Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 23, No. 3, 2013, pp. 340-344
Bioline Code: pe13063
Full paper language: English
Document type: Research Article
Document available free of charge
Iranian Journal of Pediatrics, Vol. 23, No. 3, 2013, pp. 340-344
© Copyright 2013 - Iranian Journal of Pediatrics
The Effect of Endotracheal Tube Suctioning Education of Nurses on Decreasing Pain in Premature Neonates|
Hadian, Zahra S. & Sabet, Raheleh S.
Objective: Endotracheal tube suctioning (ETS) is a painful and invasive procedure. Studies have shown that
the performance of nurses in this procedure is weak, so we conducted a study to evaluate the effect of ETS
education for nurses on neonates' pain in neonatal intensive care units (NICUs).
Methods: In a quasi-experimental study, performance of 25 nurses working in NICU was assessed before and
after ETS education by a checklist. In addition pain score of 50 neonates was measured using pain assessment
tool (PIPP) one minute before, during and 5 minutes after ETS. The neonates had a gestational age of less than
37 weeks and were intubated (at least for 8 hours and up to 24 hours). A P. value of less than 0.05 was
considered as statistically significant.
Findings:Mean scores of nurses' performance were significantly different before and after education
(P≤0.001) by Wilcoxon test. Friedman test revealed that PIPPs before, during and after ETS were significantly
different before and after education (P≤0.05). Mann-Whitney test showed no significant differences between
PIPPs before ETS, before and after education (P=0.2), but PIPPs during and after ETS were significantly
Conclusion: ETS causes moderate to severe pain in neonates. Education improved performance of nurses and
decreased pain in neonates during and after ETS. Despite education, neonates will experience mild pain
during ETS, so other interventions need to be considerate.
Premature Infants; Endotracheal; Pain; Nursing Performance Evaluation; Suction; Education
Alternative site location: http://diglib.tums.ac.ir/pub/