Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada (Drs De Clifford Faugère and Aita); CHU Sainte-Justine Research Centre, Montreal, Quebec, Canada (Drs De Clifford Faugère and Aita); EA3279-CEReSS, School of Nursing, Faculty of Medical and Paramedical Sciences, Aix-Marseille Université, Marseille, France (Drs De Clifford Faugère and Colson); Quebec Network on Nursing Intervention Research (RRISIQ), Montreal, Quebec, Canada (Drs Aita and Feeley); Ingram School of Nursing, McGill University, Montreal, Quebec, Canada (Dr Feeley); and Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital-CIUSSS West-Central-Montreal, Montreal, Quebec, Canada (Dr Feeley).
J Perinat Neonatal Nurs. 2022;36(3):312-326. doi: 10.1097/JPN.0000000000000676.
In the neonatal intensive care unit, preterm infants undergo many painful procedures. Although these can impair their neurodevelopment if not properly managed, only half of the painful procedures are optimally handled. This cross-sectional study aimed to evaluate nurses' perceptions of preterm infants' pain, to evaluate nurses' pain assessment and management practices, as well as to identify the individual and contextual factors that influence nurses' assessments and interventions for pain management. Secondary analyses, including a mixed-model analysis, were performed with data from a larger study (n = 202 nurses). Nurses were found to have attitudes and perceptions in favor of preterm infants' pain management, although they reported using few standardized instruments to assess pain. Nurses stated that they widely used sucrose, non-nutritive sucking, and positioning as pain management interventions, while skin-to-skin contact was rarely practiced. Nurses' attitudes and perceptions influenced their pain assessment practices, which predicted their implementation of interventions. Several contextual (country, level of care, and work shift) and individual factors (age, level of education, had a preterm infant, perceptions of family-centered care, and skin-to-skin contact) also predicted nurses' pain assessment and management practices.
在新生儿重症监护病房，早产儿要经历许多有疼痛的操作。如果这些操作不能得到妥善处理，可能会损害他们的神经发育，但只有一半的有疼痛的操作得到了最佳处理。这项横断面研究旨在评估护士对早产儿疼痛的感知，评估护士的疼痛评估和管理实践，并确定影响护士进行疼痛管理评估和干预的个体和环境因素。对来自一项更大研究（n=202 名护士）的数据进行了二次分析，包括混合模型分析。尽管护士报告使用了很少的标准化工具来评估疼痛，但他们对早产儿疼痛管理的态度和看法是有利的。护士表示，他们广泛使用蔗糖、非营养性吸吮和体位作为疼痛管理干预措施，而很少进行皮肤接触。护士的态度和看法影响了他们的疼痛评估实践，而这些实践又预测了他们干预措施的实施。一些环境（国家、护理水平和工作班次）和个体因素（年龄、教育程度、有早产儿、对以家庭为中心的护理的看法以及皮肤接触）也预测了护士的疼痛评估和管理实践。
