Gates Allison, Shave Kassi, Featherstone Robin, Buckreus Kelli, Ali Samina, Scott Shannon D, Hartling Lisa
1 University of Alberta, Edmonton, AB, Canada.
Clin Pediatr (Phila). 2018 Jun;57(6):672-688. doi: 10.1177/0009922817733694. Epub 2017 Sep 29.
Parents wish to reduce their child's pain during medical procedures but may not know how to do so. We systematically reviewed the literature on parents' experiences and information needs related to managing their child's pain for common medical procedures. Of 2678 records retrieved through database searching, 5 were included. Three additional records were identified by scanning reference lists. Five studies were qualitative, and 3 were quantitative. Most took place in North America or Europe (n = 7) and described neonatal intensive care unit experiences (n = 5). Procedures included needle-related medical procedures (eg, venipuncture, phlebotomy, intravenous insertion), sutures, and wound repair and treatment, among others. Generally, parents desired being present during procedures, wanted to remain stoic for their child, and thought that information would be empowering and relieve stress but felt unsupported in taking an active role. Supporting and educating parents may empower them to lessen pain for their children while undergoing medical procedures.
家长们希望在医疗程序中减轻孩子的痛苦,但可能不知道该如何做。我们系统地回顾了关于家长在常见医疗程序中管理孩子疼痛的经历和信息需求的文献。通过数据库检索获得的2678条记录中,有5条被纳入。通过浏览参考文献列表又识别出另外3条记录。5项研究为定性研究,3项为定量研究。大多数研究在北美或欧洲进行(n = 7),并描述了新生儿重症监护病房的经历(n = 5)。医疗程序包括与针头相关的操作(如静脉穿刺、静脉切开术、静脉插管)、缝合以及伤口修复和治疗等。一般来说,家长希望在操作过程中在场,想为孩子保持坚强,认为信息会增强信心并减轻压力,但觉得在积极参与方面得不到支持。支持和教育家长可能会使他们有能力在孩子接受医疗程序时减轻其痛苦。