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在注射过程中利用局部压力装置进行疼痛管理:范围综述。

Utilization of local pressure devices in pain management during injections: scoping review.

机构信息

Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2024 Jul 29;77(3):e20230399. doi: 10.1590/0034-7167-2023-0399. eCollection 2024.

DOI:10.1590/0034-7167-2023-0399
PMID:39082544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11290735/
Abstract

OBJECTIVE

to map scientific evidence regarding the use of local pressure devices in pain relief during injection procedures in patients.

METHODS

scoping review, following the recommendations of the JBI Manual for Evidence Synthesis and PRISMA-ScR, with searches conducted in the PubMed, EMBASE, CINAHL, LILACS, and PsycINFO databases, without temporal restrictions and with a cutoff date of March 2023.

RESULTS

a total of 1,514 studies were identified, with 20 articles included in the final sample. The ShotBlocker® device was utilized during subcutaneous and intramuscular injections in children and adults, proving beneficial in reducing pain, anxiety, and fear associated with the procedure.

FINAL CONSIDERATIONS

the ShotBlocker® is a low-cost, easy-to-use device that can enhance nursing clinical practice during painful procedures. However, studies involving the Brazilian Pikluc® device are scarce. Further research involving both local pressure devices is recommended.

摘要

目的

绘制关于在患者注射过程中使用局部压迫装置缓解疼痛的科学证据。

方法

范围综述,遵循 JBI 证据综合手册和 PRISMA-ScR 的建议,在 PubMed、EMBASE、CINAHL、LILACS 和 PsycINFO 数据库中进行搜索,没有时间限制,截止日期为 2023 年 3 月。

结果

共确定了 1514 项研究,最终样本中包括 20 篇文章。ShotBlocker® 装置在儿童和成人的皮下和肌肉注射中得到了应用,在减轻与该过程相关的疼痛、焦虑和恐惧方面显示出了有益的效果。

最终考虑

ShotBlocker® 是一种低成本、易于使用的装置,可以增强护理在疼痛过程中的临床实践。然而,涉及巴西 Pikluc® 装置的研究很少。建议进行更多涉及局部压迫装置的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bd6/11290735/8443c1727d5d/0034-7167-reben-77-03-e20230399-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bd6/11290735/d72ea3a46786/0034-7167-reben-77-03-e20230399-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bd6/11290735/8443c1727d5d/0034-7167-reben-77-03-e20230399-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bd6/11290735/d72ea3a46786/0034-7167-reben-77-03-e20230399-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bd6/11290735/8443c1727d5d/0034-7167-reben-77-03-e20230399-gf02.jpg

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本文引用的文献

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2
Pain management in hospitalized children: A cross-sectional study.住院儿童的疼痛管理:一项横断面研究。
Rev Esc Enferm USP. 2022 May 30;56:e20220008. doi: 10.1590/1980-220X-REEUSP-2022-0008en. eCollection 2022.
3
Comparison of cold spray and shotblocker to reduce intramuscular injection pain: A randomized controlled trial.
冷喷涂与弹丸阻滞剂减少肌肉注射疼痛的比较:一项随机对照试验。
J Clin Pharm Ther. 2022 Aug;47(8):1249-1256. doi: 10.1111/jcpt.13663. Epub 2022 Apr 6.
4
A Comparison of Two Different Tactile Stimulus Methods on Reducing Pain of Children During Intramuscular Injection: A Randomized Controlled Study.两种不同触觉刺激方法减轻儿童肌肉注射疼痛的效果比较:随机对照研究。
J Emerg Nurs. 2022 Mar;48(2):167-180. doi: 10.1016/j.jen.2021.10.006. Epub 2021 Dec 22.
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Effectiveness of Two Different Methods on the Perceived Pain and Satisfaction During Intramuscular Antibiotic Injection: ShotBlocker and Local Vibration.两种不同方法在肌肉内抗生素注射时的疼痛感知和满意度方面的效果:ShotBlocker 和局部振动。
Clin Nurs Res. 2022 Jun;31(5):812-819. doi: 10.1177/10547738211051877. Epub 2021 Oct 11.
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