Yenidoğan ve Süt Çocuklarında Girişimsel Ağrı ve Non-farmakolojik Yönetimi

Ağrı sağlık durumunu direk etkileyen kontrol edilmediğinde hayatın bütün alanlarında olumsuz sonuçlar doğuran bir sorundur. Tüm çocuklara doğumdan itibaren bir dizi girişimsel ağrılı işlem uygulanmaktadır. Kan alma, enjeksiyon, aşı gibi girişimsel işlemler çocukların en büyük ağrı kaynaklarındandır. Ağrının yarattığı travma çocuklarda başta iğne fobisi olmak üzere, aşı uygulamalarında aksaklık, tedaviye uyumda yetersizlik sebebi olabilir ve bu durumlar önlenebilir birçok hastalıkta salgınlara neden olarak çocukları savunmasız bırakabilir. Özellikle beyin gelişimin hızlı olduğu süt çocukluğu döneminde ağrının gelişimsel ve emosyonel etkilerini gidermek için girişimsel işlem ağrıları iyi yönetilmelidir. Ağrı yönetiminde farmakolojik ve non-farmakolojik pek çok yaklaşım vardır. Farmakolojik yöntemlerin deneyimli personel tarafından uygulanma zorunluluğu, komplikasyon riski ve maliyeti nedeniyle kullanımını nerdeyse imkansızdır. Sükroz, kıvırarak tutmak, anne kucağı, kanguru bakımı, emzik vermek, taktil uyarı, emzirme, kundaklama kullanılan yenidoğan ve süt çocukları için kullanılan non-farmakolojik yöntemlerdendir. Bu makale yenidoğan ve süt çocuğunda girişimsel işlem ağrıları ve bunun non-farmakolojik yönetiminin önemini vurgulamak için yazılmıştır.

Anahtar Kelimeler:

Yenidoğan, süt çocuğu, girişimsel ağrı

Interventional Pain and Non-Pharmacologic Management among Neonates and Infants

The pain is a problem that directly affects the health status and leading to negative results in every domain of life when not controlled. All of the children receive a series of painful interventions since the moment of birth. The interventional procedures such as blood-letting and vaccination are the most important pain sources for the children. The trauma that pain creates might cause unconformity with the vaccination and the lack of adherence to therapy. These conditions might cause outbreaks in many preventable diseases, and leave the children defenseless. Especially in the infancy period, in which the brain development is fast, the pains arising from interventional procedures should be well-managed in order to eliminate the developmental and emotional effects of pain. In pain management, there are many approaches both pharmacological and non-pharmacological. It is almost impossible to use the pharmacological methods due to the reasons such as the requirement of application by experienced personnel, the complication risk, and the costs. Some of the non-pharmacological methods used for neonates and infants are sucrose, holding in inclined position, kangaroo care, mother’s bosom, lactation, tactile stimulation, and swaddling. This paper was prepared in order to discuss the interventional procedure pains among the neonates and infants and the importance of non-pharmacological management of these pains.

Keywords:

Neonate, infant, interventional pain,

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