边缘化的儿童在急诊室的疼痛经历:一个范围审查协议
Elise Kammerer1, Sarah A Elliott2,3, Lisa Hartling1,2,3,4
1Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada.
PloS one
|April 18, 2024
概括
本综述探讨了边缘化如何影响急诊室 (ED) 儿童的疼痛管理. 它强调了边缘化的年轻人疼痛治疗的差异,并呼吁进行更具包容性的研究.
科学领域:
- 儿科急救医学 儿科急救医学
- 健康差距 研究 研究 研究 研究
- 疼痛管理 疼痛管理
背景情况:
- 疼痛是儿童的普遍体验,但它在北美医院经常受到治疗,特别是在急诊室 (ED).
- 面对社会不公正和边缘化的儿童和照顾者,在疼痛管理方面受到医疗保健差异的不成比例影响.
- 关于儿科疼痛管理的现有研究往往缺乏多样性,主要集中在受过良好教育的白人中上阶层人口.
研究的目的:
- 确定和描述关于儿童疼痛随机对照试验中边缘化如何被记录的研究.
- 了解边缘化儿童及其护理人员在急诊室环境中的疼痛治疗和经历.
主要方法:
- 根据乔安娜·布里格斯研究所的方法,使用参与者,概念,上下文 (PCC) 框架进行范围审查.
- 在过去10年内发表的文章在多个数据库 (Medline,Embase,PsychInfo,CINAHL,Web of Science,Cochrane Library Trials,iPortal,本土健康数据库) 中进行的搜索.
- 两个独立审稿人的两阶段选过程,通过Covidence提取数据,以及叙事合成.
主要成果:
- 该审查旨在绘制有关儿科疼痛管理试验边缘化现有研究的地图.
- 它将阐明ED中边缘化的儿童及其照顾者的特定疼痛治疗和经验.
- 结果将突出当前研究的差距,并为未来的研究提供信息.
结论:
- 本范围审查将全面概述当前关于ED中边缘化和儿科疼痛的研究格局.
- 结果将为为不同儿科群体制定更公平,更有效的疼痛管理策略提供信息.
- 这项工作对于解决医疗保健差异和改善所有儿童疼痛护理至关重要.
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