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دانلود پاورپوینت مدیریت درد ناشی از پروسیجرهای پزشکی در نوزادان و کودکان با کاربرد ...

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توضیحات محصول دانلود پاورپوینت مدیریت درد ناشی از پروسیجرهای پزشکی در نوزادان و کودکان با کاربرد ...

مدیریت درد بی تجربه از پروسیجرهای پزشکی در نوزادان و کودکان با کاربرد از روش‌های جز دارویی - Pillai Riddell, RR - 2023 | Cochrane Library
Scolaris Content Language Banner Portlet Scolaris Content Language Banner Portlet
Scolaris Content Display Scolaris Content Display
خلاصه
پیشینه
اهداف
روش‌های جست‌وجو
معیارهای انتخاب
گردآوری و تجزیه‌وتحلیل داده‌ها
نتایج اصلی
نتیجه‌گیری‌های نویسندگان
PICOs
PICOs
Population
Intervention
Comparison
Outcome
چکیده به زبان آسان
چگونه مراقبان می‌توانند درد نوزادان و کودکان اندک سال را که تحت پروسیجرهای دردآور قرار می‌گیرند، مدیریت کنند؟
Authors' conclusions
Implications for practice
Implications for care‐givers of infants in pain
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
Implications for policymakers
Implications for funders of the interventions
Implications for research
Summary of findings
Background
Description of the condition
Description of the intervention
How the intervention might work
Why it is important to do this review
Objectives
Methods
Criteria for considering studies for this review
Types of studies
Types of participants
Types of interventions
Interventions
Contextual strategies
Cognitive strategies
Behavioural strategies
Additive non‐pharmacological intervention on sweet solution
Additive non‐pharmacological intervention on non‐nutritive sucking
Additive non‐pharmacological intervention on swaddling
Additive non‐pharmacological intervention on topical anaesthetic
Comparators
Types of outcome measures
Primary outcomes
Secondary outcomes
Search methods for identification of studies
Electronic searches
Searching other resources
Data collection and analysis
Selection of studies
Data extraction and management
Assessment of risk of bias in included studies
Measures of treatment effect
Unit of analysis issues
Dealing with missing data
Assessment of heterogeneity
Assessment of reporting biases
Data synthesis
Subgroup analysis and investigation of heterogeneity
Sensitivity analysis
Summary of findings and assessment of the certainty of the evidence
Results
Description of studies
Results of the search
Included studies
Study design characteristics
Study nationality characteristics
Description of study treatment arms
Description of pain responses (pain reactivity versus immediate pain regulation)
Participants
Age groupings
Diagnostic status
Types of painful procedures
Types of interventions
Analysed interventions
Interventions included and described qualitatively
Treatment settings
Pain measurement
Excluded studies
Risk of bias in included studies
Overall risk of bias
Allocation
Random sequence generation
Allocation concealment
Blinding
Performance bias
Detection bias
Incomplete outcome data
Selective reporting
Other potential sources of bias
Effects of interventions
1. Non‐nutritive sucking versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: non‐nutritive sucking
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
2. Swallowing water versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: swallowing water
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
3. Rocking/holding versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: rocking/holding
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
4. Swaddling versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: swaddling
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
5. Facilitated tucking versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: facilitated tucking
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
6. Touch/massage‐related interventions versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: touch/massage‐related interventions
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
7. Toy distraction versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: toy distraction
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
8. Structured parent involvement versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: structured parent involvement
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
9. Sound reduction versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: sound reduction
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
10. Sound addition versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: sound addition
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
11. Smell addition versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: smell addition
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
12. Light reduction versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: light reduction
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
13. Heat addition versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: heat addition
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
14. Cold addition versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: cold addition
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
15. Multisensory bundle versus no‐treatment control
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: multisensory bundle
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
16. Additive non‐pharmacological intervention on sweet solution versus sweet solution only
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: additive non‐pharmacological on a sweet solution
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
17. Additive non‐pharmacological intervention on non‐nutritive sucking (NNS) versus NNS only
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: additive non‐pharmacological on non‐nutritive sucking
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
18. Additive non‐pharmacological intervention on swaddling versus swaddling only
Primary outcomes: pain response
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: additive non‐pharmacological on swaddling
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
Interventions included and described qualitatively
1. Therapeutic touch
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: therapeutic touch
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
2. Vibration therapy
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: vibration therapy
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
3. Video distraction
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: video distraction
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
4. Parent presence
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: parent presence
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
5. Co‐bedding
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: co‐bedding
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
6. Additive non‐pharmacological intervention on topical anaesthetic versus topical anaesthetic only
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Secondary outcome: adverse events
Preterm born neonates (born at 36 weeks gestation or less)
Full‐term born neonates (infants born at 37 weeks until one month of age)
Full‐term born older infants (over one month to 36 months of age)
Summary of treatment effects: additive non‐pharmacological on topical anaesthetic
Preterm born neonates
Full‐term born neonates
Full‐term born older infants
Publication bias
Discussion
Summary of main results
Pain‐related reactivity and immediate pain‐related regulation
Adverse events
Overall completeness and applicability of evidence
Quality of the evidence
Potential biases in the review process
Agreements and disagreements with other studies or reviews