Maternal Involvement in Pain Management in a Neonatal Unit at a Referral Hospital in Kenya
Abstract
Introduction: Hospitalized neonates undergo many diagnostic and care-related painful procedures each day without adequate treatment. The sub-optimal treatment of pain occurs despite the empirical evidence that repeated and untreated pain has severe immediate and long-term consequences. The objectives of the study were to determine the level of maternal involvement in neonatal pain treatment and factors that influence maternal involvement during procedures.
Methods: This was a descriptive cross sectional study based in Nakuru Referral Hospital's Newborn unit among Mothers of hospitalized neonates. Data was collected using questionnaires among a sample of One hundred and two mothers.
Results: The mean age of respondents was 24.4 years (SD=6.0, range: 15-27). Two thirds of mothers had never been present during procedures while 85(87%) wished to be involved during painful procedures. Support from health care providers (HCPs) (OR=11.41, 95% CI [1.11-117.72], p =.041) and adequate space in the unit (OR=6.44, 95% CI [1.41-29.56], p =.02) influenced maternal involvement during painful procedures.
Conclusion: Mothers’ level of involvement during painful procedures was low. Support by HCPs and adequacy of space in the unit significantly influenced maternal involvement during procedures. There is need for HCPs to consider mothers’ views and to involve them in comforting neonates during painful procedures.
Keywords
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Abdulbaki, M. V., Gaafar, Y. A., &Waziry, O. G. (2011). Maternal versus paediatric
nurses’ attitudes regarding mothers’ participation in the care of their hospitalized
children. Journal of American Science, 7(9), 316-327.
Abdulkader, H. M., Freer, Y., Garry, E. M., Fleetwood-Walker, S. M., & McIntosh, N.
(2008). Prematurity and neonatal noxious events exert lasting effects on infant pain
behavior. Early Human Development, 84(6), 351-355.
Bellieni, C. V., Iantorno, L., Perrone, S., Rodriguez, A., Longini, M., Capitani, S., &
Buonocore, G. (2009). Even routine painful procedures can be harmful for the
newborn. Pain, 147(1), 128-131.
Bisogni, S., Calzolai, M., Olivini, N., Ciofi, D., Mazzoni, N., Caprilli, S.,...&Festini, F.
(2014). Cross-sectional study on differences in pain perception and behavioral distress
during venipuncture between Italian and Chinese children. Paediatric Reports, 6(3)
Brummelte, S., Grunau, R. E., Chau, V., Poskitt, K. J., Brant, R., Vinall, J.,...& Miller, S.
P. (2012). Procedural pain and brain development in premature newborns. Annals of
Neurology, 71(3), 385-396
Carbajal, R., Rousset, A., Danan, C., Coquery, S., Nolent, P., Ducrocq, S., ...&Bréart, G.
(2008). Epidemiology and treatment of painful procedures in neonates in intensive
care units. JAMA, 300(1), 60-70.
Cignacco, E., Hamers, J. P., Stoffel, L., Lingen, R. A., Gessler, P., McDougall, J., &Nelle,
M. (2007). The efficacy of non-pharmacological interventions in the management of
procedural pain in preterm and term neonates. European Journal of Pain, 11(2), 139
Chen, M., Shi, X., Chen, Y., Cao, Z., Cheng, R., Xu, Y., Li, X. (2012). A prospective study
of pain experience in a neonatal intensive care unit of China. Clinical Journal of Pain, 28(8), 700-704.
Duran, R. C., Oman, S. K., Abel, J. J., Koziel, M. V., & Szymanski, D. (2007). Attitude
towards and belief about family presence: A survey of health care providers, patients
and families. American Journal of Critical Care 16(3), 270-28
Franck, L., Scurr. K., & Couture, S. (2001). Parent views of infant pain and pain
management in the neonatal intensive care unit. Newborn and Infant Nursing Reviews,
(2), 106-113.
Franck, L. S., Cox, S., Allen, A., &Winter, I. (2004). Parental concern and distress about
infant pain. Archives of Disease in Childhood-Fetal and Neonatal Edition, 89(1), F71
F75.
Foster, J., Spence, K., Henderson‐Smart, D., Harrison, D., Gray, P. H., &Bidewell, J.
(2013). Procedural pain in neonates in Australian hospitals: a survey update of
practices. Journal of Paediatrics and Child Health, 49(1), E35-E39.
Guedi, R., Dancan, C., Daoud, P., Zupan.Renolleau, S., V, Zana, E. …Carbajal, R. (2014).
Does neonatal pain management in the intensive care unit differs between day and
night. British Medical Journal, 4(2). e004086doi: 10.1136/bmjopen-2013-004086
Grunau, R. E., Holist, L., & Peters, J. W. B. (2006). Long-term consequences of pain in
human neonates. Seminars in Foetal& Neonatal Medicine, 11(4), 268-275.
Johnston, C., Barrington, K. J., Taddio, A., Carbajal, R., &Filion, F. (2011). Pain in
Canadian NICUs: have we improved over the past 12 years? The Clinical Journal of
Pain, 27(3), 225-232.
Jeong, I. S., Park, S. M., Lee, J. M., Choi, Y. J., & Lee, J. (2014). The frequency of painful
procedures in neonatal intensive care units in South Korea. International Journal of
Nursing Practice, 20(4), 398-407.
Kyololo, O. M., Stevens, B., Gastaldo, D., &Gisore, P. (2014). Procedural pain in neonatal units-F467.
Kaberich, S., Katwasser, A., Rothang, O., &Albarran, J. (2010). Family witnessed
resuscitation experience and attitude of German intensive care nurses. Nursing in
Critical Care, 15(5), 241-250.
Linhares, M. B. M., Doca, F. N. P., Martinez, F. E., Carlotti, A. P. P., Cassiano, R. G. M.,
Pfeifer, L. I., …& Finley, G. A. (2012). Paediatric pain: Prevalence, assessment, and
management in a teaching hospital. Brazilian Journal of Medical and Biological
Research, 45(12), 1287-1294
Ranger, M., Zwicker, J. G., Chau, C. M., Park, M. T. M., Chakravarthy, M. M., Poskitt, K., ...&Grunau, R. E. (2015). Neonatal pain and infection relate to smaller cerebellum in very preterm children at school age. The Journal of Paediatrics, 167(2), 292-298.
Simons, S. H., van Dijk, M., Anand, K. S., Roofthooft, D., van Lingen, R. A., &Tibboel,
D. (2003). Do we still hurt newborn babies? A prospective study of procedural pain
and analgesia in neonates. Archives of Paediatrics& Adolescent Medicine, 157(11),
-1064
Wigert, H., Hellström, A. L., & Berg, M. (2008). Conditions for parents' participation in
the care of their child in neonatal intensive care - A field study. BMC Paediatrics,
(1), 3.
Zwiker, J.G. (2014). Motor impairment in very preterm infants: Implications for clinical
practice and research. Developmental Medicine & Child Neurology, 56(6), 514-521.
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