The Role of Nurses in Improving the Quality of Life of Neonates Through Pain Management: A Literature Review
Abstract
Pain in neonates is a problem that must be taken seriously. In addition to causing physiological disturbances, pain in neonates can have long-term consequences including behavioural changes, hypersensitivity to pain and neurodevelopmental disorders. Nurses have an important role in improving the quality of life of neonates through pain management. This study aims to provide alternatives in the prevention of pain in neonates non-pharmacologically and is expected to apply pain instruments (as a basis for pain assessment) and improve collaboration, education and supervision in the prevention of pain in neonates. The method used in this study was literature review. Searching academic articles through Online Database searches through ClinicalKey for Nursing, Proquest, Science Direct and Pubmed from 2020-2024 with the Prisma approach, then filtering with PICO (Population, Intervention, Comparative, Outcome) obtained 10 suitable articles. Based on several studies, the role of nurses in improving the quality of life of neonates is effective pain management through pain assessment, non-pharmacological interventions (skin to skin contact, breastfeeding, maternal voice, facilitated tucking positioning, massage, olfactive stimulation, sucrose administration, nesting positioning and Yakson touch therapy). In addition, education, supervision and a comprehensive approach and collaboration between teams are needed. Pain management in neonates is important in neonate care, it is recommended that there is a bundle of pain management in neonates which contains a structured plan, and integrated guidelines to prevent and manage pain in neonates.
References
Avcin, E., & Kucukoglu, S. (2021). The effect of breastfeeding, kangaroo care, and facilitated tucking positioning in reducing the pain during heel stick in neonates. Journal of Pediatric Nursing, 61, 410–416. https://doi.org/10.1016/j.pedn.2021.10.002
Bellieni, C. V., Tei, M., Cornacchione, S., Di Lucia, S., Nardi, V., Verrotti, A., & Buonocore, G. (2018). Pain perception in NICU: a pilot questionnaire. Journal of Maternal-Fetal and Neonatal Medicine, 31(14), 1921–1923. https://doi.org/10.1080/14767058.2017.1332038
Blomqvist, Y. T., Gradin, M., & Olsson, E. (2020). Pain Assessment and Management in Swedish Neonatal Intensive Care Units. Pain Management Nursing, 21(4), 354–359. https://doi.org/10.1016/j.pmn.2019.11.001
Bucsea, O., & Pillai Riddell, R. (2019). Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs. Seminars in Fetal and Neonatal Medicine, 24(4). https://doi.org/10.1016/j.siny.2019.05.009
Chen, Y., Li, Y., Sun, J., Han, D., Feng, S., & Zhang, X. (2021). The Effect of Maternal Voice on Venipuncture Induced Pain in Neonates: A Randomized Study. Pain Management Nursing, 22(5), 668–673. https://doi.org/10.1016/j.pmn.2021.01.002
Chen, Y., Zhou, L., & Tan, Y. (2024). The effect of maternal voice and non-nutritional sucking on repeated procedural pain of heel prick in neonates: a quasi-experimental study. BMC Pediatrics, 24(1). https://doi.org/10.1186/s12887-024-04738-7
Cruz, M. D., Fernandes, A. M., & Oliveira, C. R. (2016). Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European Journal of Pain (United Kingdom), 20(4), 489–498. https://doi.org/10.1002/ejp.757
De Clifford-Faugere, G., Lavallée, A., Khadra, C., Ballard, A., Colson, S., & Aita, M. (2020). Systematic review and meta-analysis of olfactive stimulation interventions to manage procedural pain in preterm and full-term neonates. In International Journal of Nursing Studies (Vol. 110). Elsevier Ltd. https://doi.org/10.1016/j.ijnurstu.2020.103697
Hockenberry, M., David Wilson, & Cheryl C. Rodgers. (2017). Wong’s Essential of Pediatric Nursing (Tenth Edition). Elsevier.
Liaw, J. J., Yang, L., Katherine Wang, K. W., Chen, C. M., Chang, Y. C., & Yin, T. (2012). Non-nutritive sucking and facilitated tucking relieve preterm infant pain during heel-stick procedures: A prospective, randomised controlled crossover trial. International Journal of Nursing Studies, 49(3), 300–309. https://doi.org/10.1016/j.ijnurstu.2011.09.017
Liu, J., Fang, S., Wang, Y., Gao, L., Xin, T., & Liu, Y. (2022). The effectiveness of massage interventions on procedural pain in neonates: A systematic review and meta-analysis. In Medicine (United States) (Vol. 101, Issue 41, p. E30939). Lippincott Williams and Wilkins. https://doi.org/10.1097/MD.0000000000030939
Magor, N. R. E., Ads, S. E. M., & Elhalafawy, S. E. H. (2024). Effectiveness of nesting positioning and Yakson touch on physiological, behavioral state and pain caused by blood sampling procedures in preterm neonates. Journal of Neonatal Nursing. https://doi.org/10.1016/j.jnn.2024.02.004
Mala, O., Kain, V. J., & Forster, E. M. (2023). Evaluating an educational program for enhancing neonatal intensive and special care nurses’ and midwives’ competence with neonatal pain management: A quasi-experimental study. Journal of Neonatal Nursing. https://doi.org/10.1016/j.jnn.2023.11.013
Masters, J., Arnold, P., & Diwan, R. (n.d.). Acute pain management in the neonate.
Maya-Enero, S., Fàbregas-Mitjans, M., Llufriu-Marquès, R. M., Candel-Pau, J., Garcia-Garcia, J., & López-Vílchez, M. Á. (2022). Analgesic effect of inhaled lavender essential oil for frenotomy in healthy neonates: a randomized clinical trial. World Journal of Pediatrics, 18(6), 398–403. https://doi.org/10.1007/s12519-022-00531-7
Neshat, H., Hassankhani, H., Jabraeili, M., & Negarandeh, R. (2023). Organisational challenges of pain management in neonatal intensive care unit: a qualitative study. BMJ Open, 13(9). https://doi.org/10.1136/bmjopen-2023-072695
Nimbalkar, S., Shukla, V. V., Chauhan, V., Phatak, A., Patel, D., Chapla, A., & Nimbalkar, A. (2020). Blinded randomized crossover trial: Skin-to-skin care vs. sucrose for preterm neonatal pain. Journal of Perinatology, 40(6), 896–901. https://doi.org/10.1038/s41372-020-0638-9
Obeidat, H. M., & Shuriquie, M. A. (2015). Effect of breast-feeding and maternal holding in relieving painful responses in full-term neonates: A randomized clinical trial. Journal of Perinatal and Neonatal Nursing, 29(3), 248–254. https://doi.org/10.1097/JPN.0000000000000121
Olsson, E., Ahl, H., Bengtsson, K., Vejayaram, D. N., Norman, E., Bruschettini, M., & Eriksson, M. (2021). The use and reporting of neonatal pain scales: a systematic review of randomized trials. In Pain (Vol. 162, Issue 2, pp. 353–360). Lippincott Williams and Wilkins. https://doi.org/10.1097/j.pain.0000000000002046
Penelitian, H., Pengabdian, D., Masyarakat, P., Tahun, V., Eka, ), Astuti, N., Zubaidah, Z., Kurniasih, M., Departemen, ), Keperawatan, I., Kedokteran, F., Diponegoro, U., Sakit, R., Pusat, U., & Semarang, K. (2022). Seminar Nasional Penerapan Facilitated Tucking Pada Bayi Prematur Saat Pengambilan Sampel Darah Application of Facilitated Tucking in Premature Infants During Blood Sampling Procedure (Vol. 4).
Razaghi, N., Aemmi, S. Z., Sadat Hoseini, A. S., Boskabadi, H., Mohebbi, T., & Ramezani, M. (2020). The effectiveness of familiar olfactory stimulation with lavender scent and glucose on the pain of blood sampling in term neonates: A randomized controlled clinical trial. Complementary Therapies in Medicine, 49. https://doi.org/10.1016/j.ctim.2019.102289
Velumula, P. K., Elbakoush, F., Tabb, C., Farooqi, A., Lulic-Botica, M., Jani, S., Natarajan, G., & Bajaj, M. (2022). Breast milk vs 24% sucrose for procedural pain relief in preterm neonates: a non-inferiority randomized controlled trial. Journal of Perinatology, 42(7), 914–919. https://doi.org/10.1038/s41372-022-01352-2
Yilmaz, D., & Inal, S. (2020). Effects of three different methods used during heel lance procedures on pain level in term neonates. Japan Journal of Nursing Science, 17(4). https://doi.org/10.1111/jjns.12338
Zargham-Boroujeni, A., Elsagh, A., & Mohammadizadeh, M. (2017). The effects of massage and breastfeeding on response to venipuncture pain among hospitalized neonates. Iranian Journal of Nursing and Midwifery Research, 22(4), 308–312. https://doi.org/10.4103/ijnmr.IJNMR_119_13
Zhao, Y., Dong, Y., & Cao, J. (2022). Kangaroo Care for Relieving Neonatal Pain Caused by Invasive Procedures: A Systematic Review and Meta-Analysis. In Computational Intelligence and Neuroscience (Vol. 2022). Hindawi Limited. https://doi.org/10.1155/2022/2577158
Copyright (c) 2024 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



