Barzegari Ali-Asghar, Akbarian Rad Zahra, Nikbakht Hossein-Ali, Qalehsari Mojtaba Qanbari, Jafarian Amiri Seyedeh Roghayeh, Zabihi Ali, Kazemi Mobina
Department of Nursing, Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I R Iran.
J Educ Health Promot. 2024 Dec 28;13:467. doi: 10.4103/jehp.jehp_1042_24. eCollection 2024.
Various painful therapeutic and diagnostic procedures are performed daily for hospitalized infants. These procedures are very effective in their growth and recovery process. This study was conducted to determine "the frequency and pain intensity of painful procedures in premature infants hospitalized in NICU."
This cross-sectional study was conducted from February 10, 2023 to April 10, 2023 on all infants who met the inclusion criteria and were admitted to NICU. The data collection tool was a multi-part questionnaire including demographic data, types of painful procedures, and NIPS pain scale. After collecting the data, it was entered into SPSS23 software and analyzed at a significance level of less than 0.05.
The highest frequency of painful procedures in each of the neonates during hospitalization, respectively, was related to orogastric tube insertion (24.43 ± 20.17), venipuncture (3.81 ± 1.03), IV cannula removal (3.74 ± 0.90) and intravenous insertion (3.72 ± 1.10). Pain intensity was moderate in 62.1% and severe in 36.2% of procedures. Endotracheal intubation, eye examination, nasogastric tube insertion, heel lance, oral suction, intramuscular injection, nasal suction, intravenous insertion, and venipuncture had the highest intensity of pain, respectively. Pain intensity was significantly higher in infants weighing more than 1500 g ( = 0.007) and gestational age more than 32 weeks ( = 0.031).
Premature infants admitted to the NICU frequently undergo painful procedures with moderate or severe pain intensity. Therefore, it is recommended to use appropriate pain management to increase growth and development, maintain and promote health in infants.
住院婴儿每天都要接受各种痛苦的治疗和诊断程序。这些程序对他们的生长和恢复过程非常有效。本研究旨在确定“新生儿重症监护病房（NICU）住院早产儿痛苦程序的频率和疼痛强度”。
本横断面研究于2023年2月10日至2023年4月10日对所有符合纳入标准并入住NICU的婴儿进行。数据收集工具是一份多部分问卷，包括人口统计学数据、痛苦程序类型和新生儿婴儿疼痛量表（NIPS）。收集数据后，将其输入SPSS23软件，并在显著性水平小于0.05的情况下进行分析。
住院期间，每个新生儿痛苦程序的最高频率分别与经口胃管插入（24.43±20.17）、静脉穿刺（3.81±1.03）、静脉留置针拔除（3.74±0.90）和静脉插管（3.72±1.10）有关。62.1%的程序疼痛强度为中度，36.2%为重度。气管插管、眼部检查、鼻胃管插入、足跟采血、口腔吸引、肌肉注射、鼻腔吸引、静脉插管和静脉穿刺的疼痛强度最高。体重超过1500克（P = 0.007）和胎龄超过32周（P = 0.031）的婴儿疼痛强度明显更高。
入住NICU的早产儿经常接受痛苦程度为中度或重度的程序。因此，建议采用适当的疼痛管理措施，以促进婴儿的生长发育，维持和促进其健康。
