بررسي نشانه هاي درد در نوزادان بستري در بخش هاي نوزادان بيمارستان هاي دانشگاه علوم پزشكي همدان

Study on signs of pain in neonates admitted in pediatric wards of the hospitals affiliated to Hamedan university of medical sciences

Background and purpose: Pain is a destructive one and remains in the mind of the child suffering from it. Without considering the behavioral and physiologic responses of child against painful irritants, it is not possible kill pain only by observing the appearance. Hence the aim of this study was to determine the behavioral and physiological pain in neonates admitted in pediatric wards. Materials and methods: This is a descriptive-cross sectional study. Sample size was estimated to be about 150, and this number of the subjects were selected in three and half months period. The data were recorded in check list prepared according to Als, theory of development and lawranceʹs Neonate-Infant pain scale (NIPS) the data were analyzed by EPI 6 soft ware. Results : 73.3 of the subjects under study had physiologic signs and flashing of face during the procedure. Also mean heart and respiratory rate during the procedure had significant increase compared to the previous ones. Among the behavioral signs, facial experssion (97.3%), crying (96%) and breathing patens changes (93.3%) scored the highest rate. Significant relationship was observed only between facial expression and kind of procedure (o.o25) (p<0.01). Conclusion: Having proper strategy to kill pain in reonates admitted in hospital needs a standard procedure and a team work function. Since neonate canʹt express pain verbally, their physiologic behavioral response must be noticed. Referring to the findings of the research, among these signs, facial expression, increase in heart rate and number of breathing and change in pattern of respiration can be clue for studying the pain without need of any sophisticated instrument.