在儿童中使用和预防程序性克制 - 范围审查
Marthe Karolina Østberg1, Peter Forde Hougaard1, Nina Margrethe Kynø2
1Oslo University Hospital, Children's Surgical Department, Division of Surgery and Specialized Medicine, P. O Box 4950, Nydalen, 0424 Oslo, Norway; Oslo Metropolitan University, Department of Nursing and Health Promotion, Faculty of Health Sciences, P. O Box 4, St. Olavs Plass, 0130 Oslo, Norway.
Journal of pediatric nursing
|October 31, 2024
概括
在医疗程序期间防止儿童自控是具有挑战性的. 研究表明很少有有效的策略,强调需要更好的定义和方法来减少医疗保健机构的限制使用.
科学领域:
- 儿科医疗保健的实践.
- 医疗程序中的患者安全
- 儿童心理学和行为学
背景情况:
- 限制在儿童身上用于医疗程序,但可能是有害的.
- 关于预防儿科护理中限制使用的知识是有限的.
- 本综述对现有的研究和关于儿童克制的指导方针进行了映射.
研究的目的:
- 识别和绘制关于儿童使用和预防克制的知识.
- 探索可用的干预措施和指导方针,以防止限制使用.
- 了解孩子们在手术过程中对克制的经验.
主要方法:
- 根据Arksey和O'Malley,JBI和PRISMA-ScR框架进行范围审查.
- 在 Medline,EMBASE,PsycINFO,Epistemonikos,CINAHL,Cochrane Library (2023年9月) 中进行了搜索.
- 包括关于非精神病医疗机构儿童 (1-18岁) 的文本.
主要成果:
- 在2943个初始文本中,288个文本符合纳入标准;188个是研究.
- 研究缺乏对克制的明确定义,但注意到了观察和态度.
- 没有发现预防的证据,只有减少策略;确定了11条指导方针.
结论:
- 目前只有很少的方法可以减少或预防小儿限制使用.
- 缺乏一个明确的,统一的限制定义阻碍了有效的研究和指导方针.
- 未来的努力应集中在制定提高医疗保健人员能力,态度和资源的战略上.
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