A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/9984 |
Resumo: | Introduction: Preterm newborns in the Intensive Care Unit are exposed to different painful procedures. It is recommended that units providing care to the newborn should establish a pain management program, which includes non-pharmacological analgesic interventions. Breastfeeding in full-term newborns is effective in reducing pain responses, but the evidence for preterms is still inconclusive. Objective: To evaluate and synthesize the literature on the evidences of the effectiveness of breastfeeding or breast milk as non-pharmacological interventions for the management of acute procedural pain in preterm newborns. Methods: Systematic review of randomized clinical trials published between 2011 and 2018 in English, Spanish and Portuguese. Search performed according to the acronym PICO, with the research question: Are breastfeeding and breast milk effective in the management of acute pain of procedures in preterm newborns compared to other non-pharmacological methods. Pain was assessed as the predicted value, considering at least one of the following results: scoring of pain assessment scales and evaluation of physiological, behavioral pain indicators or other indicators. The search performed in the electronic databases of MEDLINE, CENTRAL and LILACS, using controlled terms for preterm newborn, pain, breastfeeding, breast milk and randomized clinical trial. Study methodological quality was assessed using the Cochrane Collaboration tool for bias risk assessment from randomized clinical trials. Results: Fifteen studies were included, and two evaluated the use of breastfeeding (128 preterms) and thirteen (1026 preterms) the use of breast milk as an analgesic intervention. The endpoint evaluated in most of the studies (n= 12, 80%) was the PIPP score. The painful procedures examined were heel puncture, ophthalmologic examination for retinopathy of prematurity, aspiration of the airways, removal of adhesive tape from dressing and venipuncture. Conclusion: Breastfeeding has an analgesic effect on heel puncture for late preterm newborns that demonstrate ability to breastfeed. It did not present significant differences in relation to then onnutritive suction and sucrose 24%. Breast milk has a superior effect in relation to water and no treatment, and it shows better results when combined with nonnutritive suction, kangaroo position and enrollement, and is recommended for pain reduction during heel puncture. Studies should be done to investigate other factors that interfere with the efficacy of breastfeeding, such as maternal factors and breastfeeding time, and in addition to investigate different dosages of milk that ensure the best dose / effect to promote analgesia. |
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Castral, Thaíla Corrêahttp://lattes.cnpq.br/8910125241591217Castral, Thaíla CorrêaBueno, MarianaCavalcante, Marcela Maria Faria Peres http://lattes.cnpq.br/9395948272712956Freitas, Raquel Rodrigues de2019-09-04T11:20:55Z2019-07-29FREITAS, R. R. A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática. 2019. 132 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2019.http://repositorio.bc.ufg.br/tede/handle/tede/9984Introduction: Preterm newborns in the Intensive Care Unit are exposed to different painful procedures. It is recommended that units providing care to the newborn should establish a pain management program, which includes non-pharmacological analgesic interventions. Breastfeeding in full-term newborns is effective in reducing pain responses, but the evidence for preterms is still inconclusive. Objective: To evaluate and synthesize the literature on the evidences of the effectiveness of breastfeeding or breast milk as non-pharmacological interventions for the management of acute procedural pain in preterm newborns. Methods: Systematic review of randomized clinical trials published between 2011 and 2018 in English, Spanish and Portuguese. Search performed according to the acronym PICO, with the research question: Are breastfeeding and breast milk effective in the management of acute pain of procedures in preterm newborns compared to other non-pharmacological methods. Pain was assessed as the predicted value, considering at least one of the following results: scoring of pain assessment scales and evaluation of physiological, behavioral pain indicators or other indicators. The search performed in the electronic databases of MEDLINE, CENTRAL and LILACS, using controlled terms for preterm newborn, pain, breastfeeding, breast milk and randomized clinical trial. Study methodological quality was assessed using the Cochrane Collaboration tool for bias risk assessment from randomized clinical trials. Results: Fifteen studies were included, and two evaluated the use of breastfeeding (128 preterms) and thirteen (1026 preterms) the use of breast milk as an analgesic intervention. The endpoint evaluated in most of the studies (n= 12, 80%) was the PIPP score. The painful procedures examined were heel puncture, ophthalmologic examination for retinopathy of prematurity, aspiration of the airways, removal of adhesive tape from dressing and venipuncture. Conclusion: Breastfeeding has an analgesic effect on heel puncture for late preterm newborns that demonstrate ability to breastfeed. It did not present significant differences in relation to then onnutritive suction and sucrose 24%. Breast milk has a superior effect in relation to water and no treatment, and it shows better results when combined with nonnutritive suction, kangaroo position and enrollement, and is recommended for pain reduction during heel puncture. Studies should be done to investigate other factors that interfere with the efficacy of breastfeeding, such as maternal factors and breastfeeding time, and in addition to investigate different dosages of milk that ensure the best dose / effect to promote analgesia.Introdução: Os recém-nascidos pré-termos em Unidade de Terapia Intensiva são expostos a diferentes procedimentos dolorosos. Recomenda-se que unidades que prestam assistência a esta população devem estabelecer um programa de manejo da dor, que inclui intervenções analgésicas não farmacológicas. A amamentação em recém-nascido a termo é efetiva na redução de respostas à dor, porém as evidências para os pré-termos ainda são inconclusivas. Objetivo: Avaliar e sintetizar a literatura quanto às evidências da efetividade da amamentação ou do leite materno como intervenções não farmacológicas para o manejo da dor aguda procedural em recém-nascidos pré-termo. Metodologia: Revisão sistemática de ensaios clínicos randomizados, publicados entre 2011 a 2018, nos idiomas inglês, espanhol e português. Busca realizada conforme o acrônimo PICO, com a pergunta de pesquisa: “A amamentação e o leite materno são efetivos no manejo da dor aguda de procedimentos em recém-nascidos pré-termos comparados a outros métodos não farmacológicos?”. O desfecho avaliado foi a dor, considerando pelo menos um dos seguintes resultados: escore das escalas de avaliação da dor e avaliação dos indicadores fisiológicos e comportamentais de dor além de outros indicadores. A busca realizada nas bases de dados eletrônicas do MEDLINE, CENTRAL e LILACS, utilizando termos controlados para recém- nascido pré-termo, dor, amamentação, leite materno e ensaio clínico randomizado. A qualidade metodológica foi avaliada por meio do instrumento da colaboração Cochrane para avaliação do risco de viés de ensaios clínicos randomizados. Resultados: Foram incluídos 15 estudos, dois avaliaram o uso da amamentação (128 recém-nascidos pré-termos) e treze (1.026 recém-nascidos pré-termos), o uso do leite materno como intervenção analgésica. O desfecho avaliado na maioria dos estudos (n=12, 80%) foi o escore da escala PIPP, e os procedimentos dolorosos estudados foram à punção de calcâneo, exame oftalmológico para retinopatia da prematuridade, aspiração de vias aéreas, remoção de fita adesiva de curativo e punção venosa. Conclusão: A amamentação apresenta efeito analgésico na punção de calcâneo para recém-nascidos pré-termos tardios que demonstram habilidade para amamentar. Não apresentou diferenças significativas de efeito em relação à sucção não nutritiva e a sacarose 24%. O leite materno apresenta efeito superior em relação à água e sem tratamento, e demonstra melhores resultados quando combinado à sucção não nutritiva, posição canguru e enrolamento, sendo recomendado para redução da dor de punção de calcâneo. Estudos devem ser feitos para investigar outros fatores que interferem na eficácia da amamentação, como fatores maternos e tempo de mamada, além da investigação de diferentes dosagens de leite que garantem o melhor dose/efeito para promover analgesia.Submitted by Ana Caroline Costa (ana_caroline212@hotmail.com) on 2019-09-03T17:04:02Z No. of bitstreams: 2 Dissertação - Raquel Rodrigues de Freitas - 2019.pdf: 5338437 bytes, checksum: 1b62818598251d33e3efb3eb3d9a00c2 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2019-09-04T11:20:55Z (GMT) No. of bitstreams: 2 Dissertação - Raquel Rodrigues de Freitas - 2019.pdf: 5338437 bytes, checksum: 1b62818598251d33e3efb3eb3d9a00c2 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2019-09-04T11:20:55Z (GMT). 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dc.title.eng.fl_str_mv |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
dc.title.alternative.eng.fl_str_mv |
Breastfeeding and breast milk for pain relief of procedures in preterm newborns: systematic review |
title |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
spellingShingle |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática Freitas, Raquel Rodrigues de Recém-nascido Pré-termo Manejo da dor Amamentação Preterm newborn Pain management Breastfeeding CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
title_full |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
title_fullStr |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
title_full_unstemmed |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
title_sort |
A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática |
author |
Freitas, Raquel Rodrigues de |
author_facet |
Freitas, Raquel Rodrigues de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Castral, Thaíla Corrêa |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8910125241591217 |
dc.contributor.referee1.fl_str_mv |
Castral, Thaíla Corrêa |
dc.contributor.referee2.fl_str_mv |
Bueno, Mariana |
dc.contributor.referee3.fl_str_mv |
Cavalcante, Marcela Maria Faria Peres |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9395948272712956 |
dc.contributor.author.fl_str_mv |
Freitas, Raquel Rodrigues de |
contributor_str_mv |
Castral, Thaíla Corrêa Castral, Thaíla Corrêa Bueno, Mariana Cavalcante, Marcela Maria Faria Peres |
dc.subject.por.fl_str_mv |
Recém-nascido Pré-termo Manejo da dor Amamentação |
topic |
Recém-nascido Pré-termo Manejo da dor Amamentação Preterm newborn Pain management Breastfeeding CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Preterm newborn Pain management Breastfeeding |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: Preterm newborns in the Intensive Care Unit are exposed to different painful procedures. It is recommended that units providing care to the newborn should establish a pain management program, which includes non-pharmacological analgesic interventions. Breastfeeding in full-term newborns is effective in reducing pain responses, but the evidence for preterms is still inconclusive. Objective: To evaluate and synthesize the literature on the evidences of the effectiveness of breastfeeding or breast milk as non-pharmacological interventions for the management of acute procedural pain in preterm newborns. Methods: Systematic review of randomized clinical trials published between 2011 and 2018 in English, Spanish and Portuguese. Search performed according to the acronym PICO, with the research question: Are breastfeeding and breast milk effective in the management of acute pain of procedures in preterm newborns compared to other non-pharmacological methods. Pain was assessed as the predicted value, considering at least one of the following results: scoring of pain assessment scales and evaluation of physiological, behavioral pain indicators or other indicators. The search performed in the electronic databases of MEDLINE, CENTRAL and LILACS, using controlled terms for preterm newborn, pain, breastfeeding, breast milk and randomized clinical trial. Study methodological quality was assessed using the Cochrane Collaboration tool for bias risk assessment from randomized clinical trials. Results: Fifteen studies were included, and two evaluated the use of breastfeeding (128 preterms) and thirteen (1026 preterms) the use of breast milk as an analgesic intervention. The endpoint evaluated in most of the studies (n= 12, 80%) was the PIPP score. The painful procedures examined were heel puncture, ophthalmologic examination for retinopathy of prematurity, aspiration of the airways, removal of adhesive tape from dressing and venipuncture. Conclusion: Breastfeeding has an analgesic effect on heel puncture for late preterm newborns that demonstrate ability to breastfeed. It did not present significant differences in relation to then onnutritive suction and sucrose 24%. Breast milk has a superior effect in relation to water and no treatment, and it shows better results when combined with nonnutritive suction, kangaroo position and enrollement, and is recommended for pain reduction during heel puncture. Studies should be done to investigate other factors that interfere with the efficacy of breastfeeding, such as maternal factors and breastfeeding time, and in addition to investigate different dosages of milk that ensure the best dose / effect to promote analgesia. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-09-04T11:20:55Z |
dc.date.issued.fl_str_mv |
2019-07-29 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
FREITAS, R. R. A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática. 2019. 132 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2019. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/9984 |
identifier_str_mv |
FREITAS, R. R. A amamentação e o leite materno para o alívio da dor de procedimentos em recém-nascidos pré-termo: revisão sistemática. 2019. 132 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2019. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/9984 |
dc.language.iso.fl_str_mv |
por |
language |
por |
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4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
dc.relation.cnpq.fl_str_mv |
-7702826533010964327 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Enfermagem (FEN) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Enfermagem - FEN (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
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Universidade Federal de Goiás (UFG) |
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UFG |
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UFG |
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Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/c40c3e57-ceb4-42e6-bc6e-9f0258096e1f/download http://repositorio.bc.ufg.br/tede/bitstreams/5375e436-e5f5-4ec8-bdf0-3d8e4bd9c426/download http://repositorio.bc.ufg.br/tede/bitstreams/449cda67-4d63-432b-bd44-5d8213bc2fd2/download http://repositorio.bc.ufg.br/tede/bitstreams/df693c78-7d68-410b-834b-b06ad487941f/download http://repositorio.bc.ufg.br/tede/bitstreams/181820a3-af54-45eb-9c5a-18bcb8bc45fd/download |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e 1b62818598251d33e3efb3eb3d9a00c2 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044326860685312 |