Conhecimento e atitudes de profissionais de saúde sobre avaliação e manejo da dor neonatal

Resumo

Multiple factors can have an effect on pain management in neonates, which motivated us to analyze the knowledge and attitudes held by doctors, nurses and nursing assistants who work in neonatal units in a hospital in the state of São Paulo, Brazil, regarding neonatal pain assessment and management. This study is descriptive and was conducted with 57 health professionals. The results of the questionnaires revealed that only one professional believed that neonates do not feel pain, and 53 professionals stated the contrary, but were not familiar with neonate pain assessment scales. Professionals indicated fentanyl and midazolam as adequate analgesics for acute pain. Umbilical catheterization, gastric probing and heel pad puncture were considered painful procedures and indications for the use of analgesia. Health professionals are knowledgeable about pain in neonates, but this knowledge is not reflected in clinical practice. It is essential for professionals to be trained regarding knowledge transfer so that neonate pain assessment and management can be implemented.
Múltiples factores pueden afectar el manejo del dolor neonatal, motivándonos a analizar el conocimiento y actitudes de médicos, enfermeros y auxiliares de enfermería que actúan en unidades neonatales de un hospital paulista en evaluación y manejo del dolor agudo neonatal. Estudio descriptivo realizado con 57 profesionales de salud. En los cuestionarios, sólo un profesional considera que el neonato no siente dolor y 53 profesionales evalúan el dolor del recién nacido, aunque no conocen escalas de evaluación del dolor neonatal. Los profesionales mencionaron al fentanil y midazolam como analgésicos adecuados para dolor agudo. Cateterismo umbilical, sondeo gástrico y punción de calcáneo fueron procedimientos considerados dolorosos, con indicación para analgesia. Los profesionales de salud poseen conocimientos sobre dolor neonatal, aunque dicho conocimiento no se refleja en la práctica clínica. Es fundamental la capacitación profesional fundamentada en la transferencia de conocimientos para implementación de evaluación y manejo del dolor neonatal.

Descrição

v. 16, n. 2, p.361-169, abr./jun.2014.

Palavras-chave

Recém-nascido, Dor aguda, Enfermagem neonatal, Pessoal de saúde, Conhecimentos, Atitudes e prática em saúde, Infant,, Newborn;, Acute pain, Neonatal nursing, Health personnel;, Health knowledge, Attitudes, Practice, Recién nacido, Dolor agudo, Enfermería neonatal, Personal de salud, Conocimientos, Actitudes y práctica en salud

Citação

CAPELLINI, Verusca Kelly; DARÉ, Mariana Firmino; CASTRAL, Thaíla Corrêa; CHRISTOFFEL, Marialda Moreira; LEITE, Adriana Moraes; SCOCHI, Carmen Gracinda Silvan. Conhecimento e atitudes de profissionais de saúde sobre avaliação e manejo da dor neonatal. Revista Eletrônica de Enfermagem, Goiânia, GO, v. 16, n. 2, p.361-369, abr./jun. 2014. Disponível em: < http://www.revistas.ufg.br/index.php/fen/article/view/23611>.