Factors Affecting Neonatal Pain Management
Yoon Hee Cho1, Joohyun Lee2
1Yoon Hee Cho, College of Nursing, Dankook University, Cheonan-Si, South Korea.
2Joohyun Lee, College of Nursing, Eulji University, Seongnam-Si, South Korea.
Manuscript received on 01 January 2019 | Revised Manuscript received on 06 January 2019 | Manuscript Published on 07 April 2019 | PP: 132-135 | Volume-8 Issue- 3C January 2019 | Retrieval Number: C10360183C19/2019©BEIESP
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open-access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: Managing neonatal pain is an important issue in neonatal cares. This was a prospective survey on perception of pain management among medical professions in neonatal intensive care units (NICUs). Methods/Statistical analysis: The subjects were 14 physicians and 78 nurses working in NICU in two university hospitals in S and Y cities in South Korea. Self-reported questionnaire were surveyed. The perception of pain, the perception about the necessity of medical treatment, and actual use of medicine for 27 mostly common painful procedures in the NICUs were measured on 5-point Likert scales. Additionally pain related characteristics such as existence and reading experience of pain management guideline and education were investigated. Findings: Among 92 staffs, 83.7% answered that they had a pain management guideline in the NICUs (57.1% of physicians vs. 88.5% of nurses,χ2=9.48, p=.009). Among those who had pain management guidelines, 68.5% had read them at least once, and there was a difference between professions (35.7% of physicians vs. 74.4% of nurses,χ2=8.21, p=.004). Also, there was a difference in the participation of pain management education (28.6% vs. 91.0%, respectively, χ2=30.73, p=<.001). Overall level of pain perception for 27 painful procedures was 1.76±0.47 out of 4 and there was a difference according to professions (1.44±0.57 for physicians vs. 1.81±0.43 for nurses, Z=-2.13, p=. 033).The level of necessity of pain medication was 2.06±0.66 out of 4(1.90±0.59 for physicians vs. 2.09±0.67 for nurses), and actual use of medicine was 0.79±0.43out of 4(0.93±0.38 for physicians vs. 0.76±0.44 for nurses). However, there was no difference in the level of necessity of pain medication or actual use of medicine according to professions. Nurses showed higher level of pain perception and those who had pain management guidelines, had read guidelines, and had received pain management education showed higher level of the necessity of pain medication. However, the actual use of medicine was relatively low and did not show difference according to professions, existence of guideline, reading or education on pain management. Improvements/Applications: It is necessary to provide appropriate pain management education and pain guidelines for medical personnel working in NICUs. Also an effort to enhance the actual practice of pain management guidelines should be implemented.
Keywords: Neonate, Pain, NICU, Management, Guideline.
Scope of the Article: Information Ecology and Knowledge Management