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瑞士跨专业综合干预措施在芬兰改善新生儿程序性疼痛管理中的可行性:一项定性研究。

The feasibility of a Swiss complex interprofessional intervention to improve the management of procedural pain in neonates in the Finnish context: A qualitative study.

机构信息

Faculty of Medicine, Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.

Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland.

出版信息

Scand J Caring Sci. 2024 Dec;38(4):1005-1017. doi: 10.1111/scs.13298. Epub 2024 Sep 10.

Abstract

AIM

To evaluate the feasibility of the Swiss complex interprofessional intervention, NEODOL© (NEOnato DOLore), for improving the management of procedural pain in neonates in the Finnish context.

BACKGROUND

Interprofessional collaboration is important for all professionals involved in the care of neonates and for neonates' parents, to understand the appropriate use of non-pharmacological and/or pharmacological methods for each pain situation and how to assess pain in real-life situations. Appropriate methods of pain relief for neonates should be preferred as they protect the development of the neonate's brain.

DESIGN

A descriptive qualitative design.

METHOD

Data were collected through semi-structured focus group discussions following the Medical Research Council's framework for evaluation of complex interventions, in this case NEODOL© which aims to improve the procedural pain management of neonates. A purposive sample (n = 13) included eleven professionals representing various professions within Finnish Neonatal Intensive Care Units and two parents of infants who have received care in a Neonatal Intensive Care Unit. Data were analysed using inductive content analysis, and the results were reported in accordance with the COREQ guidelines.

RESULTS

Professionals' and parents' evaluations suggest that NEODOL© is feasible, because it is consistent and addresses a current need. They assessed its overall content to be relevant and accessible, and its components to be internally coherent. However, they emphasise the need for further evaluation and refinement of the intervention to achieve the desired outcomes and cost-effectiveness.

CONCLUSIONS

While NEODOL© is considered feasible, it requires further evaluation and refinement in the local context of each hospital before implementation.

摘要

目的

评估瑞士跨专业综合干预措施 NEODOL©(新生儿疼痛缓解)在芬兰背景下改善新生儿程序性疼痛管理的可行性。

背景

跨专业合作对于参与新生儿护理的所有专业人员以及新生儿的父母都很重要,以便了解每种疼痛情况适当使用非药物和/或药物方法以及如何在实际情况下评估疼痛。应优先选择适当的新生儿止痛方法,因为它们可以保护新生儿大脑的发育。

设计

描述性定性设计。

方法

通过半结构化焦点小组讨论,根据医疗研究委员会对复杂干预措施的评估框架收集数据,本案例中是针对 NEODOL©,旨在改善新生儿程序性疼痛管理。采用目的抽样(n=13),包括来自芬兰新生儿重症监护病房的 11 名代表各种专业的专业人员和 2 名在新生儿重症监护病房接受过护理的婴儿的父母。使用归纳内容分析法进行数据分析,并按照 COREQ 指南报告结果。

结果

专业人员和家长的评估表明,NEODOL©是可行的,因为它具有一致性并满足当前的需求。他们评估其整体内容具有相关性和可及性,并且其组成部分具有内在一致性。然而,他们强调需要进一步评估和改进干预措施,以实现预期的结果和成本效益。

结论

虽然 NEODOL©被认为是可行的,但在实施之前,需要在每个医院的当地环境中进一步评估和改进。

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