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An investigation on the cognition of neonatal pain assessment and analgesia management among medical staff in the neonatal intensive care unit
Jiangsu Province Medical Quality Control Centre of Neonatal Department
Chinese Journal of Contemporary Pediatrics ›› 2021, Vol. 23 ›› Issue (12) : 1271-1276.
PDF(526 KB)
PDF(526 KB)
An investigation on the cognition of neonatal pain assessment and analgesia management among medical staff in the neonatal intensive care unit
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.
Pain / Cognition / Pediatrician / Nurse / Neonate
1 中国医师协会新生儿科医师分会, 中国当代儿科杂志编辑委员会. 新生儿疼痛评估与镇痛管理专家共识(2020版)[J]. 中国当代儿科杂志, 2020, 22(9): 923-930. PMID: 32933620. PMCID: PMC7499443. DOI: 10.7499/j.issn.1008-8830.2006181.
2 McPherson C, Miller SP, El-Dib M, et al. The influence of pain, agitation, and their management on the immature brain[J]. Pediatr Res, 2020, 88(2): 168-175. PMID: 31896130. PMCID: PMC7223850. DOI: 10.1038/s41390-019-0744-6.
3 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.
4 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.
5 Visscher MO, Adam R, Brink S, et al. Newborn infant skin: physiology, development, and care[J]. Clin Dermatol, 2015, 33(3): 271-280. PMID: 25889127. DOI: 10.1016/j.clindermatol.2014.12.003.
6 Brown G. NICU noise and the preterm infant[J]. Neonatal Netw, 2009, 28(3): 165-173. PMID: 19451078. DOI: 10.1891/0730-0832.28.3.165.
7 Santos J, Pearce SE, Stroustrup A. Impact of hospital-based environmental exposures on neurodevelopmental outcomes of preterm infants[J]. Curr Opin Pediatr, 2015, 27(2): 254-260. PMID: 25635585. PMCID: PMC4410011. DOI: 10.1097/MOP.0000000000000190.
8 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.
9 Mangat AK, Oei JL, Chen K, et al. A review of non-pharmacological treatments for pain management in newborn infants[J]. Children (Basel), 2018, 5(10): 130. PMID: 30241352. PMCID: PMC6210323. DOI: 10.3390/children5100130.
10 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.
11 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.
12 应秋平, 童苏琴, 陈金娟, 等. 强化知识培训提高基层医院护士对患者疼痛的管理能力[J]. 中华护理杂志, 2011, 46(4): 375-377. DOI: 10.3761/j.issn.0254-1769.2011.04.023.
