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婴儿疼痛实践的实施改变了改善婴儿程序性疼痛实践的资源:一种混合型1有效性-实施研究
Bonnie Stevens1,2, Mariana Bueno3, Melanie Barwick1,4
1The Hospital for Sick Children, Research Institute, Child Health and Evaluative Sciences, Toronto, ON, Canada.
Pain
|December 16, 2024
概括
实施婴儿疼痛实践变革 (ImPaC) 干预措施有效地减少了痛苦的程序,并改善了新生儿重症监护病房的疼痛评估和治疗. 这种基于网络的资源证明了婴儿疼痛管理的显著益处.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 疼痛管理 疼痛管理
- 医疗保健干预措施 医疗保健干预措施
背景情况:
- 新生儿重症监护室 (NICU) 的婴儿疼痛需要有效的管理策略.
- 目前在NICU的疼痛实践可能不总是包括基于证据的方法.
- 需要可访问的资源来促进婴儿疼痛管理的实践变化.
研究的目的:
- 为了评估婴儿疼痛实践变革 (ImPaC) 实施的干预有效性,基于网络的资源.
- 评估ImPaC在加拿大NICU的实施效率和可行性.
- 确定ImPaC对疼痛手术数量,疼痛评估和婴儿疼痛强度的影响.
主要方法:
- 采用了混合型1有效性-实施研究设计.
- 23个加拿大NICU被随机分为干预组 (ImPaC) 或常规护理 (等待名单) 组.
- 治疗意图和等待列表分析评估了痛苦的程序,疼痛评估和疼痛强度在6个月的时间内.
主要成果:
- 与常规护理组相比,干预组每天每婴儿疼痛手术的平均次数明显较低.
- 疼痛评估显著增加,疼痛强度得分在干预组显著下降.
- 治疗意图和等待列表分析都表明ImPaC干预改善了疼痛管理结果.
结论:
- ImPaC干预有效地减少了痛苦的程序,并改善了NICU婴儿的疼痛管理.
- 实施可行性和ImPaC资源的可靠性与改善的临床结果有关.
- 基于Web的资源,如ImPaC可以成功地支持在NICU中婴儿疼痛管理的实践变化.
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