EVALUATION OF PAIN IN PREMATURE NEWBORNS DURING RESPIRATORY PHYSIOTHERAPY

Abstract

Introduction: Respiratory physiotherapy aims to facilitate the replacement of lung sections, there is a wide variety of techniques applied in the literature with this use, as well as those most recently used are called increased expiratory flow (EFA) and chest vibration. There is a question about how respiratory physiotherapy maneuvers may or may not cause pain in newborns (NB). Pain in newborns can be measured using the Neonatal Infant Pain Pain (NIPS) scale, which is widely used because it is easy to apply and understand. Objective: compare the AFE technique and chest vibration on pain in premature newborns, assessed by the NIPS scale. Method: prospective study with premature newborns from the neonatal ICU at Hospital das Clínicas da UNESP - Botucatu. After the indication of respiratory physiotherapy, the NIPS scale was applied before, during and after the application of the technique that was classified: AFE or vibration, constituting the two study groups. The sample calculation was 17 NB in each group. The collected data were compared between the student's test groups or Mann-Whitney. Peripheral oxygen saturation and heart rate were also collected by pulse oximetry, respiratory rate by counting in one minute. Results: the sample consisted of 39 newborns, 19 in the AFE group and 20 in the vibration group. The patients showed no statistically significant difference that indicated pain before, during and after application of the techniques, as well as there was no statistically significant change in the other variables observed. Conclusion: The comparison of the AFE and chest vibration techniques did not demonstrated pain in premature newborns assessed by the NIPS scale.