Aymar Carmen L G de, Lima Luciane S de, Santos Cândida M R dos, Moreno Emilly A C, Coutinho Sônia B
Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Department of Nursing, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
J Pediatr (Rio J). 2014 May-Jun;90(3):308-15. doi: 10.1016/j.jped.2013.09.008. Epub 2014 Feb 22.
to study the perception of a Neonatal Intensive Care team on pain assessment and management before and after an educational intervention created and implemented in the unit.
intervention study developed as action research, in three phases. In Phase 1, a quantitative study was performed to identify how professionals perceive pain management in the unit. In Phase 2, an educational intervention was carried out, using the Operational Group (OG), which defined strategies to be adopted to seek improvements in pain assessment and management. In Phase 3, the initial questionnaire was reapplied to assess professionals' perceptions about the subject after the intervention. All professionals directly working in newborn care were included.
the perception of professionals about pain management and assessment in the unit showed a statistically significant difference between the two phases of research, highlighting the increase in frequency of reference for evaluation and use of some method of pain relief procedures for most analyzed procedures. Participation in training (one of the strategies defined by the operational group) was reported by 86.4% of the professionals. They reported the use of scales for pain assessment, established by the protocol adopted in the service after the intervention, with a frequency of 94.4%. Changes in pain assessment and management were perceived by 79.6% of the participants.
the professionals involved in the educational intervention observed changes in pain management in the unit and related them to the strategies defined and implemented by the OG.
研究新生儿重症监护团队在该科室创建并实施教育干预前后对疼痛评估与管理的认知情况。
作为行动研究开展的干预性研究，分三个阶段进行。在第一阶段，开展定量研究以确定专业人员对科室疼痛管理的认知情况。在第二阶段，采用操作小组（OG）进行教育干预，该小组确定了为改进疼痛评估与管理而应采取的策略。在第三阶段，重新应用初始问卷以评估干预后专业人员对该主题的认知。纳入所有直接从事新生儿护理工作的专业人员。
专业人员对科室疼痛管理与评估的认知在两个研究阶段之间显示出统计学上的显著差异，突出了大多数分析程序中评估参考频率以及某些疼痛缓解程序使用频率的增加。86.4%的专业人员报告参与了培训（操作小组确定的策略之一）。他们报告使用了干预后科室采用的方案所规定的疼痛评估量表，频率为94.4%。79.6%的参与者察觉到了疼痛评估与管理方面的变化。
参与教育干预的专业人员观察到科室疼痛管理方面的变化，并将其与操作小组定义和实施的策略联系起来。
