Volume 18, Issue 3 (Pajouhan Scientific Journal, Spring 2020)                   Pajouhan Sci J 2020, 18(3): 10-15 | Back to browse issues page


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Khazaei M, Hoseini M, Khalili M. The Relationship between Pain Score and Its Effective Indices in Neonatal Endotracheal Open Suction under Ventilator. Pajouhan Sci J 2020; 18 (3) :10-15
URL: http://psj.umsha.ac.ir/article-1-538-en.html
1- Nursing Student, Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran
2- Midwifery expert, Yasuj University of Medical Sciences, Yasuj, Iran
3- Masters of Pediatric Nursing, Yasuj University of Medical Sciences, Yasuj, Iran , ani.khalili@yahoo.com
Abstract:   (4911 Views)
Background and Objective: Although suction is an important nursing intervention in neonates under ventilation, it can lead to complications such as pain, respiratory distress, hypoxemia, bronchospasm and hospital infection. The purpose of this study was to determine the relationship between pain score and its effective indices in neonatal endotracheal open suction under ventilator in the neonatal intensive care unit of Hamadan hospitals.
Materials and Methods: This descriptive correlational study was performed on 120 preterm infants under ventilation in Neonatal intensive care unit of Hamadan hospitals. First, 5 minutes before the patient suction, the respiratory rate and oxygen saturation of the neonatal arterial blood were recorded by the researcher in three shifts based on the findings of the direct monitoring of the infant. During and 5 minutes after suction, the respiratory rate and oxygen saturation index was re-recorded. Data were analyzed using descriptive and regression tests.
Results: According on the results of the applied linear regression model, there was a statistically significant relationship between the pressure of the suction device, the duration of suction and the number of suctions with the pain score(P =0.000) but there was no statistically significant relationship between the size of the suction catheter and the pain score (P =0.235).
Conclusion: Endotracheal open suction in premature infants can greatly affect the number of respiration and oxygen saturation in the arterial blood and increase the pain score in these infants.
Full-Text [PDF 788 kb]   (991 Downloads)    
Type of Study: Research Article | Subject: Basic Sciences
Received: 2019/11/5 | Accepted: 2019/12/27 | Published: 2020/01/21

References
1. Vahdatnejad J, Abbasinia M, Hoseinpoor S, Babaii A. The comparison between two methods of endotracheal tube suctioning with negative pressure of 100 and 200 mmHg. IJNR. 2014; 9 (3):68-75.
2. Bruschettini M, Zappettini S, Moja L, Grazia Calevo M. Frequency of endotracheal suctioning for the prevention of respiratory morbidity in ventilated newborns. 2016;7(3): [DOI]
3. Alizadeh, Z, Paymard, A, Khalili, A, Hejr, H. A systematic review of pain assessment method in children. Annals of Tropical Medicine and Public Health. 2017:10(4): 847-849.
4. Paymard A, Khalili A, Zoladl M, Zareei Z, Javadi M. Comparison of Pulse and Arterial Oxygen Saturation Changes in Endotracheal Suction Opening with Two Sizes of 12 and 14: A Randomised Controlled Trial. Sci J Hamadan Nurs Midwifery Fac. 2017; 25 (2) :1-7.
5. Taheri P, Asgari N, Golchin M. The effect of open and closed endotracheal tube suctioning system on respiratory parameters of infants undergoing mechanical ventilation. Iran J Nurs Midwifery Res. 2012; 17(1): 26–29.
6. Dezhdar S, Jahanpour F, Firouz Bakht S, Ostovar A. The effect of swaddling method on venous sampling pain in premature infant (Randomized clinical trials). Iranian journal of pediatric nursing 2016:1(4):52-61.
7. Day T, Farnell S, Haynes S, Wain w S, Wilson- Barrnett J. Tracheal Suctioning: an Exploration of Nurses’knowledge and Competenc in Acute and High Dependency Ward Area. J Adv Nurs. 2002:39(1):35-45.
8. Hadian Shirazi Z, Kargar M, Edraki M, Ghaem H, Pishva N. The Effect of Instructing the Principles of Endotracheal Tube Suctioning on Knowledge and Performance of Nursing Staff Working in Neonatal Intensive Care Units in Shiraz University of Medical Sciences. Iranian Journal of Medical Education. 2010; 9 (4) :365-370.
9. Reyhani T, Mohebbi T, Boskabadi H, Gholami H, ghavami Ghanbarabadi V. The Effect of Facilitated Tucking During Venipuncture on Pain and Physiological Parameters in Preterm Infants. Journal of Evidence-Based Care 2012:2(3):47-56.
10. Javadi M, Hejr H, Zolad M, Khalili A, Paymard A. Comparing the effect of endotracheal tube suction using open method with two different size catheters 12 and 14 on discharge secretion, pain, heart rate, blood pressure, and arterial oxygen saturation of patients in the intensive care unit: A randomized clinical trial. Ann Trop Med Public Health ,2017;10:1312-1317.
11. Valizadeh L, Janani R, Seyedrasooli A, Janat Dust A, Asghari Jafarabadi M. Effect of Open and Closed Endothracheal Suctioning on Physiologic Parameters and Stability in Premature Infants undergoing Mechanical Ventilation. Hayat. 2013;19(4):61-73.
12. Paymard A, Khalili A, Zoladl M, Dehghani F, Zarei Z, Javadi M. A Comparison of the Changes in Pain and Discharge in Open Endotracheal Suction Catheters with two Sizes of 12 and 14: A Randomized Clinical Trial. Qom Univ Med Sci J. 2017;10(11):1-8.
13. Hoellering AB, Copnell B, Dargaville PA, Mills JF, Morley CJ, Tingay DG. Lung volume and cardiorespiratory changes during open and closed endotracheal suction in ventilated newborn infants. Arch Dis Child Fetal Neonatal Ed. 2008;93: 436-441. [DOI]
14. Kalyn A, Blatz S, Sandra Feuerstake, Paes B, Bautista C. Closed suctioning of intubated neonates maintains better physiologic stability: a randomized trial. Arch Dis Child Fetal Neonatal Ed. 2008;93(6):F436-41.
15. Khamis GM, Waziry OG, Badr-El-Din AHA, El-Sayed MM. Effect of closed versus open suction system on cardiopulmonary parameters of ventilated neonates. Journal of American Science. 2011; 7(4): 525-534.

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