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使用辅助包裹法对早产儿进行非药物性疼痛管理:一项系统评价

Use of facilitated tucking for nonpharmacological pain management in preterm infants: a systematic review.

作者信息

Obeidat Hala, Kahalaf Inaam, Callister Lynn Clark, Froelicher Erika Sivarajan

机构信息

Faculty of Nursing, Princess Muna College of Nursing, Amman, Jordan.

出版信息

J Perinat Neonatal Nurs. 2009 Oct-Dec;23(4):372-7. doi: 10.1097/JPN.0b013e3181bdcf77.

DOI:10.1097/JPN.0b013e3181bdcf77
PMID:19915422
Abstract

BACKGROUND

Neonatal care demands attention to interventions that effectively reduce pain with pharmacological and nonpharmacological methods in preterm infants during invasive procedures.

PURPOSE

The aim of this systematic review was to determine the efficacy of facilitated tucking as nonpharmacological pain management in preterm infants.

METHOD

Electronic searches were conducted using the following databases: Ovid, Blackwell Synergy, ScienceDirect, PsychINFO, and CINAHL and with the following key words: facilitated tucking, preterm infant's pain responses, and randomized clinical trials for the period of 1995 to May 2008.

RESULTS

The search generated 15 articles; 5 articles fit to the criteria of the systematic review. The following outcomes were statistically significant: heart rate; increase in oxygen saturation; sleep-wake state; Premature Infant Pain Profile scores; and neonate infant pain scores.

CONCLUSION

The studies reviewed provide important preliminary findings that suggest facilitated tucking may be beneficial to preterm infants in attenuating their responses to painful procedures.

摘要

背景

新生儿护理需要关注在侵入性操作过程中,通过药理学和非药理学方法有效减轻早产儿疼痛的干预措施。

目的

本系统评价的目的是确定“辅助包裹法”作为早产儿非药理学疼痛管理方法的疗效。

方法

使用以下数据库进行电子检索:Ovid、Blackwell Synergy、ScienceDirect、PsychINFO和CINAHL,并使用以下关键词:辅助包裹法、早产儿疼痛反应、1995年至2008年5月期间的随机临床试验。

结果

检索到15篇文章;5篇文章符合系统评价的标准。以下结果具有统计学意义:心率;血氧饱和度升高;睡眠-觉醒状态;早产儿疼痛量表评分;以及新生儿疼痛评分。

结论

所综述的研究提供了重要的初步发现,表明辅助包裹法可能有助于减轻早产儿对疼痛操作的反应。

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