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[关于住院儿童疼痛缓解干预措施的综合文献综述]

[An Integrative Literature Review on Pain Alleviation Interventions for Hospitalized Children].

作者信息

Cho Haeryun, Lee Jungmin, Kim Shin-Jeong

出版信息

Child Health Nurs Res. 2020 Apr;26(2):254-266. doi: 10.4094/chnr.2020.26.2.254. Epub 2020 Apr 30.

DOI:10.4094/chnr.2020.26.2.254
PMID:35004469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8650927/
Abstract

PURPOSE

The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba's Theory of Comfort.

METHODS

Whittemore and Knafl's integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed.

RESULTS

Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child's response to pain, effective strategies for pain relief, and nurses' competence in pain management.

CONCLUSION

The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

摘要

目的

本研究旨在参照科尔卡巴的舒适理论,回顾针对韩国儿科住院患者的疼痛缓解干预措施。

方法

采用惠特莫尔和克纳夫的综合回顾方法。通过电子搜索引擎和学术网站检索以韩语或英语发表的文章。本综述纳入了2006年至2019年间发表的科学的、经同行评审的文章。对27篇符合纳入标准的文章进行了分析。

结果

在27项选定研究中,3项为描述性研究,24项为与疼痛缓解干预相关的干预性研究。疼痛缓解干预措施呈现出三个特点:识别疼痛触发因素及儿童对疼痛的反应、有效的疼痛缓解策略以及护士在疼痛管理方面的能力。

结论

本研究中使用舒适理论的疼痛缓解干预措施的三个特点被确定为获取关于如何提高住院儿科患者舒适度的循证数据的重要因素。此外,对于住院儿科患者及其家庭成员,应考虑疼痛缓解干预措施的特点。

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The Effectiveness of Distraction as Procedural Pain Management Technique in Pediatric Oncology Patients: A Meta-analysis and Systematic Review.分散注意力作为小儿肿瘤科患者程序性疼痛管理技术的效果:Meta 分析和系统评价。
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Effect of Toys and Preoperative Visit on Reducing Children's Anxiety and their Parents before Surgery and Satisfaction with the Treatment Process.
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