RESUMO
In neonatology, neonates have traditionally been considered incapable of feeling pain, due to the immaturity of their nervous system. Currently, there is sufficient information on the perception of pain in neonates; however, this treatment at this crucial stage for development requires a better approach. For this reason, the aim of this study was to analyse the efficacy of non-pharmacological analgesia interventions during heel prick, and to assess their effects on heart rate (HR), premature infant pain profile (PIPP) and O2 saturation. A systematic review and meta-analysis was performed following the guidelines of the preferred reporting items for systematic reviews and meta-analyses (PRISMA), and the Cochrane collaboration handbook. The databases PubMed, Cochrane Library, Web of Science, Scopus, CINAHL and Science Direct were searched until the end of January 2022. The DerSimonian and Laird methods were used to estimate the effect size with a 95% confidence interval (CI95%). Effect size estimates were 0.05 (95% CI: -0.19, 0.29) for HR, -0.02 (95% CI: -0.24, 0.21) for PIPP scale, and -0.12 (95% CI: -0.29, 0.05) for O2 saturation. The non-pharmacological interventions analysed (breastfeeding, kangaroo-mother care method, oral sucrose and non-nutritive sucking) were not statistically significant in reducing neonatal pain, but did influence the decrease in pain score and a faster stabilisation of vital signs.
Assuntos
Método Canguru , Punções , Humanos , Criança , Método Canguru/métodos , Dor , Manejo da Dor/métodos , Frequência Cardíaca/fisiologiaRESUMO
With the sublime emotional description that Stephen King achieves of the main characters inMisery, the writer manages to delve into the world of affections and feelings, exploring the art of care andits negative aspects. He manages to delve into the figure of the nurse Genene Jones, representative of therole of the angel of death, making visible theories that frame these typologies and their acts. Objective:to describe the behaviours, experiences, beliefs and values set out by Stephen King in the story "Misery"(1987). Methodology: Phenomenological-historical study with an exploratory approach in narrative andsecondary sources of the events that took place in the period between 1950-1990. Results: The piece is amasterful analysis of Genene Jones' nursing practice. It also reflects the transformation from the role ofan angel of death, carried out by a health professional, to become a serial killer. Conclusion: The studyof the horror literature allows the study of the nursing role to deepen and increase the knowledge of thenursing role, both for health professionals and nursing students and the general population. (AU)
Con la sublime descripción emocional que Stephen King logra de los protagonistas de Misery, elescritor consigue profundizar en el mundo de las afecciones y los sentimientos, explorando el arte delcuidado y sus aspectos negativos. Consigue ahondar en la figura de la enfermera Genene Jones,representante del rol de ángel de la muerte, visibilizando teorías que encuadran estas tipologías y susactos. Objetivo: describir las conductas, vivencias, creencias y valores expuestos por Stephen King en lanarración Misery (1987). Metodología: Estudio fenomenológico-histórico con abordaje exploratorio enfuentes narrativas y secundarias de los acontecimientos sucedidos en el periodo de tiempo comprendidoentre 1950-1990. Resultados: La obra es un análisis magistral del proceder enfermero de Genene Jones.Asimismo, refleja la transformación desde el rol de ángel de la muerte, llevado a cabo por un profesionalde la salud, hasta llegar a convertirse en un asesino en serie. Conclusión: El estudio de la literatura deterror permite profundizar e incrementar los conocimientos del rol enfermero, tanto a los profesionales dela salud como a los estudiantes de enfermería y la población en general. (AU)
Com a sublime descrição emocional que Stephen King consegue nos protagonistas da Miséria, oescritor mergulha no mundo dos afectos e sentimentos, explorando a arte do cuidado e os seus aspectosnegativos. A figura da enfermeira Genene Jones, um representante exemplar do papel do anjo da morte, éaprofundada, tornando visíveis as teorias que enquadram estas tipologias e os seus actos. Objectivo:descrever os comportamentos, experiências, crenças e valores expostos por Stephen King na história"Miséria" (1987). Metodologia: Estudo fenomenológico-histórico com uma abordagem exploratória emnarrativa, com recurso a fontes secundárias dos acontecimentos que tiveram lugar no período de 1950-1990. Resultados: O trabalho é uma análise do procedimento de enfermagem de Genene Jones e decomo o papel de anjo da morte, desempenhado por um profissional de saúde pode vir a personificar afigura de um assassino em série. Conclusão: O estudo da literatura de horror permite aprofundar, veroutras facetas, e aumentar o conhecimento do papel da enfermagem, tanto pelos profissionais de saúde eestudantes de enfermagem como pela população em geral. (AU)
