Institute of Nursing Science, University of Basel, Basel, Switzerland.
Acta Paediatr. 2010 Dec;99(12):1763-5. doi: 10.1111/j.1651-2227.2010.01941.x.
There is an impressive body of knowledge on pain management in infants hospitalized in neonatal intensive care units. However, deficits in the clinical management of pain in these infants remain. One reason is the gap between research evidence and translation of this knowledge into the clinical setting. This is particularly true for non-pharmacological pain-relieving methods. Effective performance of some of these methods requires additional staffing and time. This viewpoint articles describes the clinical challenges associated with implementing 'facilitated tucking'. Although 'facilitated tucking' is described as an efficient method for acute pain relief, the clinical facilitators required to successfully implement such a resource consuming-intervention remain unclear.
Translational research on the feasibility of using 'facilitated tucking' in the management of neonatal pain is warranted, including the economic impact of this intervention. Increased manpower costs need to be weighed against the possible long-term economical consequences of pain exposure in infants.
目的:新生儿重症监护病房中对住院婴儿进行疼痛管理已有大量相关知识,但婴儿疼痛的临床管理仍存在不足。原因之一是研究证据与将该知识转化为临床实践之间存在差距,这在非药物性止痛方法中尤为明显。某些方法的有效实施需要更多的人员配备和时间。本文观点文章描述了实施“辅助包裹”所面临的临床挑战。尽管“辅助包裹”被描述为缓解急性疼痛的有效方法,但成功实施这种资源密集型干预所需的临床促进者仍不清楚。
结论:需要进行关于在新生儿疼痛管理中使用“辅助包裹”的可行性的转化研究,包括这种干预的经济影响。需要权衡增加人力成本与婴儿疼痛暴露可能带来的长期经济后果。