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成人创伤受害者疼痛管理的非药物干预措施:一项范围综述方案

Non-pharmacological interventions for pain management in adult victims of trauma: a scoping review protocol.

作者信息

Mota Mauro, Cunha Madalena, Santos Margarida Reis, Silva Dulce, Santos Eduardo

机构信息

Hospital Nossa Senhora da Assunção, Local Health Unit of Guarda, Seia, Portugal.

INEM - Instituto Nacional de Emergência Médica, Lisboa, Portugal.

出版信息

JBI Database System Rev Implement Rep. 2019 Dec;17(12):2483-2490. doi: 10.11124/JBISRIR-2017-004036.

Abstract

OBJECTIVE

This scoping review aims to map non-pharmacological interventions for reducing acute pain for adult victims of trauma.

INTRODUCTION

Acute pain, as a consequence of either a pathological or traumatic event or even due to invasive and non-invasive healthcare procedures, is highly prevalent in critically ill patients. However, specific acute pain as a direct consequence of trauma is one of the least studied areas of acute pain.

INCLUSION CRITERIA

This scoping review will consider studies on adult victims of trauma, aged 18 years or over, in prehospital emergency care, emergency departments and trauma centers. All studies that focus on non-pharmacological interventions designed to reduce acute pain, implemented and evaluated by health professionals in any form, duration, frequency and intensity, will be considered.

METHODS

An initial search of PubMed and CINAHL will be undertaken, followed by a second search for published and unpublished studies from 2000 to the present in major healthcare related electronic databases. Studies in English, French, Spanish and Portuguese will be included. Data extraction will be performed independently by two reviewers in tabular form and include details about the interventions, populations, study methods and outcomes of interest. A narrative synthesis will accompany the results and will describe how they relate to the review objectives.

摘要

目的

本综述旨在梳理针对成年创伤受害者减轻急性疼痛的非药物干预措施。

引言

急性疼痛,无论是由病理或创伤事件导致,甚至是因侵入性和非侵入性医疗程序引起,在危重症患者中极为普遍。然而,作为创伤直接后果的特定急性疼痛,是急性疼痛研究最少的领域之一。

纳入标准

本综述将纳入针对18岁及以上成年创伤受害者在院前急救、急诊科和创伤中心的研究。所有聚焦于由卫生专业人员以任何形式、持续时间、频率和强度实施并评估的旨在减轻急性疼痛的非药物干预措施的研究都将被纳入。

方法

首先对PubMed和CINAHL进行初步检索,随后对2000年至今主要医疗相关电子数据库中已发表和未发表的研究进行二次检索。将纳入英文、法文、西班牙文和葡萄牙文的研究。数据提取将由两名评审员以表格形式独立进行,包括干预措施、人群、研究方法和感兴趣的结果等细节。结果将伴有叙述性综合分析,并描述其与综述目标的关联。

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