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Systematic mixed‐study review of nonpharmacological management of neonatal abstinence syndrome

机译：新生儿禁忌综合征的非药物管理系统的系统性混合研究综述

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Abstract Background Neonatal abstinence syndrome is a multisystem disorder resulting from exposure to maternal addictive substance use in pregnancy. Withdrawal is characterized by neonatal tremors, feeding difficulties, and sleep disruption. The aim of this systematic review is to explore the nonpharmacological management of infants at risk of neonatal abstinence syndrome after prenatal exposure. Methods A systematic mixed‐study review was conducted. A search of CINAHL, MEDLINE, AMED, PsycARTICLES, PsycINFO, and Web of Science was performed for relevant articles published between January 2007 and June 2018. Quantitative and qualitative data were extracted and thematic analysis undertaken. The findings were synthesized as a narrative summary. Results Fourteen studies were included in the review, of which nine were quality improvement initiatives and five explored complementary therapies. The most common components of nonpharmacological management were consolation therapy and rooming‐in of mother and baby. Implementation strategies incorporated family integrated care and practitioner training in the evaluation of neonatal withdrawal. When nonpharmacological management was applied, there was a reduction in the need for pharmacotherapy and a shorter hospital stay for newborns. Potential barriers to effective management included unreliable assessment tools, judgmental practitioner attitudes, and limited breastfeeding promotion. Conclusions Providing and optimizing nonpharmacological management for the infant at risk of neonatal abstinence syndrome improves outcomes by reducing their length of hospital stay and the need for pharmacotherapy.
机译：摘要背景新生儿禁欲综合征是由于暴露于孕妇上瘾物质使用而导致的多系统障碍。提取的特点是新生儿震颤，喂养困难，睡眠中断。该系统审查的目的是探讨产前暴露后新生儿禁忌综合征风险的婴儿的非武装管理。方法进行系统混合研究综述。搜索CINAHL，MEDLINE，AMED，PSYCARTICLES，PSYCINFO和科学网上为2018年1月至2018年6月发布的相关文章而进行。提取了定量和定性数据，并进行了专题分析。调查结果被合成为叙述摘要。结果审查中包含十四项研究，其中九项是质量改善举措，五项探索互补疗法。非武装管理最常见的组分是母亲和婴儿的安慰治疗和储存。实施战略在评估新生儿戒断时纳入了家庭综合护理和从业者培训。当应用非药物管理时，药物治疗需要减少，新生儿的较短住院留下。有效管理的潜在障碍包括不可靠的评估工具，判断力从业者态度和有限的母乳喂养促进。结论为新生儿禁忌综合征风险提供和优化婴儿的非药物管理，通过降低其住院时间和药物治疗的需求来提高结果。

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