Attitudes of healthcare professionals regarding the assessment and treatment of neonatal pain
Actitudes de profesionales de salud frente a la evaluación y el tratamiento del dolor neonatal
Atitudes dos profissionais de saúde na avaliação e tratamento da dor neonatal
Marialda Moreira Christoffel; Thaíla Corrêa Castral; Mariana Firmino Daré; Liciane Langona Montanholi; Ana Leticia Monteiro Gomes; Carmen Gracinda Silvan Scochi
Abstract
Objectives: To describe and analyze the attitudes of health professionals in relation to the evaluation and treatment of pain in newborns undergoing painful procedures in neonatal units.
Methods: This descriptive, exploratory, quantitative study was performed in a maternity hospital in the state of Rio de Janeiro. Participants were 42 nursing assistants/technicians, 22 nurses, 20 physicians and 02 physical therapists. Data were collected through a self-administered questionnaire covering the profile of the health professionals and their attitudes in the assessment and treatment of pain.
Results It was found that the professionals mentioned assessing NB pain through behavioral parameters, however, did not use scales and did not perform this evaluation systematically. The majority of the nursing professionals used non-pharmacological measures for pain relief, with wrapping being the most used.
Conclusion: There is a difference between what is prescribed and what is performed, indicating the existence of a gap between existing knowledge and the practice. Attitudes need to be changed and actions implemented according to the best available evidence.
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Objetivos: Descrever e analisar as atitudes dos profissionais de saúde em relação à avaliação e ao tratamento da dor em recém-nascido, submetido a procedimentos dolorosos na unidade neonatal.
Métodos: Estudo descritivo, exploratório, com análise quantitativa, realizado em uma maternidade do Município do Rio de Janeiro. Participaram 42 auxiliares/técnicos de enfermagem, 22 enfermeiros, 20 médicos e dois fisioterapeutas. Os dados foram coletados por um questionário autoaplicável referente ao perfil dos profissionais de saúde e atitudes na avaliação e tratamento da dor.
Resultados: Verificou-se que profissionais referem avaliar a dor do RN por parâmetros comportamentais, mas não utilizam escalas e não realizam essa avaliação de maneira sistemática. A maioria dos profissionais de enfermagem utilizam medidas não farmacológicas para o alívio da dor, sendo o enrolamento o mais utilizado.
Conclusão: Há divergência entre o que é considerado prescrito e o administrado, apontando a existência de uma lacuna entre a prática e o conhecimento existente. As atitudes precisam ser mudadas e instrumentalizadas pela melhor evidência disponível.
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Referências
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Submetido em:
28/07/2016
Aceito em:
21/11/2016
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