Trias Kusumasari, - and Soraya Salle Pasulu, - and Mahendra Tri Arif Sampurna, - and Kartika Darma Handayani, - and Dina Angelika, - and Martono Tri Utomo, - and Risa Etika, - and Agus Harianto, - (2016) Introduction of a neonatal pain and agitation protocol at neonatal intensive care unit Dr Soetomo Hospital Surabaya. Paediatrica Indonesiana: Indonesian Journal of Pediatrics and Perinatal Medicine, 56 (5). p. 37. ISSN 2338-4786

	Text (Artikel) C28-Artikel_compressed.pdf Download (2MB)
	Text (Similarity) C29-Similarity_compressed.pdf Download (2MB)
	Text (Peer Review) C29-Peer Review B.pdf Download (2MB)
	Text (Karil) FORM KARIL 29.pdf Download (78kB)

Abstract

Background : Neonate especially preterm are the most likely to be exposed with pain stimuli in the NICU. Repeated number of painful exposure have the potential for deleterious consequences alter vital sign and later neurodevelopmental outcome. Dr Soetomo Hospital not implemented neonatal pain and agitation protocol yet. Objective: To analyze the implementation of a neonatal pain management based on Neonatal Infant Pain Scale (NIPS) score Methods : Location in NICU from January to May 2016. The protocol of neonatal pain and agitation management was implemented. Staff behavior in neonatal pain management before introduction vs after implementation were evaluated. Results : There were 72 patients before introduction had gestational age (GA) 34.8 (SD 2.6) weeks, birth weight 2023.8 (SD 437) gram and 30 nurse were include. Forty two patients, GA 35.8 (SD 2.58) week, birth weight 1988 (SD 571) gram, and 15 nurses after implementation of pain management were included. Vein puncture was the most procedure that frequently performed (62.09%) followed by ROP screening examination (21.56%), heel prick (13.07%). Compliance of staff in assessment of pain was seen from increasing number of pain assessment from 62.78% (SD 22.19) to 90.49% (SD 14.07). There was a significant increase of sucrose (00.00 vs 80.62%) and lidocain cream (00.00 vs 78.97%) used. Inter-observer agreement between nurse to evaluate pain using NIPS score, kappa 0.88, p = 0.00. Conclusion: Compliance of pain assessment and management were increased after pain protocol implementation.

Actions (login required)

View Item