Avaliação da dor de neonatos admitidos em Unidade de Terapia Intensiva submetidos à fisioterapia : revisão narrativa.

Abstract

Introduction: Pain can be defined as an uncomfortable sensory and emotional experience, associated with or similar to real or potential tissue damage, and NBs can store memories of their painful experiences and thus develop greater sensitivity and lower tolerance to pain as that develop and mature, with several instruments for their evaluation. Objective: To assess whether there is a difference in the quantification of pain measured by scales validated in Portuguese and to reward newborns admitted to a NICU and admitted to physical therapy. Methods: Narrative literature review, which describes and characterizes the development of pain quantification measured by the N-PASS and BIIP scales in NB admitted to the NICU and manifested to physical therapy. Studies between 2017 and 2021 were selected. Results: The search strategy identified a total of 58 records (Pubmed = 16, Google Scholar = 20, LILACS = 9, Scielo = 3, PEDro = 10). Nine studies were selected for reading in full and 39 studies did not meet the inclusion criteria. All articles present as particularities of the scales, emphasizing their objectives, reliability and satisfactory reproducibility, and demonstrate that the scales are effective in the evaluation of pain, especially in children under mechanical ventilation and hospitalized in the NICU, it was possible to analyze that the scales are effective in the evaluation of pain, however, depend on different variables, for pain assessment in term or premature NB. Conclusion: There is a difference in the quantification of pain measured by these scales due to their evaluation variables, and even though based on the knowledge of the characteristics of each scale, it is not possible to choose the most appropriate one, since this choice is dependent on the context of the study. RN.