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新生儿操作性疼痛管理中非药物护理方案的相关证据总结与分析

Summary and Analysis of Relevant Evidence for Nondrug Nursing Programs in Neonatal Operational Pain Management.

作者信息

Yang Zhuo, Fu Yinan, Wang Yueqi

机构信息

Emergency Intensive Care Unit, The First Hospital of Jilin University, Changchun, Jilin 130000, China.

Neonatal Intensive Care Unit, The First Hospital of Jilin University, Changchun, Jilin 130000, China.

出版信息

Emerg Med Int. 2022 May 27;2022:7074500. doi: 10.1155/2022/7074500. eCollection 2022.

DOI:10.1155/2022/7074500
PMID:35669169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9167008/
Abstract

PURPOSE

To summarize the relevant evidence for nondrug nursing programs in neonatal operational pain management.

METHODS

Computer search for the literature on neonatal procedural pain from 2015 to 2020 in Up To Date, JBI, NICE, SIGN, RNAO, NGC, PubMed, Cochrane Library, CNKI, and Wanfang database was conducted. All literature works that may meet the inclusion criteria were independently evaluated by two researchers to determine the quality grade of the articles.

RESULTS

Finally, 9 literature works were extracted, including 4 guidelines, 3 systematic reviews, and 2 evidence summaries. The relevant contents of the literature were extracted and summarized, and 20 pieces of the best evidence were obtained.

CONCLUSION

Breast feeding, sweetener, Kangaroo mother care, sensory stimulation, nonnutritive sucking, and other nondrug nursing programs can reduce the neonatal operational pain, which has guiding significance in neonatal operational pain management.

摘要

目的

总结新生儿操作疼痛管理中非药物护理方案的相关证据。

方法

通过计算机检索2015年至2020年Up To Date、JBI、NICE、SIGN、RNAO、NGC、PubMed、Cochrane图书馆、中国知网和万方数据库中有关新生儿程序性疼痛的文献。所有可能符合纳入标准的文献作品由两名研究人员独立评估,以确定文章的质量等级。

结果

最终提取出9篇文献作品,包括4篇指南、3篇系统评价和2篇证据总结。对文献的相关内容进行提取和总结,获得20条最佳证据。

结论

母乳喂养、甜味剂、袋鼠式护理、感觉刺激、非营养性吸吮等非药物护理方案可减轻新生儿操作疼痛,对新生儿操作疼痛管理具有指导意义。

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本文引用的文献

1
RETRACTED: Effect of White Noise and Lullabies on Pain and Vital Signs in Invasive Interventions Applied to Premature Babies.撤回:白噪声和摇篮曲对应用于早产儿的侵入性干预措施中的疼痛和生命体征的影响。
Pain Manag Nurs. 2021 Dec;22(6):724-729. doi: 10.1016/j.pmn.2021.05.005. Epub 2021 Jun 28.
2
Oral Sucrose for Neonatal Pain: Perception of Jordanian Nurses.口服蔗糖用于新生儿疼痛:约旦护士的认知
Neonatal Netw. 2021 Jan 1;40(1):25-30. doi: 10.1891/0730-0832/11-T-663.
3
The use and reporting of neonatal pain scales: a systematic review of randomized trials.新生儿疼痛量表的使用和报告:一项随机试验的系统评价。
Pain. 2021 Feb 1;162(2):353-360. doi: 10.1097/j.pain.0000000000002046.
4
The effect of gentle human touch during endotracheal suctioning on procedural pain response in preterm infant admitted to neonatal intensive care units: a randomized controlled crossover study.新生儿重症监护病房中,气管内吸痰时轻柔的人际触摸对早产儿程序性疼痛反应的影响:一项随机对照交叉研究。
J Matern Fetal Neonatal Med. 2022 Apr;35(7):1370-1376. doi: 10.1080/14767058.2020.1755649. Epub 2020 Apr 21.
5
Quantification of neonatal procedural pain severity: a platform for estimating total pain burden in individual infants.新生儿程序性疼痛严重程度的量化:一个评估个体婴儿总疼痛负担的平台。
Pain. 2020 Jun;161(6):1270-1277. doi: 10.1097/j.pain.0000000000001814.
6
Systematic review and meta-analysis suggest that Kangaroo position protects against apnoea of prematurity.系统评价和荟萃分析表明,袋鼠式护理体位可预防早产儿呼吸暂停。
Acta Paediatr. 2020 Jul;109(7):1310-1316. doi: 10.1111/apa.15161. Epub 2020 Jan 29.
7
Analgesic effect of non-nutritive sucking in term neonates: A randomized controlled trial.非营养性吸吮对足月新生儿镇痛效果的随机对照研究。
Pediatr Neonatol. 2020 Feb;61(1):106-113. doi: 10.1016/j.pedneo.2019.07.003. Epub 2019 Aug 8.
8
Managing Procedural Pain in the Neonate Using an Opioid-sparing Approach.采用阿片类药物节约方法管理新生儿的程序性疼痛。
Clin Ther. 2019 Sep;41(9):1701-1713. doi: 10.1016/j.clinthera.2019.07.014. Epub 2019 Aug 17.
9
The evolution of the science of kangaroo (mother) care (skin-to-skin contact).袋鼠(母亲)护理(皮肤接触)科学的发展。
Birth Defects Res. 2019 Sep 1;111(15):1032-1043. doi: 10.1002/bdr2.1565. Epub 2019 Aug 16.
10
Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs.新生儿重症监护病房的非药物性疼痛管理:不使用药物管理新生儿疼痛。
Semin Fetal Neonatal Med. 2019 Aug;24(4):101017. doi: 10.1016/j.siny.2019.05.009. Epub 2019 Jun 5.