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住院婴儿疼痛管理:实现可持续发展目标的建议
Danton Matheus de Souza1, Caroline Knoner Monteiro1, Lisabelle Mariano Rossato1
1Universidade de São Paulo. São Paulo, São Paulo, Brazil.
巴西NICU的新生儿疼痛管理显示出严重的不足,很少有婴儿在痛苦的手术后接受重新评估. 这突显了护理方面的差距,这可能会阻碍新生儿福祉和可持续发展目标.
科学领域:
- 新生儿护理 新生儿护理
- 疼痛管理 疼痛管理
- 公共卫生 公共卫生
背景情况:
- 有效的疼痛管理对于新生儿重症监护室 (NICU) 的婴儿福祉至关重要.
- 新生儿福祉与更广泛的可持续发展目标 (SDGs) 有关.
研究的目的:
- 评估新生儿重症监护室 (NICU) 的婴儿疼痛管理实践.
- 检查新生儿疼痛管理与可持续发展目标之间的联系,重点关注新生儿福祉.
主要方法:
- 一个追溯的,定量性的文献研究.
- 分析了386个婴儿的医疗记录,这些婴儿在巴西的NICU中住院超过24小时 (2019-2021年).
- 数据经过描述性和推断性统计分析.
主要成果:
- 所有婴儿都经历了痛苦的手术,但只有13.7%的婴儿有记录的疼痛.
- 使用了药物 (芬太尼尔,25.9%) 和非药物 (鼓励母乳养,86%) 的干预措施.
- 疼痛重新评估仅发生在2.8%的病例中.
结论:
- 观察到新生儿疼痛管理的值.
- 缺乏足够的疼痛管理实践可能会阻碍新生儿的福祉和实现可持续发展的进展.
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