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按摩疗法作为新生儿程序性疼痛的非药物镇痛方法:一项范围综述。

Massage therapy as a non-pharmacological analgesia for procedural pain in neonates: A scoping review.

作者信息

Fitri Siti Yuyun Rahayu, Nasution Siti Khadijah, Nurhidayah Ikeu, Maryam Nenden Nur Asriyani

机构信息

Faculty of Nursing, Universitas Padjadjaran Bandung, Indonesia.

Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia.

出版信息

Complement Ther Med. 2021 Jun;59:102735. doi: 10.1016/j.ctim.2021.102735. Epub 2021 May 8.

Abstract

INTRODUCTION

Neonates who undergo painful medical procedures should be given analgesics to reduce future adverse risks. The evidence for massage therapy (MT) as an analgesic method still varies, both in its terminology and implementation. Only a few studies on this topic have been conducted using a standardised trial approach. This review can thus become the basis for better future research.

OBJECTIVE

This review aims to identify literature on MT practices as a method to manage or control pain in neonates undergoing painful procedures.

METHODS

The methodology for this review followed the JBI scoping review methodology guidelines. Searches were performed in several databases: MEDLINE (PubMed), CINAHL (EBSCO), Scopus (Elsevier) and EMBASE. Data collected were then extracted by two independent reviewers, synthesised and presented in the form of tables and narratives.

RESULTS

Fifteen studies involving a total of 1,058 neonates in nine countries were identified in the search as meeting the criteria set for this review. One study was a comparative study, five were quasi-experiment studies and nine were randomised control trials (RCT).

CONCLUSION

The implementation of massage as a non-pharmacological analgesic method for neonates undergoing painful procedures varied among the reviewed studies. Differences were identified in terms of the body part massaged, the duration and intensity of the massage, the level of pressure and the combination of massage with other methods. All studies presented positive results for reducing pain intensity in neonates undergoing procedural pain. Therefore, it is crucial that the method used for giving massage should be practical, accurate and safe.

摘要

引言

接受痛苦医疗程序的新生儿应给予镇痛药以降低未来的不良风险。作为一种镇痛方法,按摩疗法(MT)的证据在术语和实施方面仍然存在差异。关于这个主题的研究只有少数采用了标准化试验方法。因此,本综述可以成为未来更好研究的基础。

目的

本综述旨在识别有关MT实践作为一种管理或控制接受痛苦程序的新生儿疼痛的方法的文献。

方法

本综述的方法遵循JBI范围综述方法指南。在几个数据库中进行了检索:MEDLINE(PubMed)、CINAHL(EBSCO)、Scopus(Elsevier)和EMBASE。然后由两名独立的审阅者提取收集到的数据,进行综合并以表格和叙述的形式呈现。

结果

在检索中确定了15项研究,涉及9个国家的总共1058名新生儿,符合本综述设定的标准。1项研究为比较研究,5项为准实验研究,9项为随机对照试验(RCT)。

结论

在所审查的研究中,将按摩作为接受痛苦程序的新生儿的非药物镇痛方法的实施情况各不相同。在按摩的身体部位、按摩的持续时间和强度、压力水平以及按摩与其他方法的组合方面存在差异。所有研究都表明,对于减轻接受程序疼痛的新生儿的疼痛强度有积极效果。因此,进行按摩所使用的方法必须实用、准确且安全,这一点至关重要。

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