Practice applications of research. Longitudinal comparison of preterm pain responses to repeated heelsticks.

Background: Preterm infants receive repeated heelsticks over their hospitalization, yet contradictions exist regarding the influence of prior heelsticks, prior painful procedures, and severity of illness on assessment of the pain responses.Purposes: Compare pain responses to repeated heelsticks in i...

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Publicado en:Pediatric Nursing Vol. 31; no. 3; pp. 216 - 222
Autores principales: Evans JC, McCartney EM, Lawhon G, Galloway J
Formato: research tables/charts Journal Article
Publicado: Jannetti Publications, Inc. May/Jun2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2005
      vid: 31
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      pub: Jannetti Publications, Inc.
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        atl: Practice applications of research. Longitudinal comparison of preterm pain responses to repeated heelsticks.
      aug:
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          Evans JC
          McCartney EM
          Lawhon G
          Galloway J
        affil: Professor, School of Nursing, Medical College of Ohio, Toledo, OH
      sug:
        subj:
          Blood Specimen Collection Adverse Effects
          Infant, Premature
          Treatment Related Pain Diagnosis
          Treatment Related Pain Etiology
          Age Factors
          Blood Specimen Collection Equipment and Supplies
          Clinical Assessment Tools
          Coding
          Coefficient alpha
          Cross Sectional Studies
          Female
          Funding Source
          Gestational Age
          Heel
          Infant Behavior
          Infant Development
          Infant, Newborn
          Intensive Care Units, Neonatal
          Interrater Reliability
          Male
          Midwestern United States
          Neonatal Nursing
          Pain Measurement In Infancy and Childhood
          Prospective Studies
          Record Review
          Regression
          Severity of Illness Indices
          Videorecording
          Human
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: Background: Preterm infants receive repeated heelsticks over their hospitalization, yet contradictions exist regarding the influence of prior heelsticks, prior painful procedures, and severity of illness on assessment of the pain responses.Purposes: Compare pain responses to repeated heelsticks in infants of varying gestational age groups, and determine the influence of number of prior heelsticks, total number of prior painful procedures, and severity of illness on pain responses over time.Design and Methods: The descriptive longitudinal design utilized a convenience sample of 81 preterm infants from a Midwestern Level III newborn intensive care unit (NICI).Results: Significant differences in Preterm Infant Pain Profile (PIPP) scores were found between age groups. Both the severity of illness and the total number of prior painful procedures had a significant influence on pain scores.Conclusions: Nurses' use of developmental care and the QuickHeel (TM)device may result in lower pain scores. Higher severity of illness and number of prior heelsticks may lower pain scores.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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