Obstetrical, Perinatal, and Pediatric Epidemiology Team (EPoPé), Epidemiology and Biostatistics Sorbonne Paris Cité Research Center (U1153), INSERM, and Paris Descartes University, Paris, France.
CHU Lille, Department of Neonatal Medicine, Jeanne de Flandre Hospital, 59000, Lille, France.
Pediatr Res. 2020 Jan;87(1):153-162. doi: 10.1038/s41390-019-0422-8. Epub 2019 May 13.
Parents of preterm neonates wish greater involvement in pain management; little is known about factors associated with this involvement. We aim to describe perceived maternal information on infants' pain during hospitalization (PMIP), to study associations between PMIP and mothers' attitudes during painful procedures, and to identify individual and contextual factors associated with PMIP.
Analyses of questionnaires from the French national cohort study of preterm neonates, EPIPAGE-2. PMIP was derived from mothers' answers to questions about information perceived on both pain assessment and management.
Among 3056 eligible neonates born before 32 weeks, 1974, with available maternal reports, were included in the study. PMIP was classified as "sufficient," "little, not sufficient," or "insufficient, or none" for 22.7, 45.9, and 31.3% of neonates, respectively. Mothers reporting PMIP as "sufficient" were more frequently present and more likely comforting their child during painful procedures. Factors independently associated with "sufficient" PMIP were high maternal education, gestational age <29 weeks, daily maternal visits, perception of high team support, and implementation of the neonatal and individualized developmental care and assessment program.
Perceived maternal information on premature infants' pain reported as sufficient increased maternal involvement during painful procedures and was associated with some units' policies.
早产儿的父母希望更多地参与疼痛管理；但对于与这种参与相关的因素知之甚少。我们旨在描述住院期间母亲对婴儿疼痛的感知信息（PMIP），研究 PMIP 与母亲在疼痛处理过程中的态度之间的关系，并确定与 PMIP 相关的个体和环境因素。
对法国早产新生儿 EPIPAGE-2 国家队列研究的问卷调查进行分析。PMIP 源自母亲对疼痛评估和管理方面感知到的信息的回答。
在 3056 名符合条件的 32 周前出生的早产儿中，有 1974 名母亲提供了报告，纳入了研究。PMIP 被分为“充分”、“很少，不充分”或“不足或无”，分别占新生儿的 22.7%、45.9%和 31.3%。报告 PMIP“充分”的母亲在进行疼痛处理时更常出现并更有可能安慰孩子。与“充分”PMIP 独立相关的因素包括母亲的高教育程度、胎龄<29 周、每日母亲探视、感知团队的高度支持以及新生儿个体化发展护理和评估方案的实施。
报告的早产儿疼痛感知母亲信息充足，增加了母亲在疼痛处理过程中的参与度，并与一些单位的政策有关。
