Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/1888 |
Resumo: | Introduction: neonatal pain results in neurobiological effects, and changes in behavioral reactions of children who were born prematurely. There is no clear description about the pain caused by chest physiotherapy technique, nor about the possible non-pharmacological interventions to prevent it. Objective: to evaluate neonatal pain and physiological parameters during the chest physiotherapy in premature neonates (PTNB) in neonatal intensive care. Method: a randomized controlled trial, not blinded, in which 120 PTNB in mechanical ventilation were studied. They were randomized into four groups: control group (CG), diaphragmatic stimulation group (EDG), manual hyperinflation group (MHG), thoracic vibration group (VTG), containing 30 individuals in each one. The protocol consisted of 3 phases, the first phase being considered the control, and the other associated with non-pharmacological techniques to reduce pain: application of the technique (phase 1), application of technique + facilitated tucking (phase 2), application of technique + glucose (phase 3). Heart rate (HR), respiratory rate (RR), SpO2, Behavioral pain scale Indicators of Infant Pain (BIIP, ranges from 0 to 10) and Neonatal Infant Pain Scale (NIPS, ranges from 0 -7) were recorded at pre, during and after (15 minutes) the procedures described. Results: 62 (51.66%) RNPT were female, and most considered small for gestational age (83, 69%). Physiological variables (HR, FR, and SpO2) behaved in a similar manner in all groups (CG, MHG, EDG, VTG), being greater in phase 1, however these variables were reduced at phase 2 and 3 (p < 0.05). This means that during the application of non-pharmacological intervention (facilitated tucking or glucose) there was reduction of those variables. BIIP and NIPS scales showed increased in all of the groups in the phase 1 during the application of the techniques, however, similar to the physiological variables, these scales had reduced scores when applied to facilitated tucking (phase 2) or glucose (phase 3), p < 0.05. The number of individuals who have had pain assessed by BIIP (> 3 points) at the moment after in the phase 1 was 83 (69%), in phase 2 was 22 (18%), and in phase 3 of 34 (28%), p < 0.001. Conclusions: The chest physiotherapy techniques can increase the pain in PTNB, however, the non-pharmacological techniques, such as facilitated tucking and glucose, were able to reduce it. |
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Lanza, Fernanda de CordobaSaraty, Salma BritoLanza, Fernanda de CordobaCorso, Simone DalJorge, Luciana Maria Malos?? SampaioJos??, Andersonhttp://lattes.cnpq.br/7135874493191606Guimar??es, Andr?? Gustavo Moura2018-07-20T19:48:50Z2018-03-06Guimar??es, Andr?? Gustavo Moura. Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva. 2018. 114 f. Tese( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo.http://bibliotecatede.uninove.br/handle/tede/1888Introduction: neonatal pain results in neurobiological effects, and changes in behavioral reactions of children who were born prematurely. There is no clear description about the pain caused by chest physiotherapy technique, nor about the possible non-pharmacological interventions to prevent it. Objective: to evaluate neonatal pain and physiological parameters during the chest physiotherapy in premature neonates (PTNB) in neonatal intensive care. Method: a randomized controlled trial, not blinded, in which 120 PTNB in mechanical ventilation were studied. They were randomized into four groups: control group (CG), diaphragmatic stimulation group (EDG), manual hyperinflation group (MHG), thoracic vibration group (VTG), containing 30 individuals in each one. The protocol consisted of 3 phases, the first phase being considered the control, and the other associated with non-pharmacological techniques to reduce pain: application of the technique (phase 1), application of technique + facilitated tucking (phase 2), application of technique + glucose (phase 3). Heart rate (HR), respiratory rate (RR), SpO2, Behavioral pain scale Indicators of Infant Pain (BIIP, ranges from 0 to 10) and Neonatal Infant Pain Scale (NIPS, ranges from 0 -7) were recorded at pre, during and after (15 minutes) the procedures described. Results: 62 (51.66%) RNPT were female, and most considered small for gestational age (83, 69%). Physiological variables (HR, FR, and SpO2) behaved in a similar manner in all groups (CG, MHG, EDG, VTG), being greater in phase 1, however these variables were reduced at phase 2 and 3 (p < 0.05). This means that during the application of non-pharmacological intervention (facilitated tucking or glucose) there was reduction of those variables. BIIP and NIPS scales showed increased in all of the groups in the phase 1 during the application of the techniques, however, similar to the physiological variables, these scales had reduced scores when applied to facilitated tucking (phase 2) or glucose (phase 3), p < 0.05. The number of individuals who have had pain assessed by BIIP (> 3 points) at the moment after in the phase 1 was 83 (69%), in phase 2 was 22 (18%), and in phase 3 of 34 (28%), p < 0.001. Conclusions: The chest physiotherapy techniques can increase the pain in PTNB, however, the non-pharmacological techniques, such as facilitated tucking and glucose, were able to reduce it.Introdu????o: A dor neonatal desencadeia efeitos neurobiol??gicos agudamente, e altera????es nas rea????es comportamentais da crian??a nascida prematuramente. N??o h?? descri????o clara sobre a dor ocasionada por t??cnicas manuais de fisioterapia respirat??ria, tampouco sobre as poss??veis interven????es n??o farmacol??gicas na preven????o da mesma. Objetivo: Avaliar a dor neonatal e par??metros fisiol??gicos durante a fisioterapia respirat??ria em neonatos prematuros na UTI neonatal. Metodologia: ensaio cl??nico randomizado controlado, n??o cego, no qual foram estudados 120 rec??m-nascidos prematuros (RNPT), de ambos os sexos, em ventila????o mec??nica. Foram randomizados em quatro grupos: grupo controle (GC), grupo estimula????o diafragm??tica (GED), grupo hiperinsufla????o manual (GHM), grupo vibra????o tor??cica (GVT), contendo 30 indiv??duos em cada. O protocolo constou de 3 fases, sendo a primeira fase considerada a controle, e as demais associadas a t??cnicas n??o farmacol??gicas de redu????o da dor: aplica????o da t??cnica (fase 1), aplica????o da t??cnica e conten????o (fase 2), aplica????o da t??cnica e glicose (fase 3). A frequ??ncia card??aca (FC), respirat??ria (FR), SpO2, escala de dor Behavioral Indicators of Infant Pain (BIIP, varia de 0 a 10) e Neonatal Infant Pain Scale (NIPS, varia de 0 -7) foram registradas pr??, durante e ap??s (15 minutos) dos procedimentos em cada fase descrita. Resultados: 62 (51,66%) dos RNPT do sexo feminino, e a maioria considerados pequenos para idade gestacional (83 ???69%???). As vari??veis fisiol??gicas (FC, FR, e SpO2) se comportaram de maneira semelhante, em todos os grupos, sendo maior na fase 1, reduzindo nas fases 2 e 3 (p<0,05). Durante a aplica????o de interven????o n??o farmacol??gica (conten????o ou glicose) houve redu????o daquelas vari??veis. As escalas BIIP e NIPS mostraram aumento em todos dos grupos na fase 1 durante a aplica????o das t??cnicas, sendo reduzida a dor quando aplicado a conten????o (fase 2) ou a glicose (fase 3), p< 0,05. O n??mero de indiv??duos que tiveram dor avaliado pela BIIP (> 3 pontos) no momento ap??s na fase 1 foi 83 (69%), na fase 2 foi 22 (18%), e na fase 3 de 34 (28%) p< 0,001. Conclus??es: As t??cnicas de manuais de fisioterapia respirat??ria demonstraram gerar dor nos RNPT, entretanto, t??cnicas n??o farmacol??gicas como conten????o e glicose foram capazes de reduzi-la.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2018-07-20T19:48:50Z No. of bitstreams: 1 Andr?? Gustavo Moura Guimar??es.pdf: 1691381 bytes, checksum: b4f575802538a0af96f868e24171236c (MD5)Made available in DSpace on 2018-07-20T19:48:50Z (GMT). No. of bitstreams: 1 Andr?? Gustavo Moura Guimar??es.pdf: 1691381 bytes, checksum: b4f575802538a0af96f868e24171236c (MD5) Previous issue date: 2018-03-06application/pdfporUniversidade Nove de JulhoPrograma de P??s-Gradua????o em Ci??ncias da Reabilita????oUNINOVEBrasilSa??deprematuros??ndrome do desconforto respirat??riodor neonatalprematurerespiratory distress syndromeneonatal painCIENCIAS DA SAUDEInflu??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensivaInfluence of neonatal pain and physiological variables through physiotherapeutic conditions in premature with respiratory distress syndrome in the intensive care unitinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALAndr?? 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dc.title.por.fl_str_mv |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
dc.title.alternative.eng.fl_str_mv |
Influence of neonatal pain and physiological variables through physiotherapeutic conditions in premature with respiratory distress syndrome in the intensive care unit |
title |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
spellingShingle |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva Guimar??es, Andr?? Gustavo Moura prematuro s??ndrome do desconforto respirat??rio dor neonatal premature respiratory distress syndrome neonatal pain CIENCIAS DA SAUDE |
title_short |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
title_full |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
title_fullStr |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
title_full_unstemmed |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
title_sort |
Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva |
author |
Guimar??es, Andr?? Gustavo Moura |
author_facet |
Guimar??es, Andr?? Gustavo Moura |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Lanza, Fernanda de Cordoba |
dc.contributor.advisor-co1.fl_str_mv |
Saraty, Salma Brito |
dc.contributor.referee1.fl_str_mv |
Lanza, Fernanda de Cordoba |
dc.contributor.referee2.fl_str_mv |
Corso, Simone Dal |
dc.contributor.referee3.fl_str_mv |
Jorge, Luciana Maria Malos?? Sampaio |
dc.contributor.referee4.fl_str_mv |
Jos??, Anderson |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7135874493191606 |
dc.contributor.author.fl_str_mv |
Guimar??es, Andr?? Gustavo Moura |
contributor_str_mv |
Lanza, Fernanda de Cordoba Saraty, Salma Brito Lanza, Fernanda de Cordoba Corso, Simone Dal Jorge, Luciana Maria Malos?? Sampaio Jos??, Anderson |
dc.subject.por.fl_str_mv |
prematuro s??ndrome do desconforto respirat??rio dor neonatal |
topic |
prematuro s??ndrome do desconforto respirat??rio dor neonatal premature respiratory distress syndrome neonatal pain CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
premature respiratory distress syndrome neonatal pain |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: neonatal pain results in neurobiological effects, and changes in behavioral reactions of children who were born prematurely. There is no clear description about the pain caused by chest physiotherapy technique, nor about the possible non-pharmacological interventions to prevent it. Objective: to evaluate neonatal pain and physiological parameters during the chest physiotherapy in premature neonates (PTNB) in neonatal intensive care. Method: a randomized controlled trial, not blinded, in which 120 PTNB in mechanical ventilation were studied. They were randomized into four groups: control group (CG), diaphragmatic stimulation group (EDG), manual hyperinflation group (MHG), thoracic vibration group (VTG), containing 30 individuals in each one. The protocol consisted of 3 phases, the first phase being considered the control, and the other associated with non-pharmacological techniques to reduce pain: application of the technique (phase 1), application of technique + facilitated tucking (phase 2), application of technique + glucose (phase 3). Heart rate (HR), respiratory rate (RR), SpO2, Behavioral pain scale Indicators of Infant Pain (BIIP, ranges from 0 to 10) and Neonatal Infant Pain Scale (NIPS, ranges from 0 -7) were recorded at pre, during and after (15 minutes) the procedures described. Results: 62 (51.66%) RNPT were female, and most considered small for gestational age (83, 69%). Physiological variables (HR, FR, and SpO2) behaved in a similar manner in all groups (CG, MHG, EDG, VTG), being greater in phase 1, however these variables were reduced at phase 2 and 3 (p < 0.05). This means that during the application of non-pharmacological intervention (facilitated tucking or glucose) there was reduction of those variables. BIIP and NIPS scales showed increased in all of the groups in the phase 1 during the application of the techniques, however, similar to the physiological variables, these scales had reduced scores when applied to facilitated tucking (phase 2) or glucose (phase 3), p < 0.05. The number of individuals who have had pain assessed by BIIP (> 3 points) at the moment after in the phase 1 was 83 (69%), in phase 2 was 22 (18%), and in phase 3 of 34 (28%), p < 0.001. Conclusions: The chest physiotherapy techniques can increase the pain in PTNB, however, the non-pharmacological techniques, such as facilitated tucking and glucose, were able to reduce it. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-07-20T19:48:50Z |
dc.date.issued.fl_str_mv |
2018-03-06 |
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dc.identifier.citation.fl_str_mv |
Guimar??es, Andr?? Gustavo Moura. Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva. 2018. 114 f. Tese( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/1888 |
identifier_str_mv |
Guimar??es, Andr?? Gustavo Moura. Influ??ncia da dor neonatal e as vari??veis fisiol??gicas mediante as condutas fisioterap??uticas em prematuros com s??ndrome do desconforto respirat??rio na unidade de terapia intensiva. 2018. 114 f. Tese( Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o) - Universidade Nove de Julho, S??o Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/1888 |
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por |
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UNINOVE |
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Universidade Nove de Julho |
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