非药物疗法对新生儿重症监护室收治的新生儿术后疼痛控制的影响:系统综述

IF 0.2 Q4 PEDIATRICS
Abhishek Sharma, Nidhi Sharma, A. Chahal
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引用次数: 0

摘要

背景 在新生儿重症监护室的术后阶段,新生儿必须经历各种疼痛程序。非药物治疗方法可能有助于减轻手术疼痛对新生儿早期发育的有害影响。目的 探讨非药物治疗方法对新生儿重症监护病房新生儿术后疼痛的影响。方法 在电子数据库中搜索 2010 年至 2020 年间发表的随机临床试验,这些试验涉及在新生儿重症监护室接受疼痛手术的新生儿,并遵循 PRISMA 指南。排除了非人类受试者、生命体征不稳定的新生儿、非临床研究和方法不完整的研究。使用医学主题词(MeSH)和健康科学描述符(DeCS)分别对 PubMed、Cochrane 和物理治疗证据数据库(PEDro)进行了评估。结果 两位审稿人对文章进行了独立审查,发现有 11 篇文章符合研究的纳入标准,共有 955 名新生儿采用非药物方法治疗新生儿疼痛。非药物方法,如按摩疗法、口服蔗糖、袋鼠妈妈护理和促进性掖被等,在新生儿重症监护室接受疼痛治疗的新生儿中,疼痛评分显著降低。结果显示,治疗效果存在差异,因此需要采取量身定制的方法。结论 研究结果表明,非药物治疗方法可有效控制新生儿重症监护室新生儿的疼痛。疼痛管理可改善新生儿的临床状况,促进父母与新生儿之间的关系,从而缩短住院时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of non-pharmacological methods on post-operative procedural pain management in neonates admitted in the neonatal intensive care unit: A systematic review
Background In the post-operative period during the NICU stay, neonates must undergo various painful procedures. Non-pharmacological methods may be beneficial in managing the harmful effects of procedural pain on the development of neonates in their early life. Objectives To investigate the effect of non-pharmacological methods on post-operative procedural pain in neonates admitted to neonatal intensive care units. Methods A search in electronic databases was done to identify randomized clinical trials published from 2010 to 2020 that encompassed neonates undergoing painful procedures in the NICU and followed PRISMA guidelines. Studies with non-human subjects, neonates with unstable vital signs, non-clinical studies, and incomplete methodology were excluded. PubMed, Cochrane, and Physiotherapy Evidence Database (PEDro) were evaluated respectively using Medical Subject Headings (MeSH) and Health Sciences Descriptors (DeCS). Results Two reviewers examined articles independently and found 11 articles that met the study's inclusion criteria, with a total of 955 neonates with non-pharmacological methods of pain management in neonates. Non-pharmacological methods, such as massage therapy, oral sucrose, kangaroo mother care, and facilitated tucking showed significant reduction in pain scores among neonates who underwent painful procedures in NICU. Outcomes showed variability in effectiveness, emphasizing the need for tailored approaches. Conclusions The findings indicated that non-pharmacological methods can effectively manage pain in neonates admitted to the NICU. Pain management improves the clinical condition of neonates and promotes parents-neonate bonding, with consequent reduction in length of stay in the hospital. 
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CiteScore
0.40
自引率
0.00%
发文量
58
审稿时长
24 weeks
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