ABSTRACT
PURPOSE: This study examined the degree to which birthweight, gestational age, fetal drug exposure, hazardous postnatal medical events, and a mother's predisposition toward touch predicted the likelihood of an infant's tactile vulnerability during nursing care. SUBJECTS: The convenience sample included 99 hospitalized infants in their second week of life and their mothers. DESIGN: The design was correlational. METHODS: A standardized observational assessment was used to code the infant's physiological and behavioral responses to touch during 4 different episodes of nursing care. Chart review was performed to collect information regarding fetal drug exposure, birthweight, gestational age, and postnatal medical events. Mothers completed a questionnaire regarding their own comfort with using touch and being touched. MEASURES: The Tactile Vulnerability Assessment measured infant reactivity to and tolerance for touch during nursing care. The Postnatal Complications Scale identified hazardous medical conditions and treatments experienced by the infant during the first 2 weeks of life, and the Physical Contact Assessment evaluated a mother's predisposition toward touch. RESULTS: The number of hazardous postnatal medical events experienced by an infant was the primary predictor of tactile vulnerability, accounting for 28% of the variance in the infant's likelihood of developing hyperarousal and distress from touch during care. Illicit fetal drug exposure and maternal predisposition toward touch were also significant predictors. CONCLUSIONS: The significant relationship of postnatal medical events to tactile vulnerability suggests that it may be associated with the presence of infant pain or injury to the infant's central nervous system. Symptoms of drug withdrawal and the impact of teratogens on arousal regulation may also be implicated in greater distress from touch by infants. In addition, findings suggest the potential for inherited transmission of a vulnerability to touch. Assessment of infant vulnerability, including discussion with parents about their views of the infant's needs regarding touch, may enhance problem identification and early intervention to reduce infant distress and further medical problems.
Subject(s)
Hyperesthesia/etiology , Hyperesthesia/nursing , Intensive Care Units, Neonatal , Mothers/psychology , Touch , Adult , Arousal/physiology , Female , Humans , Illicit Drugs/adverse effects , Infant, Newborn , Male , Neonatal Nursing , Pregnancy , Prenatal Exposure Delayed Effects , Retrospective Studies , Sensory Thresholds/physiology , Surveys and QuestionnairesABSTRACT
Se demostró haber probado la hipótesis planteada en cuanto se refiere al sellado de los túbulos dentinarios para atenuar la hiperestesia dentinaria. Y los pacientes reaccionan a mayor velocidad al estímulo macánicon y térmico pero con corta duración, el dolor desaparece a los dos o tres segundos de haber aplicado el estímulo y la duración del dolor es mayor frente a los estímulos químicos porque estos estímulos son irritantes a los tejidos dentarios particularmente a la pulpa. También se proteje la pulpa de cualquier agente extraño(toxinas de bacterias, etc.)porque se sellan los túbulos dentinarios en proceso de la impresgnación de la resina. Esta técnica brinda al paciente que padece de hipersensibilidad dentinaria un alivio eficaz, inmediato y seguro
Subject(s)
Male , Female , Humans , Adult , Hyperesthesia , Hyperesthesia/surgery , Hyperesthesia/diagnosis , Hyperesthesia/nursing , Hyperesthesia/physiopathologyABSTRACT
Remplaza con ventaja, en la mayoria de los casos a la anestesia intragingival en los casos hiperestesia dentinaria - Las piezas dentarias que han sido tratadas con benzocaina no presentan cambios de color - Produce una anestesia superficial de larga duración y suficiente para realizar la reacción de toda la dentina cariada - Su aplicación es absolutamente indolora - No necesita aparatología especial y su técnica es de facil ejecución
