<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312019000200008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad de un protocolo para la atención del dolor en neonatos menores de 1 500 gramos]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of a protocol for pain management in newborns with less than 1 500 grams]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robaina Castellanos]]></surname>
<given-names><![CDATA[Gerardo Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Llorca]]></surname>
<given-names><![CDATA[Lisset]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riesgo Rodríguez]]></surname>
<given-names><![CDATA[Solangel de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ginecoobstétrico Docente Provincial de Matanzas &#8220;Dr. Julio Rafael Alfonso Medina&#8221; Servicio de Neonatología ]]></institution>
<addr-line><![CDATA[Matanzas ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico Provincial de Matanzas &#8220;Eliseo Noel Caamaño Departamento Docente ]]></institution>
<addr-line><![CDATA[Matanzas ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>91</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312019000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312019000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312019000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La atención al dolor resulta prioritaria en las unidades de cuidados intensivos neonatales. No se recogen antecedentes en Cuba de implementación de algún protocolo para el abordaje del dolor en neonatos, que no se limite solamente al tratamiento farmacológico durante la asistencia respiratoria o cirugía neonatal.  Objetivo: Determinar la efectividad de un protocolo para la prevención y alivio del dolor en recién nacidos &lt;1 500 gramos, basado principalmente en las recomendaciones de la Sociedad Iberoamericana de Neonatología.  Métodos: Estudio basado en las recomendaciones de la Sociedad Iberoamericana de Neonatología, de tipo analítico prospectivo de ANTES y DESPUÉS en 55 neonatos &lt;1500 gramos, nacidos en el Hospital Ginecoobstétrico Docente Provincial de Matanzas en el período marzo/2016 a marzo/2018, en el cual se comparó la intensidad del dolor según la escala COMFORTneo aplicada durante la realización de tres procederes: inserción del catéter venoso umbilical, inserción de catéter percutáneo y punción del talón, en dos grupos de pacientes: un grupo antes (n=29) y un grupo después de aplicar el protocolo de dolor (n=26). Para el análisis de variables se empleó el coeficiente de Spearman. Se consideró significativo todo valor p&lt;0,05.  Resultados: El peso promedio de los neonatos estudiados fue 1 180 gramos. Luego de la implementación del protocolo se observó una disminución significativa en la intensidad del dolor durante la realización de los procederes seleccionados. Las medidas no farmacológicas fueron las más empleadas.  Conclusiones: El protocolo implementado es efectivo para lograr disminuir la intensidad del dolor en neonatos &lt;1 500 gramos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Pain management is a priority in Neonatal Intensive Care Units. There are not antecedents in Cuba of any protocol carried out for management of neonatal pain, apart from the pharmacological treatment during neonatal respiratory assistance or surgery.  Objective: To determine effectiveness of a protocol for prevention and pain relief in infants with less than 1500 grams, mainly based on recommendations of the Ibero-American Society of Neonatology.  Methods: A prospective analytical study of before and after was made in 55 infants with less than 1500 grams, who were born in the Teaching Gynecological and Obstetric Provincial Hospital of Matanzas, Cuba, in the period from March,2016 to March, 2018. For the study, the intensity of pain was compared by means of the COMFORTneo scale, which was carried out during the performance of three procedures: umbilical vein catheterization, percutaneous venous catheterization and heel lance; in two patients groups: one before (n=29) and the other after the implementation of the pain protocol (n=26). Spearman coefficient was used for statistical analysis of ordinal qualitative variables. All p&lt; 0.05 values were considered significant.  Results: The average weight of the studied newborns was 1 180 grams. After implementing the protocol, a significant decrease in pain intensity was observed during the performance of the selected procedures. Non-pharmacological measures were the most used.  Conclusion: The implemented protocol is effective for decrease pain intensity in newborns with less than 1 500 grams.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tratamiento del dolor]]></kwd>
<kwd lng="es"><![CDATA[dimensión del dolor]]></kwd>
<kwd lng="es"><![CDATA[analgesia]]></kwd>
<kwd lng="es"><![CDATA[recién nacido de muy bajo peso]]></kwd>
<kwd lng="es"><![CDATA[atención de enfermería]]></kwd>
<kwd lng="en"><![CDATA[pain management]]></kwd>
<kwd lng="en"><![CDATA[pain dimension]]></kwd>
<kwd lng="en"><![CDATA[analgesia]]></kwd>
<kwd lng="en"><![CDATA[very low weight newborn]]></kwd>
<kwd lng="en"><![CDATA[nursing care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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