Manejo da dor durante a punção arterial no neonato: estudo descritivo [Pain management during arterial puncture in newborns: a descriptive study] [Manejo del dolor durante la punción arterial en neonatos: estudio descriptivo]
DOI:
https://doi.org/10.12957/reuerj.2021.62858Keywords:
Cuidados de Enfermagem, Enfermagem Neonatal, Manejo da Dor, Observação.Abstract
Objetivo: descrever as medidas de alívio da dor aplicadas pela equipe de enfermagem durante a punção arterial no neonato e os escores de dor no momento do procedimento. Método: estudo descritivo, quantitativo, realizado entre outubro de 2018 e janeiro de 2019, em uma unidade de terapia intensiva neonatal no Noroeste do Paraná, por meio da observação não participantes de 192 punções arteriais, com respectiva mensuração dos escores de dor. O estudo foi aprovado pelo Comitê de Ética em Pesquisa com Seres Humanos. Resultados: das 192 punções somente 34 foram analisadas quanto às medidas de alívio e escores de dor, os quais se mostraram elevados. As demais punções foram excluídas, devido perda da monitorização durante o procedimento. Conclusão: evidenciou-se pouco uso de intervenções relacionadas ao alívio da dor por parte da equipe. O processo de observação constatou a presença de dor intensa.
ABSTRACT
Objective: to describe pain relief measures applied by the nursing team during arterial puncture in neonates, and pain scores during the procedure. Method: this descriptive, quantitative study was conducted between October 2018 and January 2019 at a neonatal intensive care unit in northwestern Paraná, by non-participant observation of 192 arterial punctures and measurement of the respective pain scores. The study was approved by the human research ethics committee. Results: of the 192 punctures, only 34 were examined for relief measures and pain scores; the latter were found to be high. The other punctures were excluded for loss of monitoring during the procedure. Conclusion: pain-relief interventions were little used by the team. The observation process found intense pain.
RESUMEN
Objetivo: describir las medidas de alivio del dolor aplicadas por el equipo de enfermería durante la punción arterial en neonatos y las escalas de puntuación de dolor en el momento del procedimiento. Método: estudio descriptivo, cuantitativo, realizado entre octubre de 2018 y enero de 2019, en una unidad de cuidados intensivos neonatales del noroeste de Paraná, mediante observación no participante de 192 punciones arteriales, con medición respectiva de puntuaciones de dolor. El estudio fue aprobado por el Comité de Ética para la Investigación con Seres Humanos. Resultados: de las 192 punciones, solo 34 fueron analizadas en cuanto a las medidas de alivio y puntuaciones de dolor que fueron elevadas. Se excluyeron las otras punciones debido a la pérdida del monitoreo durante el procedimiento. Conclusión: el equipo utilizó poco las intervenciones relacionadas con el alivio del dolor. El proceso de observación verificó la presencia de dolor intenso.
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