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通过提供者的眼睛看待:新生儿重症监护病房的疼痛
Julia B L Borten1, Marina C M Barros1, Erica S Silva1
1Division of Neonatal Medicine, Department of Pediatrics at Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
评估重症新生儿的疼痛是很困难的. 成年人主要注视脸部和干,但花时间看上肢也有助于疼痛感知.
科学领域:
- 新生儿护理 新生儿护理
- 疼痛评估 疼痛评估 疼痛评估
- 关键护理医学 关键护理医学
背景情况:
- 评估重症新生儿的疼痛,由于心肺呼吸系统辅助器械存在挑战.
- 对新生儿疼痛的客观评估对于适当的临床管理至关重要.
研究的目的:
- 为了研究成人凝视模式,在临界病的新生儿在床边评估疼痛时.
- 为了确定成年人在评估新生儿疼痛时专注于哪些身体区域.
主要方法:
- 一项涉及儿科医生,护理技术人员和家长使用眼睛追踪眼镜监测新生儿在20秒的床边评估期间的视线的横截面研究.
- 参与者表示新生儿是否感到疼痛.
- 分析了面部,干,上肢 (UL) 和下肢 (LL) 的视觉固定数据,并将它们与不同组和疼痛感知进行了比较.
主要成果:
- 成年人主要关注脸部 (96.8%) 和干 (96.8%),其次是UL (74.2%) 和LL (66.1%).
- 父母表现出比护理技术人员更多的托盘固定 (p=0.023).
- 每一秒钟的眼睛固定在干部 (p=0.018) 和UL (p<0.001) 上都会增加感知疼痛的可能性.
结论:
- 评估重症新生儿疼痛的成年人主要将目光集中在新生儿的脸部和干上.
- 上肢目光的持续时间与新生儿对疼痛存在的感知有很大关系.
- 这些发现凸显了视觉线索的重要性,特别是在干和UL上,在成人对新生儿疼痛评估中.
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