Epidemiology of painful procedures in premature and influencing factors in intensive care unit
10.3760/cma.j.issn.1673-4912.2018.11.005
- VernacularTitle:早产儿致痛性操作的现况调查及影响因素分析
- Author:
Li XU
1
;
Haiyan REN
;
Xiaomei CAO
;
Hua MEI
;
Ting JIANG
;
Liwei SHI
;
Fei YAN
Author Information
1. 内蒙古医科大学附属医院新生儿科
- Keywords:
Premature;
Procedural pain;
Pain;
Analgesia;
Neonatal intensive care unit
- From:
Chinese Pediatric Emergency Medicine
2018;25(11):824-828
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report epidemiological data on neonatal pain collected from a geographi-cally defined region,and analyze its influencing factors. Methods We prospectively collected data on all painful procedures from the first 3 days of admission from 106 premature by using self-made questionnaire. Results One hundred and six premature infants experienced 8 167 first-attempt procedures during the first 3 days of admission,26 painful procedures per premature per day. The top seven were respectively plaster re-moval 1 661(20. 3%),nasal aspiration 1 416(17. 3%),blood sugar testing 982(12. 0%),foil removal 833 (10. 2%),intravenous cannula 806(9. 9%),removal of intravenous line 803(9. 8%),arterial puncture 696 (8.5%); 640(7.8%)supplemental attempts were performed. Arterial puncture 274(42.8%)and intrave-nous cannula 235 (36. 7%) were the top two painful procedures easily failed. Non-invasive ventilation,me-chanical ventilation,neonatal respiratory distress syndrome and low weight were the risk factors of painful procedures. Conclusion In neonatal intensive care unit,large number of painful procedures are performed in the first 3 days of admission. Healthcare providers should develop individualized measures to promote the man-agement of premature pain.