Faculty of Medicine and Health Sciences, School of Nursing, University of Barcelona, Barcelona, Spain.
Hospital Sant Joan de Déu, Barcelona, Spain.
J Clin Nurs. 2018 Jul;27(13-14):2546-2557. doi: 10.1111/jocn.14345. Epub 2018 Apr 19.
To investigate the meaning of comfort and to contextualise it within the framework of paediatric critical care.
The concept of comfort is closely linked to care in all health contexts. However, in specific settings such as the paediatric critical care unit, it takes on particular importance.
A literature review was conducted.
A literature search was performed of articles in English and Spanish in international health science databases, from 1992-March 2017, applying the quality standards established by the PRISMA methodology and the Joanna Briggs Institute.
A total of 1,203 publications were identified in the databases. Finally, 59 articles which met the inclusion criteria were entered in this literature review. Almost all were descriptive studies written in English and published in Europe. The concept of comfort was defined as the immediate condition of being strengthened through having the three types of needs (relief, ease and transcendence) addressed in the four contexts of experience (physical, psychospiritual, social and environmental). Only two valid and reliable tools for assessing comfort were found: the Comfort Scale and the Comfort Behavior Scale.
Comfort is subjective and difficult to assess. It has four facets: physical, emotional, social and environmental. High levels of noise and light are the inputs that cause the most discomfort. Comfort is a holistic, universal concept and an important component of quality nursing care.
探究舒适的含义，并将其置于儿科重症监护的框架内进行分析。
舒适的概念与所有健康背景下的护理密切相关。然而，在儿科重症监护病房等特定环境中，它具有特殊的重要性。
进行了文献回顾。
对国际健康科学数据库中 1992 年至 2017 年 3 月的英文和西班牙文文献进行了检索，采用 PRISMA 方法和 Joanna Briggs 研究所制定的质量标准进行评估。
在数据库中总共发现了 1203 篇出版物。最终，纳入了 59 篇符合纳入标准的文献进行综述。几乎所有的文献都是描述性研究，用英文撰写，发表在欧洲。舒适的概念被定义为通过满足三种需求（缓解、轻松和超越）来增强即时状态，这三种需求存在于四个体验背景（身体、心理精神、社会和环境）中。只发现了两种有效的、可靠的舒适度评估工具：舒适量表和舒适行为量表。
舒适度是主观的，难以评估。它有四个方面：身体、情感、社会和环境。高噪音和强光水平是引起最大不适的输入。舒适是一个整体的、普遍的概念，也是优质护理的重要组成部分。
