自动脚跟刀对新生儿侵入性的影响:系统性审查和元分析
Yui Shiroshita1, Kaori Yonezawa2, Erika Ota3,4
1Department of Nursing, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Acta paediatrica (Oslo, Norway : 1992)
|May 10, 2024
概括
对于新生儿的鞋跟穿刺,自动穿刺器的侵入性比手动穿刺器要小. 这一元分析发现疼痛,心率,哭泣时间和自动手枪刺穿的时间减少了.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 医疗器械比较 医疗器械比较
- 最少侵入性手术是最少侵入性的手术.
背景情况:
- 新生儿脚是常见的血液采集.
- 评估侵袭性对于婴儿福祉至关重要.
- 传统的手动兰塞可能会引起显著的不适.
研究的目的:
- 为了比较自动发射器设备与手动发射器 (发射器或针) 的入侵性.
- 为了识别新生儿脚跟穿孔的不那么侵入性仪器.
- 为设备选择提供统计证据.
主要方法:
- 进行了元分析.
- 在PubMed,Cochrane CENTRAL,CINAHL和Ichushi数据库中进行了搜索.
- 包括在NICU内对新生儿进行自动和手动发射器比较的研究.
主要成果:
- 自动手枪显示疼痛得分,心率,哭泣持续时间,穿刺次数和手术持续时间明显降低.
- 周围的氧气和度在自动手枪使用时显著更高.
- 包括9项涉及673名新生儿的研究.
结论:
- 自动脚跟长矛装置显然比手动脚跟长矛装置少入侵.
- 自动发射器提供了一种不那么痛苦,更有效的新生儿血液采集方法.
- 研究结果支持使用自动手枪来最大限度地减少婴儿的痛苦.
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