Department of Nursing Science, Chungbuk National University, Cheongju 28644, Korea.
Int J Environ Res Public Health. 2021 Aug 31;18(17):9159. doi: 10.3390/ijerph18179159.
A systematic review and meta-analysis conducted to evaluate the combined effect of distraction intervention for needle-related pain in order to provide the basis for developing an effective nursing intervention for children. We searched three electronic databases, PubMed, Embase, and CINAHL, for original articles published in the period from 1 January 2011 to 31 July 2019. In addition, a manual search was performed on the basis of references in the literature and the references of the articles in pursuit of comprehensive data until 10 December 2019. Meta-analysis was performed by the synthesis of the effect size, homogeneity, heterogeneity, and trim-and-fill method using MIX 2.0 Pro. Well-planned RCTs, single-center studies, high-quality studies, participants older than 10 years of age, and visual and clown distraction interventions were effective for needle-related pain and distress management among children. The results showed evidence supporting the effect of distraction interventions for children's needle-related pain and distress. Through this review, strategies were identified to design better interventions to improve the outcomes.
一项系统评价和荟萃分析评估了分心干预对针相关疼痛的综合效果，旨在为儿童制定有效的护理干预措施提供依据。我们检索了三个电子数据库：PubMed、Embase 和 CINAHL，以获取 2011 年 1 月 1 日至 2019 年 7 月 31 日期间发表的原始文章。此外，还根据文献中的参考文献和文章的参考文献进行了手工搜索，以获取全面的数据，直到 2019 年 12 月 10 日。采用 MIX 2.0 Pro 软件，通过效应大小、同质性、异质性和修剪填充方法的综合，对荟萃分析进行了分析。精心设计的 RCT、单中心研究、高质量研究、年龄大于 10 岁的参与者以及视觉和小丑分心干预对儿童针相关疼痛和痛苦管理有效。结果表明，分心干预对儿童针相关疼痛和痛苦有一定的效果。通过这项综述，确定了设计更好的干预措施来改善结果的策略。
