软管和定位对新生儿疼痛管理的影响:元分析
Shahla Shafaati Laleh1, Aysu Yildiz Karaahmet2
1Departmen of Midwifery, Istanbul University-Cerrahpaşa, Graduate Education Institute, Istanbul, Turkey; Azad University of Mahabad, mahabad, Iran.
概括
个性化支持性发育护理 (ISDC) 有效地减少了新生儿在手术期间的疼痛. 这一元分析证实,乳头和特定的定位显著降低了婴儿的疼痛评分,促进了更好的发育结果.
科学领域:
- 新生儿护理 新生儿护理
- 发育儿科 发育儿科
- 疼痛管理 疼痛管理
背景情况:
- 个性化支持性发育护理 (ISDC) 是一种旨在增强早产婴儿神经发育和组织的模型.
- 管理程序性疼痛对于婴儿的最佳结果至关重要.
- 吸管的使用和定位是新生儿护理中常见的非药物干预措施.
研究的目的:
- 系统地审查和元分析关于管理新生儿疼痛的个性化支持性发育护理 (ISDC) 的证据.
- 专门研究乳头使用和ISDC中的定位对减轻疼痛的影响.
- 综合现有研究的发现,为临床实践提供信息.
主要方法:
- 进行了系统性审查和元分析.
- 搜索了五个相关研究的数据库,包括随机对照试验,实验研究和半实验设计.
- 包括专注于新生儿和ISDC干预措施的研究,如乳头使用和定位. 数据提取由两个独立的审稿人进行.
主要成果:
- 十二项研究符合元分析的纳入标准.
- 在手术过程中,ISDC显著降低了疼痛,疼痛评估有显著差异 (SMD:-1.15).
- 亚组分析显示,随着倾斜定位 (SMD: -1.34) 和使用乳头 (SMD: -0.83),特别是怀孕37周以上的婴儿,疼痛显著减少.
结论:
- 分析结果提供了强有力的证据,ISDC,结合乳头和定位,有效地减少在手术期间新生儿的疼痛.
- 这些非药物干预措施是改善经历痛苦手术的婴儿护理的宝贵工具.
- 进一步的研究可能会探索ISDC实施的最佳协议,以最大限度地缓解疼痛.
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