针对婴儿肌肉内疫苗接种的非药物干预:随机对照试验的系统审查和元分析
Kurvatteppa Halemani1, Elsa Vitale2, Asha Shetty3
1College of Nursing, All India Institute of Medical Sciences (AIIMS), Raebareli UP, India.
Journal of caring sciences
|November 7, 2025
概括
非药物干预措施,如母乳养和糖显著减少婴儿疫苗接种疼痛. 这些非侵入性方法为儿童提供有效的止痛,副作用最小.
科学领域:
- 儿科 儿科 儿科
- 疼痛管理 疼痛管理
- 基于证据的实践.
背景情况:
- 接种疫苗后的疼痛是婴儿和父母的主要痛苦来源.
- 非药物干预措施对缓解这种疼痛有显著影响.
研究的目的:
- 系统地审查和对婴儿疫苗相关疼痛的非药物干预措施的证据进行元分析.
- 评估各种非药理方法在减轻疫苗接种期间婴儿疼痛方面的有效性.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 准则和Cochrane建议的首选报告项目.
- 在电子数据库 (PubMed,CINAHL,EMBASE,科学网,临床密钥) 中进行全面的搜索.
- 随机效应模型对19项涉及1739名婴儿的试验进行了元分析,在森林地块中进行了子组分析.
主要成果:
- 哺乳 (SMD -3.28) 和糖 (SMD -2.22) 显示显著减少疼痛.
- 袋鼠母亲护理 (KMC) (SMD -1.1) 和热/冷应用 (SMD -1.14) 也在减少疼痛方面表现出有效性.
- 来自19项试验的数据分析证实了这些干预措施的有效性.
结论:
- 包括母乳养,按摩,糖糖,KMC和热/冷应用在内的非侵入性疗法在减少婴儿疫苗接种疼痛方面是有效的.
- 非药物干预对儿童来说是理想的止痛药,与其他方法相比,其副作用较少.
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