Stressors in patients of neonatal intensive care unit
DOI:
https://doi.org/10.15253/2175-6783.2018193478Keywords:
Intensive Care Units, Neonatal; Infant, Newborn; Noise; Lighting; Stress, Mechanical.Abstract
Objective: to analyze the stressors on patients in neonatal intensive care unit. Methods: a cross-sectional study, develop in a reference public maternity hospital, with 60 nursing professionals who cared for the 24 hospitalized newborn babies. For data collected, a sociodemographic questionnaire and the Stressor Scale in Intensive Care Units were used to identify the stressors. A value of p<0.05 was used for the tests. Results: of the total of professionals, 18 (30.0%) were nurses. Most of the newborns were premature-moderate, with hospitalization time between eight and 15 days. Being punctured by needles was the most stressful factor and silencing alarms the main action mentioned as a strategy to reduce stressors. Conclusion: the 15 stressors evaluated presented high mean scores, showing that neonatal intensive care unit is an environment that varies between stressful and very stressful for newborns.
References
. Nazario AP. Avaliação dos ruídos em uma unidade neonatal de um hospital universitário. Semina Ciênc Biol Saúde. 2015; 36(1):189-98. doi: http://dx.doi.org/10.5433/1679-0367.2015v36n1Suplp189
Grecco GM, Tsunemi MH, Balieiro MMFG, Kakehashi TY, Pinheiro EM. Repercussion of noise in the neonatal intensive care unit. Acta Paul Enferm. 2013; 26(1):1-7. doi: https://dx.doi.org/10.1590/S0103-21002013000100002
Roseiro CP, Paula KMP. Conceptions of humanization of health professionals in Neonatal Intensive Therapy Units. Estud Psicol. 2015; 32(1):109-19. doi: https://dx.doi.org/10.1590/0103-166X2015000100010
Filus WA, Pivatto LF, Fontoura FP, Koga MRV, Albizu EJ, Soares VMN, et al. Noise and its impact on Brazilian hospitals: a literature review. Rev CEFAC. 2014; 16(1):307-17. doi: http://dx.doi.org/10.1590/1982-021620140412
Novaes MAFP, Aronovich A, Ferraz MB, Knobel E. Stressors in ICU: patients’ evaluation. Intensive Care Med [Internet]. 1997 [cited 2018 Jun. 13]; 23(1):1282-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9470087
Schonhaut L, Pérez M, Muñoz S. Association between neonatal morbidity, gestational age and developmental delays in moderate to late preterm children. Rev Chil Pediatr. 2015; 86(6):415-25. doi: http://dx.doi.org/10.1016/j.rchipe.2015.08.001
Santiago AD, Oliveira MND, Oliveira LL, Pinto Júnior EP. Neonatal morbidity and mortality in Intensive Care Unit. Tempus Actas Saúde Coletiva. 2017; 11(1):141-151. doi: http://dx.doi.org/10.18569/tempus.v11i1.1977
Feitosa AC, Santos EFS, Ramos JLS, Bezerra IMP, Nascimento VG, Macedo CC, et al. Fatores associados à mortalidade infantil na região metropolitana do Cariri, Ceará, Brasil. Rev Bras Crescimento Desenvolv Hum. 2015; 25(2):224-229. doi: http://dx.doi.org/10.7322/JHGD.103019
Mucha F, Franco SC, Silva GAG. The frequency and characteristics of mothers and newborns associated with the admission of neonates to ICU in the municipality of Joinville, Santa Catarina - 2012-2012. Rev Bras Saúde Mater Infant. 2015; 15(2):201-8. doi: http://dx.doi.org/10.1590/S1519-38292015000200006
Medeiros AMC, Sá TPL, Alvelos C, Novais DSF. Speech therapy in food transition from probe to breast in newborn in kangaroo method. Audiol Commun Res. 2014; 19(1):95-103. doi: http://dx.doi.org/10.1590/S2317-64312014000100016
Chiuchetta FS, Munhoz TN, Santos IS, Menezes AMB, Albernaz E, Barros FC. Neonatal ventilatory support and respiratory diseases in children up to six years of age: the 2004 Pelotas (Brazil) Birth Cohort study. Cad Saúde Pública. 2015; 31(7):1403-15. doi: http://dx.doi.org/10.1590/0102-311X00087614
Cruz CT, Gomes JS, Kirchner RM, Stumm EMF. Evaluation of pain of neonates during invasive procedures in intensive care. Rev Dor. 2016; 17(3):197-200. doi: http://dx.doi.org/10.5935/1806-0013.20160070
Jordão KR, Pinto LAP, Machado LR, Costa LBVL, Trajano ETL. Possible stressors in a neonatal intensive care unit at a university hospital. Rev Bras Ter Intensiva. 2016; 28(3):310-4. doi: http://dx.doi.org/10.5935/0103-507X.20160041
Melo GM, Cardoso MVLM. Pain in preterm newborns submitted to music and 25% glucose intervention. Rev Rene. 2016; 18(1):3-10. doi: http://dx.doi.org/10.15253/2175-6783.2017000100002
Rodrígueza RG, Pattinia AE. Iluminação em unidades de cuidados intensivos neonatais: atualização e recomendações. Arch Argent Pediatr. 2016; 114(4):361-7. doi: http://dx.doi.org/10.5546/aap.2016.361
Santos BR, Orsi KCSC, Balieiro MMFG, Sato HKTY, Pinheiro ELM. Effect of “quiet time” to reduce noise at the neonatal intensive care unit. Esc Anna Nery. 2015; 19(1):102-6. doi: http://dx.doi.org/10.5935/1414-8145.20150014
Puggina CC. Educação permanente em saúde: instrumento de transformação do trabalho de enfermeiros. Rev Espaço Saúde. 2015; 16(4):87-97. doi: http://dx.doi.org/10.22421/1517-7130.2015v16n4p87
