Routine procedures in NICUs: factors influencing pain assessment and ranking by pain intensity.
作者： Mathias Nelle , Jan P H Hamers , Eva Cignacco , Lilian Stoffel , Romano Müller
关键词: Pain assessment 、 Procedural Pain 、 Medicine 、 Tertiary level 、 Physical therapy 、 Visual analogue scale 、 Ranking 、 Pain management 、 Thoracic drain 、 Neonatal health
摘要: BACKGROUND: Pain associated with routine procedures in NICUs is often inadequately managed. Barriers to more appropriate pain management are nurses' and physicians' knowledge the challenges of collaborative decision-making. Few studies describe differing perceptions procedural intensity among nurses physicians which could complicate common This study set out explore factors influencing assessment gain insight into a possible classification NICU. METHOD: A survey was conducted 431 neonatal health care professionals from 4 tertiary level NICUs. Each procedure assessed on 10-point visual analogue scale (VAS) assuming absence analgesia. RESULTS: Multiple ANCOVA models showed that rated 19 27 as significantly painful than did (p<0.05). We found no differences based professional experience, gender or age. Of listed, 70% were 44% judged very painful. Ranking drawn up. The general ranking median across all shows "insertion thoracic drain" most procedure. CONCLUSIONS: majority an NICU considered be Nurses generally rate do physicians. difference deserves exploration regard its impact decision-making neonate management.
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