Clinical, physiologic, and biologic impact of environmental and behavioral interventions in neonates during a routine nursing procedure
| Autor: | Jacques Sizun, Vincent Morin, Emmanuel Oger, Céline Catelin, Sylvie Tordjman |
|---|---|
| Přispěvatelé: | CHRU de Brest - Département de Pédiatrie (CHU BREST Pédiatrie), Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Fondation Vallée, Université Paris-Sud - Paris 11 (UP11), Département de Statistique, Université de Brest (UBO), Centre d'Investigation Clinique (CIC - Brest), Université de Brest (UBO)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Male
Aging Hydrocortisone Oxygenation index MESH: Pain Measurement law.invention 0302 clinical medicine Randomized controlled trial Behavior Therapy Heart Rate law Medicine MESH: Nursing MESH: Aging 030212 general & internal medicine MESH: Oxygen Consumption MESH: Heart Rate Pain Measurement Oxygen saturation (medicine) MESH: Treatment Outcome Cross-Over Studies MESH: Infant Newborn Age Factors MESH: Pain Threshold MESH: Behavior Therapy Brain Gestational age MESH: Stress Psychological Environment Controlled MESH: Hydrocortisone 3. Good health Treatment Outcome Neurology Anesthesia Female MESH: Pain Pain Threshold Pain Nursing MESH: Cross-Over Studies MESH: Environment Controlled 03 medical and health sciences MESH: Brain Oxygen Consumption 030225 pediatrics Heart rate Humans Behavioral interventions MESH: Age Factors MESH: Humans business.industry Infant Newborn Oxygenation MESH: Neonatology Crossover study MESH: Male Anesthesiology and Pain Medicine Neurology (clinical) Neonatology business MESH: Female Stress Psychological [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Journal of Pain Journal of Pain, Elsevier, 2005, 6 (12), pp.791-7. ⟨10.1016/j.jpain.2005.07.010⟩ |
| ISSN: | 1526-5900 |
| DOI: | 10.1016/j.jpain.2005.07.010⟩ |
| Popis: | International audience; The aim of this randomized crossover study was to evaluate the impact of environmental and behavioral interventions (EBI) on behavioral, physiologic, and biologic stress response during a weighing procedure in neonates. Three groups of 15 neonates included (A) gestational age (GA), < or =32 weeks; (B) GA, 32 weeks, 1 day to 36 weeks, 6 days; and (C) GA, > or =37 weeks. Each neonate experienced 2 weighing procedures with and without EBI. Pain was evaluated by using the Neonatal Infant Pain Scale (NIPS) and the Neonatal Pain and Discomfort Scale (EDIN). Heart rate and oxygen saturation were recorded. Salivary samples were obtained for cortisol assay. Cerebral tissue oxygenation index (TOI) was recorded with near-infrared spectroscopy. A significant decrease of NIPS and EDIN was observed with EBI versus control. Mean heart rate was lower with EBI. No difference in cortisol level changes was observed. For groups A and B, a trend of increased TOI was observed with EBI. We concluded that EBI during a nursing procedure provides a decrease in pain scores in preterm and term neonates with changes in heart rate. PERSPECTIVE: This study evaluates the impact of combined environmental and behavioral interventions on pain responses in neonates during a weighing procedure. The results indicate a decrease in behavioral pain scores and in heart rate for preterm and term neonates and a trend in increased brain oxygenation depending on gestational age. |
| Databáze: | OpenAIRE |
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