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基于技术的干预措施与其他非药物干预措施缓解住院新生儿程序性疼痛的效果比较:系统评价方案。

Effectiveness of technology-based interventions compared with other non-pharmacological interventions for relieving procedural pain in hospitalized neonates: a systematic review protocol.

机构信息

Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.

Finnish Centre for Evidence-Based Health Care: A JBI Centre of Excellence, Helsinki, Finland.

出版信息

JBI Evid Synth. 2021 Oct;19(10):2770-2776. doi: 10.11124/JBIES-21-00010.

Abstract

OBJECTIVE

The objective of this review is to evaluate the effectiveness of technology-based interventions in relieving procedural pain in hospitalized neonates compared with other non-pharmacological interventions.

INTRODUCTION

Neonates requiring hospital care often experience acute pain during medical procedures. The current best practice for relieving pain in neonates is the use of non-pharmacological interventions, such as oral solutions or intervention-based human touch. Technological solutions (such as games, eHealth applications, and mechanical vibrators) have become more commonplace in pediatric pain management over recent years. However, there is a knowledge gap about how effective technology-based interventions are at relieving pain in neonates.

INCLUSION CRITERIA

This review will consider experimental trials that include technology-based non-pharmacological interventions for relieving procedural pain in hospitalized neonates. Primary outcomes of interest include pain response to a procedure measured by a validated pain assessment scale for neonates, behavioral indicators, and/or changes in physiological indicators.

METHODS

MEDLINE (Ovid), CINAHL (EBSCO), Scopus (Elsevier), Cochrane Central Register of Controlled Trials, and the MEDIC databases will be searched for studies published in English, Finnish, and Swedish. Critical appraisal and data extraction will be conducted by two independent researchers following JBI methodology. Quantitative data will be pooled in statistical meta-analyses. If statistical analysis is not possible, the findings will be reported narratively.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42021254218.

摘要

目的

本综述旨在评估基于技术的干预措施在缓解住院新生儿程序性疼痛方面的有效性,并与其他非药物干预措施进行比较。

简介

需要住院治疗的新生儿在接受医疗程序时常常会经历急性疼痛。目前缓解新生儿疼痛的最佳实践是使用非药物干预措施,如口服溶液或基于干预的人体触摸。近年来,技术解决方案(如游戏、电子健康应用程序和机械振动器)在儿科疼痛管理中变得越来越普遍。然而,关于基于技术的干预措施在缓解新生儿疼痛方面的有效性,仍存在知识空白。

纳入标准

本综述将考虑包括基于技术的非药物性干预措施以缓解住院新生儿程序性疼痛的实验性试验。主要关注的结果包括通过新生儿疼痛评估量表测量的对程序的疼痛反应、行为指标和/或生理指标的变化。

方法

将在英语、芬兰语和瑞典语发表的研究中,通过 MEDLINE(Ovid)、CINAHL(EBSCO)、Scopus(Elsevier)、Cochrane 对照试验中心注册库和 MEDIC 数据库进行检索。按照 JBI 方法,由两名独立研究人员进行批判性评价和数据提取。定量数据将进行统计荟萃分析。如果无法进行统计分析,则将报告叙述性结果。

系统评价注册

PROSPERO CRD42021254218。

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