medigraphic.com
ISSN 1561-3194 (Electronic)

2015, Number 6

<< Back Next >>

Rev Ciencias Médicas 2015; 19 (6)

The effectiveness of dextrose and breastfeeding to relief the pain in newborns

Hernández ADR, Suárez GN, Fernández VBI, Mena PN

Language: Spanish
References: 15
Page: 1045-1053
PDF size: 402.43 Kb.


ABSTRACT

Introduction: assessment of pain is very important and must be part of the care of any patient, especially for newborn infants.
Objective: to determine the effectiveness of dextrose and breastfeeding on pain relief in newborns.
Methods: experimental, prospective and longitudinal study was conducted in the Neonatal Care Unit at Abel Santamaría Cuadrado General Teaching Hospital, Pinar del Rio during the years 2011-2014. The universe comprised 200 newborns admitted to the Neonatal Care Unit undergoing to specific painful procedures. The sample was intentionally selected and included 60 infants meeting the inclusion criteria and divided into three groups: breastfeeding (1) control group (2) and 30% dextrose-group (3). Givens scale was applied before, during and after each group undergoing to painful procedure. Descriptive statistics was used: analysis means, standard deviations and T-tests to differentiate the means, besides chi square (χ2) test with probability p= 0.5.
Results: term infants (58%) predominated, male sex (68%) and good birth weight (70%). The average scale of Givens was 10.76 points, intense pain (73.3%). Dextrose showed greater analgesic efficacy with a probability of 0.473, versus breastfeeding (0.201).
Conclusions: in newborns undergoing painful procedures using dextrose in relieving pain proved to be more effective than the use of breastfeeding. It was incorporated in the new protocols for the newborn care aimed at the excellence and care humanization.


REFERENCES

  1. Anand KJS. Pharmacological approaches to the management of pain in the neonatal intensive care unit. Journal of Perinatology [Internet]. 2007 [citado 14 September]; 27: [aprox. 8p.]. Disponible en: http://www.nature.com/jp/journal/v27/n1s/full/7211712a.html

  2. Lemus ML, et aL. Consenso sobre el abordaje diagnóstico y terapéutico del dolor y el estrés en el recién nacido. Rev Panam Salud Pública [Internet]. 2014 [citado 14 September 2015]; 36(5): [aprox. 9p.]. Disponible en: http://iris.paho.org/xmlui/bitstream/handle /123456789/9548/10.pdf?sequence=1.

  3. Palermo TM, Valrie CR, Karlson CW. Family and Parent Influences on Pediatric Chronic Pain: A Developmental Perspective. Am Psychol [Internet]. 2014[citado 12 may 2015]; 69(2): [aprox. 9 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056332/pdf/nihms587716.pdf

  4. Bell SG. The national pain management guideline: implications for neonatal intensive care. Neonatal Network [Internet]. 1994 [citado 12 Ene 2014]; 13(3): [aprox. 6 p.]. Disponible en: http://europepmc.org/abstract/med/8152412

  5. Grunau RE. Neonatal Pain in Very Preterm Infants: Long-Term Effects on Brain, Neurodevelopment and Pain Reactivity. Rambam Maimonides Medical Journal [Internet]. 2013[citado 12 may 2014]; 4(4): [aprox. 9 p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820298/pdf/rmmj-4-4-e0025.pdf

  6. Oliveira Meneses R, Silva Siebra AV, Silva Sales da LM, Silva Almeida Días da AP, Chaves Camelo EM, Bezerra Cavalcante S. Implementación de medidas para el alivio del dolor en neonatos por el equipo de enfermería. Esc Anna Nery [Internet]. 2011 [citado 27 Ene 2014]; 15(2): [aprox. 9 p.]. Disponible en: http://www.scielo.br/pdf/ean/v15n2/v15n2a09

  7. Finlay KA. Music-induced analgesia in chronic pain: Efficacy and assessment through a primary-task paradigm. Psychology of Music [Internet]. 2014 [citado 14 September 2015; 42(3): [aprox. 9p.]. Disponible en: http://pom.sagepub.com/content/42/3/325.full.pdf+html

  8. Gómez CC, Seoane LP, Pavón de la Maya MJ, Jiménez LL, Mesas EE, Bernal Herrera PB. Assessment of knowledge and application of tetanalgesia in a unit of neonatology. Enfermería Global [Internet]. 2015[citado 14 september 2015]; 38: [aprox. 6 p.]. Disponible en: http://revistas.um.es/eglobal/article/viewFile/201151/173981

  9. Moreira MV, Martins Farias L, Martins de Melo G. Música y glucosa al 25% en el alivio del dolor de los prematuros: ensayo clínico aleatorio. Rev Latino Am Enfermagem [Internet]. 2014[citado 14 September 2015]; 22(5): [aprox. 8p.]. Disponible en: http://www.scielo.br/pdf/rlae/v22n5/es_0104-1169-rlae-22-05- 00810.pdf

  10. Rivas A, Rivas E, Bustos L. Validación de escala de valoración del dolor en recién nacidos en una unidad de neonatología. Cienc Enferm [Internet]. 2012 [citado 27 Ene 2014]; 18(2): [aprox. 8 p.]. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717- 95532012000200010

  11. Stevens B, Gibbings S. Clinical utility and clinical significance in the assessment and management of pain in vulnerable infants. Clin Perinatol [Internet]. 2010 [citado 23 may 2014]; 29: [aprox. 3 p.]. Disponible en: http://scholar.google.com.cu/scholar?hl=es&q=Clinical+utility+and+clinical+signifi cance+in+the+assessment+and+management+of+pain+in+vulnerable+infants++ &btnG=&lr=

  12. McPherson C, Grunau RE. Neonatal pain control and neurologic effects of anesthetics and sedatives in preterm infants. Clin Perinatol [Internet]. 2015[citado 14 september 2015]; 41(1): [aprox. 9 p.]. Disponible en: http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3925313&blobtype=pd f

  13. Aguilar MJ, Mur N, García I, Ascensión M, Rizo MM. Oral glucose and breast milk as a strategy for pain reduction during the heel lance procedure in newborns. Nutr Hosp[Internet]. 2014[citado 12 may 2014]; 30(5): [aprox. 6 p.]. Disponible en: http://www.aulamedica.es/gdcr/index.php/nh/article/viewFile/7862/pdf_7634

  14. Foster J, Spence K, Henderson D, Harrison D, Gray PH, Bidewell J. Procedural pain in neonates in Australian hospitals: A survey update of practices. Journal of Paediatrics and Child Health [Internet]. 2013 [citado 14 september 2015]; 49: [aprox. 4p.]. Disponible en: http://www.researchgate.net/profile/Denise_Harrison/publication /234058822_Foster_Harrison_et_al._Aus_NICU_phone_Survey_2012/links/0fcfd50 eb0fedb19f1000000.pdf

  15. López M, et al. Cuidados centrados en el desarrollo. Situación en las unidades de neonatología de España. An Pediatr (Barc) [Internet]. 2014[citado 12 may 2015]; 81(4): [aprox. 8 p.]. Disponible en: http://www.analesdepediatria.org/es/cuidados-centrados-el-desarrollosituacion/ articulo/S1695403313004475/




2020     |     www.medigraphic.com