Banca de DEFESA: THATIANE MONICK DE SOUZA COSTA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : THATIANE MONICK DE SOUZA COSTA
DATE: 10/02/2021
TIME: 14:00
LOCAL: https://video.rnp.br/portal/transmission?idItem=98602 (Rede Nacional de Ensino e Pesquisa - RNP)
TITLE:

Massage for pain relief in newborns undergoing puncture: a systematic review

KEY WORDS:

Infant, Newborn. Pain. Reflexotherapy. Massage. Pain Measurement. Pain Management

PAGES: 90
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: Premature newborns are exposed to about 75.1 ± 42.6 painful procedures during hospitalization, which generate an impact on changes in blood pressure, heart rate and respiratory rate, and it is necessary to apply measures to relieve pain. Non-pharmacological treatments are currently an effective alternative in pain management, since they mitigate neonatal suffering and reduce the chances of future comorbidities. Massage is part of these non-pharmacological measures, which is based on the comfort and relaxation of the individual, since it is linked to the improvement of blood circulation, reinforcing oxygenation and nutrition of tissues, having important efficacy in reducing pain. Objective: To evaluate scientific evidence on massage in pain relief in newborns undergoing to puncture. Method: Is this a systematic review, with the research question by pico strategy (Patient or Problem, Intervention, Control or Comparasion, Outcomes): Does massage produce pain relief when used in newborns submitted to puncture? The search was performed in the electronic data sources National Library of Medicine (MEDLINE - PubMed), Web of Science, CINAHL, Scopus, Cochrane Library and Gale. Different combinations of the keywords "infant, newborn", "massage", "pain" were used. The crossing of the research descriptors indexed in The MesH were: (((infant, newborn) OR (premature) OR (baby)) AND ((massage) OR (reflextherapy)) AND ((pain) OR (Pain measurement) OR (Pain management) OR (Pain relief) OR (Pain assessment) OR (Puncture assessment) OR ())). Primary quantitative studies were included, such as near-experimental and randomized clinical trial, which evaluated pain in newborns submitted to puncture using massage. The research was performed without language restriction and without time frame. This review was submitted to the PROSPERO database. Results: Of the 878 studies found, after reading titles and abstracts, excluding duplicates and reading in full, the sample consisted of 12 articles. A high level of agreement was observed among the reviewers who tracked the articles (Kappa index>90%). Of the twelve records included in this review, eleven (91.6%) randomized clinical trials and one (8.3%) is characterized as a non-randomized clinical trial (almost-experimental study). Regarding the specifications of the study population, the total number of participants enrolled in the studies was 981 neonates, and the age varied between 24 hours of life and 42 gestational weeks. About the place of application, seven (58.3%) studies performed the intervention in the lower limbs, five (41.6%) upper limbs and five (41.6%) on the feet of newborns. Regarding the time of application, seven (58.3%) studies performed the massage for 2 minutes, two (16.6%) for 3 minutes, one (8.3%) for 1 minute and one (8.3%) for 30 minutes. The instruments most used by researchers to evaluate the response to pain felt by newborns were the Neonatal Infant Pain Scale (NIPS) and the Premature Infant Pain Profile (PIPP). The researchers identified the effectiveness of massage over other techniques (or control group) in pain relief in 83.3% of the studies. The main benefits generated by massage were: reduction of pain scores during and after puncture, better mental development, lower heart rate change, shorter duration of crying and shorter procedure time. Conclusion: The application of massage can contribute to the relief of neonatal pain by reducing the pain assessment score, reducing crying time and stabilizing vital signs in newborns submitted to puncture.

BANKING MEMBERS:
Interna - 1299781 - ALEXSANDRA RODRIGUES FEIJAO
Presidente - 4665456 - DANIELE VIEIRA DANTAS
Externa à Instituição - MARIA DO CARMO DE OLIVEIRA RIBEIRO - UFS
Interna - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS