Carlsen Misic Martina, Olsson Emma, Thernström Blomqvist Ylva, Ullsten Alexandra
Department of Pediatrics, Faculty of Medicine and Health, Örebro University, 70182 Örebro, Sweden.
Faculty of Medicine and Health, School of Health Sciences, Örebro University, 70182 Örebro, Sweden.
Children (Basel). 2024 Jun 27;11(7):781. doi: 10.3390/children11070781.
There is a knowledge-to-practice gap regarding parent-delivered pain management, and few studies have investigated parents' and nurses' participation in and acceptance of combined parent-delivered pain-alleviating interventions such as skin-to-skin contact (SSC), breastfeeding, and parental musical presence. This study investigated parents' and nurses' perceptions of and reflections on experiencing combined parent-delivered pain management.
This qualitative study applies a collaborative participatory action research design using ethnographic data collection methods such as focus groups, video observations, and video-stimulated recall interviews with parents and nurses.
The results concern three main categories, i.e., preparation, participation, and closeness, as well as various sub-categories. Preparations were central to enabling combined parent-delivered pain management. Participation was facilitated by parental musical presence, in which parents shifted their attention toward their infant. Closeness and presence during neonatal care helped parents become active during their infant's painful procedures. Parental lullaby singing created a calm and trusting atmosphere and after the procedure, both parents and nurses felt that they had successfully supported the infant through a potentially painful procedure.
Mental and practical preparation is central to implementing combined parent-delivered pain management. When parents and nurses explored the interventions, they found the methods feasible, promoting self-efficacy and confidence in both parents and nurses.
在家长实施疼痛管理方面存在知识与实践的差距，很少有研究调查家长和护士对诸如皮肤接触（SSC）、母乳喂养及家长音乐陪伴等联合家长实施的疼痛缓解干预措施的参与度和接受度。本研究调查了家长和护士对联合家长实施疼痛管理体验的看法和反思。
本定性研究采用协作参与式行动研究设计，运用民族志数据收集方法，如焦点小组、视频观察以及对家长和护士进行视频刺激回忆访谈。
结果涉及三个主要类别，即准备、参与和亲密感，以及各个子类别。准备工作是联合家长实施疼痛管理的核心。家长音乐陪伴促进了参与，在此过程中家长将注意力转向婴儿。新生儿护理期间的亲密感和陪伴帮助家长在婴儿接受痛苦程序时变得积极主动。家长唱摇篮曲营造了平静且信任的氛围，在程序结束后，家长和护士都觉得他们成功地帮助婴儿度过了一个可能痛苦的程序。
心理和实际准备是实施联合家长实施疼痛管理的核心。当家长和护士探索这些干预措施时，他们发现这些方法可行，提高了家长和护士的自我效能感和信心。
