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父母参与“父母抚触试验”(Petal)时对新生儿疼痛研究的体验。

Parental experience of neonatal pain research while participating in the Parental touch trial (Petal).

机构信息

Department of Paediatrics, University of Oxford, Oxford, United Kingdom.

Newborn Care Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

出版信息

Pain. 2024 Aug 1;165(8):1727-1734. doi: 10.1097/j.pain.0000000000003177. Epub 2024 Jan 25.

Abstract

Parental involvement in neonatal comfort care is a core component of family-centred care. Yet, parents experience a range of positive and negative feelings when providing pain-relieving interventions for their infants. Parents of infants who participated in the Parental touch trial ( Petal ), a multicentre randomised controlled trial investigating the impact of gentle parental touch on neonatal pain, were asked to complete an anonymous survey. This survey aimed to (1) explore parent-reported motivations in deciding to participate in the Petal trial; (2) understand parent-reported experiences related to trial participation; (3) understand parents' willingness to participate in future studies; and (4) evaluate parent-reported feelings while they were delivering a gentle touch intervention either before or after a clinically necessary blood test. One hundred six parents (1 parent per infant) took part in the survey. Primary motivators for participation were altruistic. Parents most frequently reported that they wanted their child to take part in the research because it has a potential benefit to babies in the future and because they wanted to improve scientific understanding. Parents reported that providing gentle touch to their children during painful procedures was associated with positive emotions, such as feeling "useful" (64%) and "reassured" (53%). Furthermore, nearly all parents (98%) were pleased to have participated in the Petal trial and would consider, or maybe consider, participating in further research studies. These results underscore the importance of structuring trials around parental involvement and providing opportunities for parents to be involved in providing comfort to their infants during necessary painful clinical procedures.

摘要

父母参与新生儿舒适护理是以家庭为中心护理的核心组成部分。然而,父母在为婴儿提供缓解疼痛的干预措施时,会体验到一系列积极和消极的感受。参与 Parental touch trial(Petal)的婴儿的父母(Petal 是一项多中心随机对照试验,旨在研究温和的父母触摸对新生儿疼痛的影响)被要求完成一项匿名调查。这项调查旨在:(1)探讨父母决定参与 Petal 试验的动机;(2)了解与试验参与相关的父母报告的经验;(3)了解父母参与未来研究的意愿;(4)评估父母在进行温和触摸干预前后进行临床必需的血液检查时的报告感受。共有 106 位父母(每位婴儿 1 位父母)参与了调查。参与的主要动机是利他主义。父母最常报告说,他们希望自己的孩子参与研究,是因为这对未来的婴儿有潜在的好处,并且因为他们希望提高科学认识。父母报告说,在痛苦的过程中给孩子提供温和的触摸与积极的情绪有关,例如感到“有用”(64%)和“放心”(53%)。此外,几乎所有的父母(98%)都很高兴参与了 Petal 试验,并愿意考虑或可能考虑参与进一步的研究。这些结果强调了围绕父母参与来构建试验以及为父母提供在必要的痛苦临床程序中为婴儿提供舒适感的机会的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c88b/11247449/381723458b19/jop-165-1727-g001.jpg

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