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儿科亚重症监护病房患儿疼痛评估:范围综述方案。

Evaluation of pain in the paediatric patient admitted to sub-intensive care: a scoping review protocol.

机构信息

"Azienda Unità Sanitaria Locale" (Local Health Service) di Piacenza, Piacenza, Italy;.

University of Parma, Department of Medicine and Surgery, Parma, Italy; "Azienda Unità Sanitaria Locale" (Local Health Service) di Piacenza, Piacenza, Italy; .

出版信息

Acta Biomed. 2023 Feb 13;94(1):e2023039. doi: 10.23750/abm.v94i1.14159.

DOI:10.23750/abm.v94i1.14159
PMID:36786247
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9987487/
Abstract

BACKGROUND AND AIM

pain is considered as the 5th vital sign thus it's paramount that healthcare professionals are equipped with validated tools for his correct assessment. There are different paediatric pain assessment scales that take into account patients' age. Actually, the "Face, Legs, Activity, Cry, Consolability" (FLACC), Wong-Baker and NRS scales are regarded as the gold standard in low intensity clinical areas, while the COMFORT-Behavior (COMFORT-B) and Behavioral Pain Scale (BPS) ones are used for high intensity clinical areas where paediatric patients are sedated/intubated. It's unclear which pain assessment scale should be used in sub-intensive areas such as Sub-Paediatric Intensive Care Unit (Sub-PICU) e Sub-Neonatal Intensive Care Unit (Sub-NICU). The aim of this protocol is to map the literature in order to identify what evidences are available regarding the assessment of pain in the paediatric sub-intensive clinical areas.

RESEARCH QUESTION

"What is the literature available on pain assessment in paediatric patients in sub-intensive clinical areas such as Sub-PICU and sub-NICU?".

SOURCE OF EVIDENCE

literature search will be performed through the following databases: PubMed, Scopus, CINAHL, Cochrane Library, Open Dissertations (EBSCO) and DOAJ. Furthermore, Cochrane CENTRAL and ClinicalTrials.gov will also be included.

METHODS

this scoping review will be conducted in accordance to the Joanna Briggs Institute guidelines and the results presented through a PRISMA flowchart.

REVIEW REGISTRATION

Open Science Framework https://doi.org/10.17605/OSF.IO/8KBRQ.

摘要

背景与目的

疼痛被认为是第五大生命体征,因此医护人员必须掌握经过验证的工具来正确评估疼痛。有不同的儿科疼痛评估量表,这些量表考虑了患者的年龄。实际上,“面部、腿部、活动、哭泣、安抚”(FLACC)、Wong-Baker 和 NRS 量表被认为是低强度临床领域的金标准,而 COMFORT-Behavior(COMFORT-B)和行为疼痛量表(BPS)则用于儿科患者镇静/插管的高强度临床领域。在亚强化治疗区,如儿科亚重症监护病房(Sub-PICU)和新生儿亚重症监护病房(Sub-NICU),尚不清楚应使用哪种疼痛评估量表。本方案旨在对文献进行综述,以确定在儿科亚强化治疗区(如 Sub-PICU 和 Sub-NICU)评估疼痛方面有哪些现有证据。

研究问题

“在儿科亚强化治疗区(如 Sub-PICU 和 Sub-NICU),有哪些关于儿科患者疼痛评估的文献?”

证据来源

将通过以下数据库进行文献检索:PubMed、Scopus、CINAHL、Cochrane 图书馆、Open Dissertations(EBSCO)和 DOAJ。此外,还将包括 Cochrane CENTRAL 和 ClinicalTrials.gov。

方法

本范围综述将按照 Joanna Briggs 研究所的指南进行,并通过 PRISMA 流程图展示结果。

综述注册

Open Science Framework https://doi.org/10.17605/OSF.IO/8KBRQ。

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