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针对家长的电子健康教育培训干预对婴儿程序性疼痛管理的影响:一项系统评价方案

The impact of parent-targeted eHealth educational interventions on infant procedural pain management: a systematic review protocol.

作者信息

Richardson Brianna, Benoit Britney, Rutledge Kallen, Dol Justine, Misener Ruth Martin, Latimer Margot, Smit Michael, McGrath Patrick, Campbell-Yeo Marsha

机构信息

School of Nursing, Dalhousie University, Halifax, Canada.

Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Canada.

出版信息

JBI Database System Rev Implement Rep. 2019 Aug;17(8):1589-1599. doi: 10.11124/JBISRIR-D-19-00007.

Abstract

OBJECTIVE

The objective of this review is to determine if electronic health (eHealth) educational interventions for infant procedural pain and pain management impact parental outcomes (mental health outcomes, knowledge utilization outcomes, and parental involvement in care outcomes) and infant outcomes (morbidity outcomes, pain outcomes, health system outcomes).

INTRODUCTION

Pain in infants is a common concern for parents. Routine postpartum care for infants in early life requires them to endure painful procedures, yet infants often receive little to no pain management. While research has shown that parents can reduce their infant's pain during procedures by breastfeeding or skin-to-skin contact, parents may not be aware of their role in pain management. Despite the recent rapid increase in eHealth resources to educate parents about infant pain management, their impact has yet to be evaluated.

INCLUSION CRITERIA

This review will consider studies that include eHealth educational interventions targeted at parents during pregnancy and up to one year postpartum. All experimental study designs will be included. Primary outcomes will include: parental stress and anxiety, self-efficacy, knowledge, attitudes, eHealth intervention usage, acceptance of eHealth intervention, involvement in pain management, and infant pain response.

METHODS

PubMed, CINAHL, PsycINFO, Embase, Scopus, Web of Science, and SciELO will be searched for studies published in English. Critical appraisal and data extraction will be conducted by two independent reviewers using standardized tools. Quantitative data, where possible, will be pooled in statistical meta-analysis, or if statistical pooling is not possible, the findings will be reported narratively.

摘要

目的

本综述的目的是确定针对婴儿程序性疼痛和疼痛管理的电子健康(eHealth)教育干预措施是否会影响父母的结局(心理健康结局、知识利用结局和父母参与护理结局)以及婴儿的结局(发病率结局、疼痛结局、卫生系统结局)。

引言

婴儿疼痛是父母普遍关注的问题。婴儿早期的常规产后护理要求他们忍受痛苦的程序,但婴儿通常很少或根本没有得到疼痛管理。虽然研究表明父母可以通过母乳喂养或皮肤接触来减轻婴儿在程序中的疼痛,但父母可能没有意识到自己在疼痛管理中的作用。尽管最近用于教育父母关于婴儿疼痛管理的电子健康资源迅速增加,但其影响尚未得到评估。

纳入标准

本综述将考虑包括针对孕期及产后一年内父母的电子健康教育干预措施的研究。将纳入所有实验性研究设计。主要结局将包括:父母的压力和焦虑、自我效能感、知识、态度、电子健康干预措施的使用、对电子健康干预措施的接受度、参与疼痛管理的情况以及婴儿的疼痛反应。

方法

将检索PubMed、CINAHL、PsycINFO、Embase、Scopus、Web of Science和SciELO中以英文发表的研究。两名独立评审员将使用标准化工具进行批判性评价和数据提取。在可能的情况下,定量数据将汇总进行统计荟萃分析,或者如果无法进行统计汇总,将以叙述方式报告研究结果。

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