目的检索并再评价声音对NICU早产儿生长发育影响的系统评价,为临床医务人员临床决策及早产儿健康干预策略的持续改进提供参考。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、万方、中国知网、维普和中国生物...目的检索并再评价声音对NICU早产儿生长发育影响的系统评价,为临床医务人员临床决策及早产儿健康干预策略的持续改进提供参考。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、万方、中国知网、维普和中国生物医学文献数据库,检索关于声音对NICU早产儿影响的系统评价/Meta分析/荟萃分析,检索时间为建库至2023年5月。2名研究人员应用AMSTAR对文献进行方法学质量评价后,通过GRADE进行证据整理与分级。结果初检文献405篇,最终纳入文献20篇,AMSTAR质量评价结果表明,高等质量文献有5篇,其余15篇均为中等质量,纳入文献的总体方法学质量较低。采用GRADE系统对20篇系统评价的79条结局指标的证据质量评价结果显示,12条证据为中等质量,34条证据为低等质量,33条证据为极低质量。结论声音干预有利于改善NICU早产儿的相关生理指标、睡眠效率、行为状态、神经行为及大脑发育,可促进早产儿健康恢复,但系统评价的方法学质量和证据的质量均较低,临床实践需谨慎采纳有关证据,并逐步进行更加规范、严谨的研究。展开更多
Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely...Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely and effective pain management for preterm infants.Greater understanding of the lived experience of nurses caring for preterm infants in pain could provide novel insights to improve pain management for this vulnerable population.The aim of this meta-ethnography was to synthesize and interpret qualitative findings of nurses’experiences of taking care of preterm infants in pain.Methods:An extensive literature search in PubMed,CINAHL,PsycINFO,Scopus,BIOSIS and ProQuest Dissertation and Theses Database was conducted,including studies within the past 10 years.Two nursing researchers conducted data extraction and analysis independently.Inclusion criteria were applied to search for qualitative studies of nurse participants who worked in the NICU taking care of preterm infants.Studies published in a language other than English,articles that did not include qualitative data and qualitative data that could not be extracted from the findings or did not discuss nurses’experiences were excluded.Critical Appraisal Skills Programme was used for literature quality evaluation.Results:Eight studies remained after further screening according to inclusion and exclusion criteria.These eight studies were conducted from 2013 to 2018 and totally enrolled 205 nurses from Iran,Canada,the United States,Finland,Sweden,Switzerland,and Australia.Five themes emerged on the nurses’perspectives of taking care of preterm infants in pain:1)They sense the neonatal pain;2)Adverse consequences of unrelieved pain;3)Barriers of managing pain;4)Concerns of available approaches for pain relief;5)Failure to work with parents.Conclusions:This meta-ethnography identified nurses’understanding of pain in preterm infants that can be assessed,and they acknowledged that unrelieved pain could cause developmental deficits in infants.The barriers are lack of training and support on pain assessment and intervention in preterm infants.Optimizing workload and environment,developing age-specified pain assessment and intervention,receiving emotional support and training,and building up a rapport with parents are urgent needs for nurses to provide better care to infants having pain.展开更多
文摘目的检索并再评价声音对NICU早产儿生长发育影响的系统评价,为临床医务人员临床决策及早产儿健康干预策略的持续改进提供参考。方法计算机检索The Cochrane Library、Embase、PubMed、Web of Science、万方、中国知网、维普和中国生物医学文献数据库,检索关于声音对NICU早产儿影响的系统评价/Meta分析/荟萃分析,检索时间为建库至2023年5月。2名研究人员应用AMSTAR对文献进行方法学质量评价后,通过GRADE进行证据整理与分级。结果初检文献405篇,最终纳入文献20篇,AMSTAR质量评价结果表明,高等质量文献有5篇,其余15篇均为中等质量,纳入文献的总体方法学质量较低。采用GRADE系统对20篇系统评价的79条结局指标的证据质量评价结果显示,12条证据为中等质量,34条证据为低等质量,33条证据为极低质量。结论声音干预有利于改善NICU早产儿的相关生理指标、睡眠效率、行为状态、神经行为及大脑发育,可促进早产儿健康恢复,但系统评价的方法学质量和证据的质量均较低,临床实践需谨慎采纳有关证据,并逐步进行更加规范、严谨的研究。
文摘Objective:Preterm infants are subjected to numerous painful procedures during their neonatal intensive care unit(NICU)hospitalization.Despite advancements in pain alleviation,nurses remain challenged to provide timely and effective pain management for preterm infants.Greater understanding of the lived experience of nurses caring for preterm infants in pain could provide novel insights to improve pain management for this vulnerable population.The aim of this meta-ethnography was to synthesize and interpret qualitative findings of nurses’experiences of taking care of preterm infants in pain.Methods:An extensive literature search in PubMed,CINAHL,PsycINFO,Scopus,BIOSIS and ProQuest Dissertation and Theses Database was conducted,including studies within the past 10 years.Two nursing researchers conducted data extraction and analysis independently.Inclusion criteria were applied to search for qualitative studies of nurse participants who worked in the NICU taking care of preterm infants.Studies published in a language other than English,articles that did not include qualitative data and qualitative data that could not be extracted from the findings or did not discuss nurses’experiences were excluded.Critical Appraisal Skills Programme was used for literature quality evaluation.Results:Eight studies remained after further screening according to inclusion and exclusion criteria.These eight studies were conducted from 2013 to 2018 and totally enrolled 205 nurses from Iran,Canada,the United States,Finland,Sweden,Switzerland,and Australia.Five themes emerged on the nurses’perspectives of taking care of preterm infants in pain:1)They sense the neonatal pain;2)Adverse consequences of unrelieved pain;3)Barriers of managing pain;4)Concerns of available approaches for pain relief;5)Failure to work with parents.Conclusions:This meta-ethnography identified nurses’understanding of pain in preterm infants that can be assessed,and they acknowledged that unrelieved pain could cause developmental deficits in infants.The barriers are lack of training and support on pain assessment and intervention in preterm infants.Optimizing workload and environment,developing age-specified pain assessment and intervention,receiving emotional support and training,and building up a rapport with parents are urgent needs for nurses to provide better care to infants having pain.
