Clifford Patricia A, Stringer Marilyn, Christensen Holly, Mountain Deborah
The Children's Hospital of Philadelphia, NICU, PA 19104, USA.
J Midwifery Womens Health. 2004 Nov-Dec;49(6):514-9. doi: 10.1016/j.jmwh.2004.07.008.
A baseline assessment of pain should occur as part of a newborn's health assessment within the first few hours of life. Validation and assessment of pain in the term newborn is important for providing care because newborns may experience pain from a multitude of procedures, ranging from heel sticks to circumcisions. Current assessment tools evaluate both behavioral and physiologic parameters. In addition, providing individualized care requires a knowledge base of the interventions available to reduce or eliminate pain, such as breastfeeding, non-nutritive suck, skin-to-skin contact, and sucrose pacifiers. This article describes three newborn pain assessment tools, the use of valid assessment tools, and evidence-based interventions that are recommended to effectively manage newborn pain.
疼痛的基线评估应作为新生儿出生后最初几小时内健康评估的一部分进行。对足月儿疼痛的验证和评估对于提供护理很重要,因为新生儿可能会因多种操作而经历疼痛,从足跟采血到包皮环切术不等。目前的评估工具会评估行为和生理参数。此外,提供个性化护理需要了解可用于减轻或消除疼痛的干预措施的知识基础,例如母乳喂养、非营养性吸吮、皮肤接触和蔗糖安抚奶嘴。本文介绍了三种新生儿疼痛评估工具、有效评估工具的使用以及为有效管理新生儿疼痛而推荐的循证干预措施。