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SJNMP 2018, 3(3): 1-7 |
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Khalili Z, Molavi Vardanjani M, Bashiri S, Khalili A. The relationship between pain score and change in physiological indices of premature neonates under ventilation. SJNMP 2018; 3 (3) :1-7
URL: http://sjnmp.muk.ac.ir/article-1-129-en.html
URL: http://sjnmp.muk.ac.ir/article-1-129-en.html
1- hamadan university of medical sciences , z.khalili@yahoo.com
2- hamadan university of medical sciences
2- hamadan university of medical sciences
Abstract: (3885 Views)
Background & Aim: Tracheal suctioning is one of the ways to clean and open the airway in infants admitted to the neonatal intensive care unit that can be with many negative consequences such as pain, decrease in arterial oxygen saturation, pneumonia, heart rhythm disorder, change In the rhythm and number of respiration and sepsis.
Materials & Methods: This is a descriptive correlational study with IR.UMSHA.REC.1395.424 ethical code, was performed on 120 preterm infants in neonatal intensive care unit of Besat and Fatemieh Hospitals of Hamedan. Firstly, before suctioning the patient, the heart rate index of the newborn that needed to be suctioned was registered by the researcher in three shifts based on the findings of the direct monitoring of the infant. The heart rate index was re-recorded during suction. Data were analyzed using descriptive and regression tests.
Results: Infants with a catheter of 6 to 9 french were suctioned at 80 to 85 suction pressure. In 26% of cases, the suctioning standards for the duration of suction, standard pressure and proper size of the catheter were not observed. There was a significant difference between the change in heart rate index and pain score (P=0.001).
Conclusion: Failure to observe suction standards in premature infants can lead to changes in heart rate index and increase their basic needs, which can impair the recovery process of preterm infants.
Materials & Methods: This is a descriptive correlational study with IR.UMSHA.REC.1395.424 ethical code, was performed on 120 preterm infants in neonatal intensive care unit of Besat and Fatemieh Hospitals of Hamedan. Firstly, before suctioning the patient, the heart rate index of the newborn that needed to be suctioned was registered by the researcher in three shifts based on the findings of the direct monitoring of the infant. The heart rate index was re-recorded during suction. Data were analyzed using descriptive and regression tests.
Results: Infants with a catheter of 6 to 9 french were suctioned at 80 to 85 suction pressure. In 26% of cases, the suctioning standards for the duration of suction, standard pressure and proper size of the catheter were not observed. There was a significant difference between the change in heart rate index and pain score (P=0.001).
Conclusion: Failure to observe suction standards in premature infants can lead to changes in heart rate index and increase their basic needs, which can impair the recovery process of preterm infants.
Type of Study: Research |
Subject:
Special
Received: 2018/07/16 | Revised: 2019/07/23 | Accepted: 2018/08/15 | Published: 2018/08/15 | ePublished: 2018/08/15
Received: 2018/07/16 | Revised: 2019/07/23 | Accepted: 2018/08/15 | Published: 2018/08/15 | ePublished: 2018/08/15
References
1. Paymard A, Khalili A, Zoladl M, Zareei Z, Javadi M. Comparison of Pulse and Arterial Oxygen Saturation Changes in Endotracheal Suction Opening with Two Sizes of 12 and 14: A Randomised Controlled Trial. Sci J Hamadan Nurs Midwifery Fac. 2017; 25 (2) :1-7. [DOI:10.21859/nmj-25021]
2. Asgari N, Taheri P, Golchin M, MohammadiZadeh M. The Effect of Open and Closed Endotracheal Tube Suctioning System on Cardio- respiratory Parameters of Infants Undergoing Mechanical Ventilation. jgbfnm. 2013; 10 :14-20
3. Alizadeh, Z, Paymard, A, Khalili, A, Hejr, H. A systematic review of pain assessment method in children. Annals of Tropical Medicine and Public Health.2017:10(4): 847-849. [DOI:10.4103/ATMPH.ATMPH_155_17]
4. Vahdatnejad J, Abbasinia M, Hosinpoor SH, Babaei A. The comparison between two methods of endotracheal tube suctioning with negative pressure of 100 and 200 mmHg.reaserch in nursing 2014:9(3):69-75.
5. Engron B, Engorn B, Flerlage J. The Harriet Lane Handbook, Saunders; 20 edition (June 3, 2014):3-18.
6. Dezhdar S, Jahanpour F, Firouz Bakht S, Ostovar A. The effect of swaddling method on venous sampling pain in premature infant (Randomized clinical trials):Iranian journal of pediatric nursing 2016:1(4):52-61.
7. Reyhani T, Mohebbi T, Boskabadi H, Gholami H, ghavami Ghanbarabadi V. The Effect of Facilitated Tucking During Venipuncture on Pain and Physiological Parameters in Preterm Infants. Journal of Evidence-Based Care 2012:2(3):47-56.
8. Taheri P, Asgari N, Golchin M. The effect of open and closed endotracheal tube suctioning system on respiratory parameters of infants undergoing mechanical ventilation: Iran J Nurs Midwifery Res. 2012; 17(1): 26-29.
9. Javadi M, Hejr H, Zolad M, Khalili A, Paymard A. Comparing the effect of endotracheal tube suction using open method with two different size catheters 12 and 14 on discharge secretion, pain, heart rate, blood pressure, and arterial oxygen saturation of patients in the intensive care unit: A randomized clinical trial. Ann Trop Med Public Health ,2017;10:1312-1317. [DOI:10.4103/ATMPH.ATMPH_181_17]
10. Valizadeh L, Janani R, Seyedrasooli A, Janat Dust A, Asghari Jafarabadi M. [Effect of Open and Closed Endothracheal Suctioning on Physiologic Parameters and Stability in Premature Infants undergoing Mechanical Ventilation]. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2013; 19(4): 61-73. (Persian)
11. Cignaco E, Hamers JP, Vanlingen R, Zimmermann L, Müller R, Gessler P, Nelle M. Pain relief in ventilated preterm infants during endotracheal suctioning: a randomized controlled trial: SWISS MED WKLY 2008;138(43-44):635-645.
12. Duzkaya S,kuguoglo S. Assessment of Pain During Endotracheal Suction In the Pediatric Intensive Care Unit: Pain Management Nursing 2015:16 (1),:11-19. [DOI:10.1016/j.pmn.2014.02.003] [PMID]
13. Paymard A, Khalili A, Zoladl M, Dehghani F, Zarei Z, Javadi M. A Comparison of the Changes in Pain and Discharge in Open Endotracheal Suction Catheters with two Sizes of 12 and 14: A Randomized Clinical Trial. Qom Univ Med Sci J 2017;10(11):1-8. [DOI:10.21859/nmj-25021]
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