Abstract:Objective To investigate the current status of the cognition of neonatal pain assessment and analgesia management among medical staff in the neonatal intensive care unit (NICU). Methods A self-made scale was developed according to "Expert consensus on neonatal pain assessment and analgesia management (2020 edition)" and was used to distribute questionnaires to the medical staff in the NICU from the member units of Jiangsu Province Medical Quality Control Centre of Neonatal Department to evaluate their levels of understanding the basic knowledge, assessment, and management of neonatal pain. Results A total of 957 questionnaires (from 383 doctors and 574 nurses) were collected. Doctors and nurses had mean correct rates of 38% and 39% respectively in answering the questions on the basic knowledge of neonatal pain. They had median correct rates of 0% and 50% respectively in answering the questions on neonatal pain assessment, and mean correct rates of 73% and 68% respectively in answering on analgesia management. Compared with those who did not receive the training on neonatal pain, the medical staff who received such training had significantly higher correct rates in answering the questions on the basic knowledge of neonatal pain and neonatal pain assessment (P<0.05). The medical staff from tertiary hospitals had significantly higher correct rates in answering the questions on the basic knowledge of neonatal pain and neonatal pain assessment than those from secondary hospitals (P<0.05). Conclusions The medical staff in the NICU have insufficient cognition of neonatal pain, and thus it is necessary to carry out the special training on neonatal pain, focusing on the promotion and practical application of "Expert consensus on neonatal pain assessment and analgesia management (2020 edition)", in order to improve the level of neonatal pain assessment and analgesia management among medical staff in the NICU.
Jiangsu Province Medical Quality Control Centre of Neonatal Department. An investigation on the cognition of neonatal pain assessment and analgesia management among medical staff in the neonatal intensive care unit[J]. CJCP, 2021, 23(12): 1271-1276.
Burnsed JC, Heinan K, Letzkus L, et al. Gabapentin for pain, movement disorders, and irritability in neonates and infants[J]. Dev Med Child Neurol, 2020, 62(3): 386-389. PMID: 31343730. DOI: 10.1111/dmcn.14324.
Chen MY, Shi XY, Chen YH, et al. A prospective study of pain experience in a neonatal intensive care unit of China[J]. Clin J Pain, 2012, 28(8): 700-704. PMID: 22156826. DOI: 10.1097/AJP.0b013e3182400d54.
Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine. Prevention and management of procedural pain in the neonate: an update[J]. Pediatrics, 2016, 137(2): e20154271. PMID: 26810788. DOI: 10.1542/peds.2015-4271.
Parvizy S, Tarvirdinasab S, Raznahan R, et al. The effect of pain management training in workshop on the knowledge, attitude and self-efficacy of pediatric nurses[J]. J Family Med Prim Care, 2020, 9(6): 2880-2884. PMID: 32984143. PMCID: PMC7491795. DOI: 10.4103/jfmpc.jfmpc_92_20.
Zhang CH, Hsu L, Zou BR, et al. Effects of a pain education program on nurses' pain knowledge, attitudes and pain assessment practices in China[J]. J Pain Symptom Manage, 2008, 36(6): 616-627. PMID: 18599261. DOI: 10.1016/j.jpainsymman.2007.12.020.