Department of Family Health Care Nursing, University of California, San Francisco 94143, USA.
J Nurs Scholarsh. 2012 Mar;44(1):45-54. doi: 10.1111/j.1547-5069.2011.01434.x. Epub 2012 Feb 16.
New findings are emerging about parental perceptions and desires for involvement in infant pain management in the neonatal intensive care unit (NICU) setting, and the importance of building greater knowledge about this aspect of the patient care is beginning to be appreciated.
The study had two aims: (a) to describe perceptions and feelings of parents who participated in a randomized controlled trial of an intervention to increase parent knowledge and involvement in infant pain management; and (b) to further refine the conceptual representation of the parental experience of involvement in infant pain management (or lack thereof) and the influencing factors.
Thematic analysis was used to explore the content of parents' written comments and to integrate the present and previous research findings.
Parents expressed strong preferences for more information about all aspects of infant pain care, improved timing of information giving, and involvement opportunities. They further desired increased sensitivity and consistency in infant care giving and increased use of specific pain-relieving interventions by NICU staff. Contextual factors such as parents' emotional state and the communication and support from NICU staff influenced parents' ability to achieve their desired level of involvement.
The role of parents in infant pain management is a relatively new area of research. The discussion of conceptual models to guide research and practice is an important milestone representing new opportunity for further scientific developments with important clinical implications for the nursing care of critically ill infants and their families.
New data continue to emerge about parental perceptions and desires for involvement in infant pain management. A new empirically based model may be useful to nurses in providing optimal pain management for NICU infants in partnership with parents.
关于父母在新生儿重症监护病房（NICU）环境中对婴儿疼痛管理的参与的看法和愿望，以及增加对患者护理这一方面的了解的重要性，新的发现不断涌现。
本研究有两个目的：（a）描述参与增加父母对婴儿疼痛管理知识和参与的随机对照试验的父母的看法和感受；（b）进一步完善父母参与婴儿疼痛管理（或缺乏参与）的概念表现形式及其影响因素。
使用主题分析来探索父母书面意见的内容，并整合当前和以前的研究结果。
父母表示强烈希望获得有关婴儿疼痛护理各个方面的更多信息，希望更好地安排信息传递的时间，并提供更多的参与机会。他们进一步希望在婴儿护理方面提高敏感性和一致性，希望 NICU 工作人员增加使用特定的止痛干预措施。父母的情绪状态以及 NICU 工作人员的沟通和支持等情境因素会影响父母实现其期望参与程度的能力。
父母在婴儿疼痛管理中的作用是一个相对较新的研究领域。讨论指导研究和实践的概念模型是一个重要的里程碑，代表着新的科学发展机会，对危重症婴儿及其家庭的护理具有重要的临床意义。
关于父母对婴儿疼痛管理的看法和愿望的新数据不断涌现。一个新的基于实证的模型可能对护士与父母合作，为 NICU 婴儿提供最佳疼痛管理有用。
