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Child Health Nurs Res > Volume 16(4):2010 > Article
Journal of Korean Academy of Child Health Nursing 2010;16(4):352-359.
DOI: https://doi.org/10.4094/jkachn.2010.16.4.352
Pain Response to Procedural Pain in Premature Infants.
Jung Sook Kim, Eun Jung Lee, Eun Ha Ham, Ji Hyun Kim, Young Hee Yi
1Neonatal Intensive Care Unit, Samsung Medical Center, Seoul, Korea.
2Graduate School of Clinical Nursing Science, Sungkyungkwan University, Seoul, Korea. youngheeyi@hanmail.net
PURPOSE: To explore premature infants' pain response to routine procedures in the neonatal intensive care unit (NICU). METHODS: The participants were 56 preterm infants who showed 149 pain responses to 8 high frequency routine procedures which were evaluated using the Premature Infant Pain Scale (PIPS). Videotaped recording was used for data collection. Data were analyzed with descriptive analysis, paired t-test, and Pearson's correlation coefficient. RESULTS: PIPS scores for each procedure were as follows; for removal of central catheter dressing, 6.17 (2.04), venous sampling, 6.12 (2.87), intramuscular injection, 6.05 (2.38), insertion of a peripheral line, 5.38 (2.16), insertion of feeding tube, 4.40 (1.34), heel stick, 4.33 (1.23), insertion of central line, 4.00 (2.12), and endotracheal suctioning, 2.90 (1.25). PIPS score was negatively correlated with gestational age (r=-.218, p=.007) and birth weight (r=-.249, p=.002) among general characteristics of the infants. CONCLUSION: The majority of 8 routine procedures were found to be painful for premature infants in the NICU. Therefore, adequate pain management related to procedures should be provided to premature infant in the NICU.
Key words: Premature infant; Pain measurement; Procedures
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