以质量求发展，以服务铸品牌

护理学报 ›› 2024, Vol. 31 ›› Issue (9): 42-47.doi: 10.16460/j.issn1008-9969.2024.09.042

• 循证护理 • 上一篇    下一篇

新生儿操作性疼痛听觉刺激干预的证据总结

符路路1, 解艺璇1, 王玥2, 魏巍1, 张传英1, 朱宇1   

  1. 1.安徽中医药大学 护理学院,安徽 合肥 230012;
    2.安徽中医药大学第一附属医院 儿科,安徽 合肥 230031
  • 收稿日期:2024-02-11 出版日期:2024-05-10 发布日期:2024-06-06
  • 通讯作者: 张传英（1981-）,女,安徽滁州人,硕士研究生,副教授,副院长,硕士研究生导师。E-mail: chuanying512@ahtcm.edu.cn
  • 作者简介:符路路（1993-）,女,安徽阜阳人,本科学历,硕士研究生在读。
  • 基金资助:
    国家自然科学基金项目（81903833）; 安徽省教育厅重点项目（2022AH050423）

Evidence summary for auditory stimulation intervention for procedural pain in neonates

FU Lu-lu1, XIE Yi-xuan1, WANG Yue2, WEI Wei1, ZHANG Chuan-ying1, ZHU Yu1   

  1. 1. School of Nursing, Anhui University of Chinese Medicine, Hefei 230012, China;
    2. Dept. of Pediatrics, the First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China
  • Received:2024-02-11 Online:2024-05-10 Published:2024-06-06

PDF (PC)

34

赞

摘要： 目的 整合新生儿操作性疼痛听觉刺激干预的最佳证据。方法 按照“6 S”金字塔证据模型,系统检索2013年5月1日—2024年1月31日的国内外中英文相关网站与数据库中关于新生儿操作性疼痛听觉刺激干预的文献。4名研究者独立评价文献质量并提取证据。结果 共纳入19篇文献,包括1篇临床决策、3篇指南、1篇专家共识、1篇政策声明、11篇系统评价和2篇随机对照试验,最终从干预环境、干预类型、干预途径、干预时机、注意事项、健康教育6个方面总结出18条最佳证据。结论 本研究总结了国内外关于新生儿操作性疼痛听觉刺激干预的最佳证据,可为新生儿操作性疼痛的管理提供循证依据。

关键词: 操作性疼痛, 听觉刺激, 新生儿, 循证护理

Abstract: Objective To summarize the best evidence for auditory stimulation for procedural pain in neonates. Methods The literature on auditory stimulation for neonatal procedural pain was searched in both Chinese and English websites and databases from May 1, 2013, to January 31, 2024, based on the 6S pyramid model of evidence. Four researchers independently assessed the quality of the literature and extracted the evidence. Results Totally 19 articles were collected, including 1 clinical decision, 3 guidelines, 1 expert consensus, 1 policy statement, 11 systematic reviews, and 2 randomized controlled trials, and 18 pieces of best evidence were extracted in 6 areas of intervention environment, intervention type, intervention pathway, intervention timing, precautions, and health education. Conclusion This study summarizes the best evidence for auditory stimulation intervention for neonatal procedural pain at home and abroad, which can provide an evidence-based basis for the management of neonatal procedural pain.

Key words: procedural pain, auditory stimulation, neonate, evidence-based nursing

中图分类号: 

  • R473.72
[1] Plummer K. Procedural pain management [EB/OL]. (2018-02-13) [2023-08-09] https://www.rch.org.au/rchcpg/hospital_ clinical_guideline_index/Procedural_Pain_Management/#Definition of Terms.
[2] 刘芳. 儿童疼痛管理循证实践现状及影响因素调查研究[D].重庆:重庆医科大学,2017.
[3] Mcpherson C, Miller SP, El-dib M, et al. The influence of pain, agitation, and their management on the immature brain[J]. Pediatr Res,2020,88(2):168-175.DOI:10.1038/s41390-019-0744-6.
[4] Jones L, Laudiano-dray MP, Whitehead K, et al. EEG, behavioural and physiological recordings following a painful procedure in human neonates[J]. Sci Data,2018,5:180248.DOI:10.1038/sdata.2018.248.
[5] Ting B, Tsai CL, Hsu WT, et al.Music Intervention for pain control in the Pediatric Population: a systematic review and Meta-analysis[J]. J Clin Med,2022,11(4):991.DOI:10.3390/jcm11040991.
[6] 朱政,胡雁,邢唯杰,等.不同类型循证问题的构成[J].护士进修杂志,2017,32(21):1991-1994.DOI:10.16821/j.cnki.hsjx.2017.21.025.
[7] Alper BS, Haynes RB.EBHC pyramid 5.0 for accessing preappraised evidence and guidance[J]. Evid Based Med,2016,21(4):123-5.DOI:10.1136/ebmed-2016-110447.
[8] Brouwers MC, Kerkvliet K, Spithoff K.AGREE Next Steps Consortium. The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines[J]. BMJ,2016,352:i1152.DOI:10.1136/bmj.i1152.
[9] 周帅,江锦芳,崔虹,等.非眼部手术全麻患者术中角膜损伤预防及管理的最佳证据总结[J].护理学报,2023,30(24):27-32.DOI:10.16460/j.issn1008-9969.2023.24.027.
[10] 胡雁,郝玉芳.循证护理学[M].2版.北京:人民卫生出版社,2021:52-103.
[11] 白雪洁,刘丽萍,张星星,等.胃肿瘤切除术后患者居家口服营养支持的最佳证据总结[J].护理学报,2023,30(20):24-30.DOI:10.16460/j.issn1008-9969.2023.20.024.
[12] 王春青,胡雁.JBI证据预分级及证据推荐级别系统(2014版)[J].护士进修杂志,2015,30(11):964-967.DOI:10.16821/j. cnki.hsjx.2015.11.002.
[13] Roué JM. Prevention and treatment of neonatal pain [EB/OL].(2022-12-06)[2023-10-01]. http://47.96.252.95:5002/contents/zh-Hans/prevention-and-treatment-of-neonatal-pain?search=%E6%96%B0%E7%94%9F%E5%84%BF%E7%96%BC%E7%97%9B&source=search_result&selectedTitle=1~20&usage_type=default&display_rank=1#H26.
[14] 国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,等. 中国新生儿疼痛管理循证指南(2023年)[J].中国当代儿科杂志,2023, 25(2):109-127.DOI:10.7499/j.issn.1008-8830.2210052.
[15] National Association of Neonatal Nurses. Trauma-informed care in the NICU: evidence-based practice guidelines for neonatal clinicians[M].New York:Springer Publishing Company,2017:101-136.
[16] Lago P, Garetti E, Bellieni CV, et al.Systematic review of nonpharmacological analgesic interventions for common needle-related procedure in newborn infants and development of evidence-based clinical guidelines[J]. Acta Paediatr,2017,106(6):864-870.DOI:10.1111/apa.13827.
[17] 中国医师协会新生儿科医师分会,中国当代儿科杂志编辑委员会.新生儿疼痛评估与镇痛管理专家共识(2020版)[J].中国当代儿科杂志,2020, 22(9):923-930.DOI:10.7499/j.issn.1008-8830.2006181.
[18] Committee on Fetus and Newborn and Section on Anesthesiology and Pain Medicine. Prevention and management of procedural pain in the neonate: an update[J]. Pediatrics,2016,137(2):e20154271.DOI:10.1542/peds.2015-4271.
[19] 曾兆兰,李小文,史泽瑶.白噪声减轻早产儿操作性疼痛效果的Meta分析[J].中华现代护理杂志,2023,29(32):4449-4456.DOI:10.3760/cma.j.cn115682-20221130-05779.
[20] Jin L, Zhang J, Yang X, et al.Maternal voice reduces procedural pain in neonates: a Meta-analysis of randomized controlled trials[J]. Medicine (United States),2023,102(12):e33060.DOI:10.1097/MD.0000000000033060.
[21] Palaskar P, Ramekar SD, Sant N, et al.Ideal mode of auditory stimulation in preterm neonates in neonatal intensive care unit: a systematic review[J]. Cureus, 2023, 15(2):e34496.DOI:10.7759/cureus.34496.
[22] Li Y, Zhang J, Yang C, et al.Effects of maternal sound stimulation on preterm infants: a systematic review and Meta-analysis[J]. Int J Nurs Pract,2023,29(2):1-17.DOI:10.1111/ijn.13039.
[23] 卢贤英,高静,柏丁兮,等.15种补充和替代医学疗法缓解新生儿足跟采血疼痛的网状Meta分析[J]. 军事护理,2023, 40(1):77-83.DOI:10.3969/j.issn.2097-1826.2023.01.019.
[24] Costa VS, Bündchen DC, Sousa H, et al.Clinical benefits of music-based interventions on preterm infants' health: a systematic review of randomised trials[J]. Acta Paediatr,2022,111(3):478-489.DOI:10.1111/apa.16222.
[25] Ye X, Chen JQ, Zhu LL, et al.Intervention strategies for white noise alleviating procedural pain in newborns:a systematic review[J]. J Clin Nurs,2023,32(15-16):4265-4282.DOI:10.1111/jocn.16601.
[26] 连冬梅,张东颖,孙静,等. 母亲声音对减轻新生儿操作性疼痛效果的Meta分析[J].中国护理管理,2021,21(3):380-387.DOI:10.3969/j.issn.1672-1756.2021.03.012.
[27] 邓妙芹,谢新芳,刘舒.音乐疗法缓解新生儿操作性疼痛有效性的系统评价[J].循证护理,2020,6(7):618-624.DOI:10.12102/j.issn.2095-8668.2020.07.002
[28] Bieleninik Ł, Ghetti C, Gold C.Music therapy for preterm infants and their parents: a Meta-analysis[J]. Pediatrics,2016,138(3).DOI:10.1542/peds.2016-0971.
[29] Lin CW, Liu HM, Liu CY, et al.Effects of parents' voice on reducing heel puncture pain in high-risk newborns: a randomized controlled trial[J]. Nurs Crit Care, 2023.DOI:10.1111/nicc.12966.
[30] 罗金,尹宏智,黄燕芳,等.角音干预早产儿足跟采血疼痛临床研究[J].新中医,2019,51(8):295-297.DOI: 10.13457/j.cnki.jncm.2019.08.089.
[1] 贺芳, 温秀兰, 林艳, 孙黎, 王晓杰, 余欣, 刘会, 郭晓萍, 周艳. 基于移动医疗的新生儿护理线上咨询门诊的建立与实施[J]. 护理学报, 2024, 31(9): 20-23.
[2] 陈洁, 孟庆童, 刘惊今, 吴艳妮. 基于指南的慢性心力衰竭患者运动康复科普手册研制[J]. 护理学报, 2024, 31(9): 36-41.
[3] 纪锐婷, 林丹娜, 刘小成, 李婷婷, 谢映梅, 胡冰, 应文娟. 早产儿初乳口腔免疫疗法的最佳证据总结[J]. 护理学报, 2024, 31(8): 37-42.
[4] 张小莉, 杨鑫玉, 肖宇, 刘春燕, 张璐, 伍晓琴, 黄月霖, 傅静. 晚期癌症患者代理决策者安宁疗护决策后悔研究的范围综述[J]. 护理学报, 2024, 31(8): 49-54.
[5] 周毅峰, 杨继平, 胡正中, 袁浩. 肝癌切除手术患者目标导向性血糖监测的证据总结[J]. 护理学报, 2024, 31(7): 46-50.
[6] 莫选菊, 吴远, 张曼, 刘章来, 申铁梅. 共患慢性失眠症住院患者实施睡眠限制疗法的证据总结[J]. 护理学报, 2024, 31(6): 62-66.
[7] 杨建国, 何细飞, 鄢建军, 张梦, 杨纯子, 徐蓉, 王艳芳. 局部枸橼酸抗凝在连续性肾脏替代治疗中的应用及管理的最佳证据总结[J]. 护理学报, 2024, 31(4): 48-53.
[8] 刘璇, 蓝玉清, 李梦如, 王小惠, 钟雪梅, 周文. 住院老年性痴呆患者跌倒预防的最佳证据总结[J]. 护理学报, 2024, 31(4): 54-59.
[9] 祁水林, 林桦, 邓锐颖, 李荣杰, 李若雨, 王凤廷. 老年皮肤瘙痒症患者非药物管理的最佳证据总结[J]. 护理学报, 2024, 31(3): 46-50.
[10] 李嘉琪, 叶向红, 左俊焘, 徐瑶, 姚红林. 终末期患者营养支持决策过程质性研究的Meta整合[J]. 护理学报, 2024, 31(2): 53-58.
[11] 张新芳, 谢庆, 张燕, 吴敏, 陈寄梅, 陈晓霞, 王玲. 行左心室辅助装置安装的终末期心力衰竭患者运动康复的最佳证据总结[J]. 护理学报, 2024, 31(10): 43-47.
[12] 雷青, 雷小平, 佘桂芳, 李娜, 王娅鑫, 孙鸿燕. NICU中住院早产儿多感官刺激的最佳证据总结[J]. 护理学报, 2024, 31(10): 48-52.
[13] 柯稳, 高兴莲, 余文静, 方敏, 王曾妍. 基于三维质量结构模型构建围手术期低体温预防护理质量指标体系[J]. 护理学报, 2024, 31(1): 1-6.
[14] 欧洋利, 沈军, 李淼, 彭颖, 廖晓艳, 张虹, 陈黎玉. 失能老人“主动健康”影响因素的最佳证据总结[J]. 护理学报, 2024, 31(1): 58-63.
[15] 杨琰, 董泗芹, 赵宝生, 李振香. 早中期帕金森病患者运动管理的最佳证据总结[J]. 护理学报, 2023, 30(9): 37-42.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!