relieving the acute pain at preterm baby on NCPAP

Pravočasna prepoznava akutne bolečine je za medicinsko sestro zahtevna, celovita in težka naloga. Pomemben del procesa zdravstvene nege pri otrocih je prepoznati akutno bolečino z opazovanjem otroka in negovalno anamnezo. V diplomskem delu smo predstavili značilnosti nedonošenčka, kako uporabljamo aparat, ki je namenjen neprekinjeni podpori s pozitivnim tlakom in njegove značilnosti, opisali smo vrste bolečine in na kakšen način jo lajšamo pri nedonošenčku na neprekinjeni podpori s pozitivnim tlakom (v nadaljevanju besedila NCPAP) ter pomembno vlogo medicinske sestre pri prepoznavi in lajšanju akutne bolečine pri nedonošenčka na NCPAP-u. Raziskovalna metodologija. Raziskava je temeljila na kvantitativni metodologiji. Podatke smo pridobili s pomočjo delno strukturiranega anketnega vprašalnika. Z raziskavo smo želeli ugotoviti, ali imajo člani negovalnega tima dovolj izkušenj za prepoznavanje akutne bolečine pri nedonošenčku na NCPAP-u, na kakšen način prepoznajo in lajšajo akutno bolečino pri nedonošenčku na NCPAP-u ter ali uporabljajo člani negovalnega tima tudi kakšno lestvico za oceno bolečine pri nedonošenčku na NCPAP-u. Rezultati. Ugotovili smo, da imajo člani negovalnega tima dovolj izkušenj za prepoznavo akutne bolečine pri nedonošenčku na NCPAP-u, vendar bi si radi pridobili dodatna znanja o ocenjevanju jakosti bolečine, kajti v svoji praksi ne uporabljajo nobene lestvice za oceno bolečine pri nedonošenčku na NCPAP-u. Sklep. Medicinska sestra je strokovnjakinja pri opazovanju in ocenjevanju prisotnosti bolečine. Izhodišče za učinkovito lajšanje akutne bolečine je ocenjevanje bolečine in izbira primernih načinov lajšanja, zato morajo imeti člani negovalnega tima dovolj znanja in izkušenj.To identify the acute pain in time is a demanding, comprehensive and a difficult task for a nurse. To identify the acute pain through observation and communication is an important part of a medical care of the children. In this diploma paper we presented the characteristics of a preterm baby, we described the way how to use the machine which serves as a continuous support with positive pressure and its characteristics, we described different types of pain and the ways how to relieve it at preterm babies who are at continuous support with positive pressure (NCPAP) and the important role of a nurse in the process of identification and relieving the pain at NCPAP. Research methodology. The research based on a quantitative research methodology. The data was gained by partly structured questionnaire. The aim of the research was to find out whether members of the nursing team have enough experience to identify the pain of a preterm baby at NCPAP, how they identify it, how they relieve the acute pain of a preterm baby at NCPAP and whether members of the nursing team use any scale to estimate the pain of a preterm baby at NCPAP. The results. The results have shown that members of the nursing term have enough experience to identify the acute pain of a preterm baby at NCPAP, but they would like to gain additional knowledge about estimating the intensity of pain because in practice they do not use any scale to estimate the pain of a preterm baby at NCPAP. Conclusion. A nurse is an expert of observing and estimating the pain. The base of an effective relieving of the acute pain is estimating the pain and choosing the right ways to relieve it therefore the members of a nursing team have to have enough knowledge and experience