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All Journal Journal of Nursing Science Update
Yeni - Rustina
Fakultas Ilmu Keperawatan Universitas Indonesia
Health Professions Nursing

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DESCRIPTION OF PAIN IN NEWBORNS DURING BLOOD SAMPLING BASED ON VARIOUS PAIN MEASUREMEN Kurniaty Ika Sari Tobing; Yeni - Rustina
Journal of Nursing Science Update (JNSU) Vol. 8 No. 2 (2020)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (315.201 KB) | DOI: 10.21776/ub.jik.2020.008.02.4

Abstract

Newborns in intensive unit receives a number of invasive procedures that would causeschanges in sensitizationof pain and possible long-term effects on child’s subsequentdevelopmental period. This encourages the need for pain measurement that could reflectthe actual pain responses especially in blood sampling.The purpose of this review is tooverview pain responses in newborns receiving procedures invasive of blood samplingusing advance pain measurement. Literature search was conducted through threeonline database, namely EBSCO (CINAHL and MEDLINE), Scopus, and Wiley, withinrelated keyword applied are invasive procedure, neonate, newborn, pain assessment andpain intensity. Twelve articles were identified for critical review. This literature studyprovides an overview of responses to blood collection procedures through measurementsof behavioral and skin conductance activities in neonates. Pain response with behavioralmeasurement shows the range of mild-moderate pain in the procedure of blood samplingthrough peripheral veins, the range of moderate-severe pain in heel pricking, and therange of severe pain in arterial blood sampling. Skin conductance measurement reflectsympathetic activity to pain stimulus through sweat gland activity in the superficiallayer of the skin, and is expected to be an objective method of pain measurement forneonates in clinical practice.
Co-Authors Kurniaty Ika Sari Tobing