بررسی نشانه های درد در نوزادان بستری در بخش های نوزادان بیمارستان های دانشگاه علوم پزشکی همدان

Background and purpose: Pain is a destructive one and remains in the mind of the child suffering from it. Without considering the behavioral and physiologic responses of child against painful irritants, it is not possible kill pain only by observing the appearance. Hence the aim of this study was to determine the behavioral and physiological pain in neonates admitted in pediatric wards. Materials and methods: This is a descriptive-cross sectional study. Sample size was estimated to be about 150, and this number of the subjects were selected in three and half months period. The data were recorded in check list prepared according to Âls, theory of development and lawrance’s Neonate-Ïnfant pain scale (NÏPS) the data were analyzed by ËPÏ 6 soft ware. Results : 73.3 of the subjects under study had physiologic signs and flashing of face during the procesure. Âlso mean heart and respiratory rate during the procedure had significant increase compared to the previous ones. Âmong the behavioral signs, facial experssion (97.3%), crying (96%) and breathing patern changes (93.3%) scored the highest rate. Significant relationship was observed only between facial expression and kind of procedure (o.o25) (p<0.01). Çonclusion: Having proper strategy to kill pain in reonates admitted in hospital needs a standard procedure and a team work function. Since neonate can’t express pain verbally, their physiologic behavioral response must be noticed. Referring to the findings of the research, among these signs, facial expression, increase in heart rate and number of breathing and change in pattern of respiration can be clue for studying the pain without need of any sophisticated instrument.