Avaliação da dor e estresse em lactentes submetidos a técnicas de fisioterapia respiratória

Abstract

Purpose:To evaluate pain and stress in the face of vibrocompression (VC) and secretion aspiration (SA) in babies. Methods:A clinical transversal, exploratory, controlled, prospective and randomized study with twenty babies having respiratory infection. The variables relating to heart rate (HR), respiratory frequency (f), Peripheral Oxygen Saturation (SpO2) and Neonatal Pain Scale - NIPS were evaluated before, during and after the techniques. Alpha - Amylase (AA) and Salivary Cortisol (CS) were carried out at rest, at 5\', at 20\' and at 40\'. Results:The FC (heart rate) rose during SA (p=0.0057); f did not change (p=0.8212); SpO2 reduced during SA (p=0.0001); NIPS represented pain during SA (p=0,0142), AA showed no difference; SC increased during SA (p=0.0001), with higher averages after 20\' and 40\'. At VC these variables did not change. Conclusion:SA changed HR, SpO2, NIPS, and SC, proving itself to be painful, while VC did not produce pain or stress in babies.