales y colaborar en la concienciación del personal de salud sobre la temática del dolor en el niño prematuro.
Material y métodos: Por tal motivo se llevó a cabo un estudio observacional de 27 casos en dos hospitales de Argentina, uno de ellos privado y otro público. En el mismo se presenciaron procedimientos dolorosos realizados a infantes prematuros internados en la Unidad de Cuidados Intensivos Neonatales (UCIN) y se registraron tanto valores fisiológicos como comportamentales.
Resultados: Los resultados demuestran que existen diferencias en las reacciones de los niños según la clasificación de edades gestacionales, sobre todo en lo que respecta a la frecuencia cardiaca y a lo gestual.
Conclusiones: Se concluye que el adecuado manejo del dolor es un derecho para el prematuro que no siempre es tenido en cuenta, por lo que se postula la necesidad de seguir trabajando en la elaboración de una escala específica para estos infantes y en la concienciación del personal de salud, humanizando las intervenciones en el niño.


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Instrucciones para citar

Gómez M. Experience in two hospitals about the observation of pain responses in hospitalized preterm infants. Rev Soc Esp Dolor 2018; 25(5): 271-277 / DOI: 1020986/resed20183633/2017


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Recibido: 14/11/2017

Aceptado: 01/06/2018

Prepublicado: 28/06/2018

Publicado: 03/10/2018

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