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围产期针对父母的婴儿疼痛管理教育:一项范围综述

Parent-Targeted Education Regarding Infant Pain Management Delivered During the Perinatal Period: A Scoping Review.

作者信息

Richardson Brianna, Falconer Allyson, Shrestha Joshna, Cassidy Christine, Campbell-Yeo Marsha, Curran Janet A

机构信息

Dalhousie University School of Nursing, Halifax, Nova Scotia, Canada (Mss Richardson, Falconer, Shrestha, and Campbell-Yeo and Drs Cassidy and Curran); and IWK Health Centre, Halifax, Nova Scotia, Canada (Drs Campbell-Yeo and Curran).

出版信息

J Perinat Neonatal Nurs. 2020 Jan/Mar;34(1):56-65. doi: 10.1097/JPN.0000000000000439.

Abstract

All infants experience pain in early life from procedures. Parents recognize pain as a prevalent issue, reporting a strong desire for more information on infant pain. The aim of this study was to explore and map the current evidence of parent-targeted educational interventions about infant pain, delivered throughout the perinatal period. Records were identified in PubMed, CINAHL, EMBASE, and ERIC databases and hand searching recent publications in 3 relevant journals. Records in English that described or evaluated educational interventions on infant pain management aimed at parents during the perinatal period were eligible for review and those not related to pain or aimed at healthcare providers were excluded. Evaluation was completed following the Methodology for JBI Scoping Reviews and standardized critical appraisal instruments from the Joanna Briggs Institute. Initial search yielded 6946 records, with 9 included in analysis. Six studies were quantitative, 2 qualitative, and 1 mixed methods. Included interventions contained information about parent-led pain management strategies for infants in the neonatal intensive care unit (n = 4), full term (n = 4), or both (n = 1). Despite being an area of high concern for parents of newborns, few studies addressed parent-targeted education regarding infant pain. Future research examining the impact and efficacy of these interventions addressing parental and neonatal outcomes is warranted.

摘要

所有婴儿在生命早期都会因医疗程序而经历疼痛。父母们认识到疼痛是一个普遍存在的问题,并表示非常希望获得更多关于婴儿疼痛的信息。本研究的目的是探索并梳理在围产期提供的、针对父母的关于婴儿疼痛的教育干预措施的现有证据。通过在PubMed、CINAHL、EMBASE和ERIC数据库中检索,并人工查找3种相关期刊的近期出版物来确定相关记录。纳入审查的是英文记录,这些记录描述或评估了围产期针对父母的婴儿疼痛管理教育干预措施,与疼痛无关或针对医疗保健提供者的记录被排除。按照JBI循证综述方法和乔安娜·布里格斯研究所的标准化批判性评价工具完成评估。初步检索得到6946条记录,其中9条纳入分析。6项研究为定量研究,2项为定性研究,1项为混合方法研究。纳入的干预措施包括关于新生儿重症监护病房中父母主导的婴儿疼痛管理策略的信息(n = 4)、足月儿的信息(n = 4)或两者都有的信息(n = 1)。尽管这是新生儿父母高度关注的领域,但很少有研究涉及针对父母的婴儿疼痛教育。有必要开展未来研究,考察这些干预措施对父母和新生儿结局的影响及效果。

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