Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit

BACKGROUND: 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...

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Main Authors: Ali-Asghar Barzegari, Zahra Akbarian_rad, Hossein-Ali Nikbakht, Mojtaba Qanbari Qalehsari, Seyedeh Roghayeh Jafarian_amiri, Ali Zabihi, Mobina Kazemi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Education and Health Promotion
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Online Access:https://journals.lww.com/10.4103/jehp.jehp_1042_24
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author Ali-Asghar Barzegari
Zahra Akbarian_rad
Hossein-Ali Nikbakht
Mojtaba Qanbari Qalehsari
Seyedeh Roghayeh Jafarian_amiri
Ali Zabihi
Mobina Kazemi
author_facet Ali-Asghar Barzegari
Zahra Akbarian_rad
Hossein-Ali Nikbakht
Mojtaba Qanbari Qalehsari
Seyedeh Roghayeh Jafarian_amiri
Ali Zabihi
Mobina Kazemi
author_sort Ali-Asghar Barzegari
collection DOAJ
description BACKGROUND: 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.” MATERIALS AND METHODS: 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. RESULTS: 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 (P = 0.007) and gestational age more than 32 weeks (P = 0.031). CONCLUSION: 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.
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spelling doaj-art-b4dc0527412f4bb1a1045b55e59c71dd2025-01-07T08:55:48ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312319-64402024-12-0113146746710.4103/jehp.jehp_1042_24Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unitAli-Asghar BarzegariZahra Akbarian_radHossein-Ali NikbakhtMojtaba Qanbari QalehsariSeyedeh Roghayeh Jafarian_amiriAli ZabihiMobina KazemiBACKGROUND: 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.” MATERIALS AND METHODS: 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. RESULTS: 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 (P = 0.007) and gestational age more than 32 weeks (P = 0.031). CONCLUSION: 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.https://journals.lww.com/10.4103/jehp.jehp_1042_24intensive care unitspainpain managementpremature infantsprocedures
spellingShingle Ali-Asghar Barzegari
Zahra Akbarian_rad
Hossein-Ali Nikbakht
Mojtaba Qanbari Qalehsari
Seyedeh Roghayeh Jafarian_amiri
Ali Zabihi
Mobina Kazemi
Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
Journal of Education and Health Promotion
intensive care units
pain
pain management
premature infants
procedures
title Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
title_full Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
title_fullStr Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
title_full_unstemmed Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
title_short Frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
title_sort frequency and pain intensity of painful procedures in premature infants hospitalized in the neonatal intensive care unit
topic intensive care units
pain
pain management
premature infants
procedures
url https://journals.lww.com/10.4103/jehp.jehp_1042_24
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