Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants

Detalhes bibliográficos
Autor(a) principal: Pereira,Andrea Lübe de S Thiago
Data de Publicação: 1999
Outros Autores: Guinsburg,Ruth, Almeida,Maria Fernanda Branco de, Monteiro,Ana Cristina, Santos,Amélia Miyashiro Nunes dos, Kopelman,Benjamin Israel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000200005
Resumo: CONTEXT: The subjectivity of pain causes enormous difficulties in evaluating neonatal pain with a single, practical and easy-to-apply tool. Pain evaluation in the neonatal period should be performed by valid, safe, useful and feasible methods. OBJECTIVE: To evaluate the validity of the Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS), heart rate (HR) and O2 saturation (O2 sat) for neonatal pain assessment. DESIGN: Prospective, double-blind randomized trial. SETTING: A secondary level maternity hospital. PARTICIPANTS: 70 healthy neonates requiring bilirubin dosage were randomly assigned to receive a venous puncture (P: n=33, BW 3.2kg, SD 0.6; GA 39wk, SD 1; 59h of life, SD 25) or an alcohol swab friction (F: n=37; BW 3.1kg, SD 0.5; GA 39wk, SD 1; 52h of life, SD 17). INTERVENTION: All measurements were taken prior to (PRE), during (T0), and 1(T1), 3(T3), 5(T5) and 10(T10) minutes after the procedure. MEASUREMENTS: A neonatologist evaluated NFCS, NIPS, HR and O2 sat by pulse oxymetry. RESULTS: Median NFCS and NIPS results at T0, T1 and T3 were higher in P group, compared to F. More P neonates presented NFCS >2 and/or NIPS >3 at T0, T1 and T3. HR was lower in P group at T1. Average O2 sat was above 90% during the whole study period in both groups. CONCLUSION: NFCS and NIPS are suitable instruments for neonatal pain evaluation. Heart rate and O2 saturation can be used only as auxiliary methods.
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spelling Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infantsNewborn-infantPainPain AssessmentCONTEXT: The subjectivity of pain causes enormous difficulties in evaluating neonatal pain with a single, practical and easy-to-apply tool. Pain evaluation in the neonatal period should be performed by valid, safe, useful and feasible methods. OBJECTIVE: To evaluate the validity of the Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS), heart rate (HR) and O2 saturation (O2 sat) for neonatal pain assessment. DESIGN: Prospective, double-blind randomized trial. SETTING: A secondary level maternity hospital. PARTICIPANTS: 70 healthy neonates requiring bilirubin dosage were randomly assigned to receive a venous puncture (P: n=33, BW 3.2kg, SD 0.6; GA 39wk, SD 1; 59h of life, SD 25) or an alcohol swab friction (F: n=37; BW 3.1kg, SD 0.5; GA 39wk, SD 1; 52h of life, SD 17). INTERVENTION: All measurements were taken prior to (PRE), during (T0), and 1(T1), 3(T3), 5(T5) and 10(T10) minutes after the procedure. MEASUREMENTS: A neonatologist evaluated NFCS, NIPS, HR and O2 sat by pulse oxymetry. RESULTS: Median NFCS and NIPS results at T0, T1 and T3 were higher in P group, compared to F. More P neonates presented NFCS >2 and/or NIPS >3 at T0, T1 and T3. HR was lower in P group at T1. Average O2 sat was above 90% during the whole study period in both groups. CONCLUSION: NFCS and NIPS are suitable instruments for neonatal pain evaluation. Heart rate and O2 saturation can be used only as auxiliary methods.Associação Paulista de Medicina - APM1999-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000200005Sao Paulo Medical Journal v.117 n.2 1999reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801999000200005info:eu-repo/semantics/openAccessPereira,Andrea Lübe de S ThiagoGuinsburg,RuthAlmeida,Maria Fernanda Branco deMonteiro,Ana CristinaSantos,Amélia Miyashiro Nunes dosKopelman,Benjamin Israeleng1999-10-04T00:00:00Zoai:scielo:S1516-31801999000200005Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:1999-10-04T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
title Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
spellingShingle Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
Pereira,Andrea Lübe de S Thiago
Newborn-infant
Pain
Pain Assessment
title_short Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
title_full Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
title_fullStr Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
title_full_unstemmed Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
title_sort Validity of behavioral and physiologic parameters for acute pain assessment of term newborn infants
author Pereira,Andrea Lübe de S Thiago
author_facet Pereira,Andrea Lübe de S Thiago
Guinsburg,Ruth
Almeida,Maria Fernanda Branco de
Monteiro,Ana Cristina
Santos,Amélia Miyashiro Nunes dos
Kopelman,Benjamin Israel
author_role author
author2 Guinsburg,Ruth
Almeida,Maria Fernanda Branco de
Monteiro,Ana Cristina
Santos,Amélia Miyashiro Nunes dos
Kopelman,Benjamin Israel
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Pereira,Andrea Lübe de S Thiago
Guinsburg,Ruth
Almeida,Maria Fernanda Branco de
Monteiro,Ana Cristina
Santos,Amélia Miyashiro Nunes dos
Kopelman,Benjamin Israel
dc.subject.por.fl_str_mv Newborn-infant
Pain
Pain Assessment
topic Newborn-infant
Pain
Pain Assessment
description CONTEXT: The subjectivity of pain causes enormous difficulties in evaluating neonatal pain with a single, practical and easy-to-apply tool. Pain evaluation in the neonatal period should be performed by valid, safe, useful and feasible methods. OBJECTIVE: To evaluate the validity of the Neonatal Facial Coding System (NFCS), Neonatal Infant Pain Scale (NIPS), heart rate (HR) and O2 saturation (O2 sat) for neonatal pain assessment. DESIGN: Prospective, double-blind randomized trial. SETTING: A secondary level maternity hospital. PARTICIPANTS: 70 healthy neonates requiring bilirubin dosage were randomly assigned to receive a venous puncture (P: n=33, BW 3.2kg, SD 0.6; GA 39wk, SD 1; 59h of life, SD 25) or an alcohol swab friction (F: n=37; BW 3.1kg, SD 0.5; GA 39wk, SD 1; 52h of life, SD 17). INTERVENTION: All measurements were taken prior to (PRE), during (T0), and 1(T1), 3(T3), 5(T5) and 10(T10) minutes after the procedure. MEASUREMENTS: A neonatologist evaluated NFCS, NIPS, HR and O2 sat by pulse oxymetry. RESULTS: Median NFCS and NIPS results at T0, T1 and T3 were higher in P group, compared to F. More P neonates presented NFCS >2 and/or NIPS >3 at T0, T1 and T3. HR was lower in P group at T1. Average O2 sat was above 90% during the whole study period in both groups. CONCLUSION: NFCS and NIPS are suitable instruments for neonatal pain evaluation. Heart rate and O2 saturation can be used only as auxiliary methods.
publishDate 1999
dc.date.none.fl_str_mv 1999-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801999000200005
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31801999000200005
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.117 n.2 1999
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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