Mothers' Participation in Neonatal Pain Management in the Intensive Care Unit: A Descriptive Study Based on Barnard's

Haneih Neshat1, Hadi Hassankhani, Mahnaz Jabraeili

  • 1Author Affiliations: Department of Pediatrics, Faculty of Nursing and Midwifery (Drs Neshat, Jabraeili, and Rahkar Farshi), Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery (Dr Hassankhani), Pediatric Health Research Center (Dr Jabraeili), Tabriz University of Medical Sciences, Tabriz, Iran.

PubMed

Neonatal pain management is critical in the neonatal intensive care unit (NICU) and mothers play a significant role in alleviating pain. This study investigates mothers' participation in managing neonatal pain based on Barnard's interaction model. A descriptive study was conducted in NICU from September 2022 to May 2023. The study involved 100 mothers of hospitalized infants, utilizing convenience sampling. Data were collected through a two-part questionnaire assessing demographic characteristics and mothers' perceptions of their infants' pain experiences and management strategies. The mean age of mothers was 27.77 years, with a mean neonatal hospitalization duration of 13.12 days. A majority (84%) believed their infants experienced pain. Mothers reported limited verbal (52%) and written (91%) information regarding pain management. They identified crying as the primary behavioral sign of pain and predominantly used their voice and breastfeeding as non-pharmacological pain relief methods, with 77% believing these methods effectively reduced pain. The findings underscore the critical importance of maternal involvement in managing neonatal pain. According to Barnard's model, the mother-neonate interaction is essential for recognizing pain signs and employing effective non-pharmacological pain relief strategies. This study emphasizes the necessity for healthcare providers to enhance and support these interactions in the context of pain management.

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