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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Parent Involvement in Pain Management for NICU Infants: A Randomized Controlled Trial
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Parent Involvement in Pain Management for NICU Infants: A Randomized Controlled Trial

机译：父母对新生儿重症监护病房婴儿的疼痛管理的参与：一项随机对照试验。

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OBJECTIVES: To demonstrate feasibility and estimate the effect of an intervention to increase parental involvement in infant pain management in the NICU on parents' stress and postdischarge parenting competence and confidence. METHODS: The study involved a randomized controlled trial. Parents recruited from 4 NICUs were randomly assigned by site to receive (1) a pain information booklet and instruction on infant comforting techniques (n = 84 intervention) in addition to a generic NICU care booklet or (2) the generic NICU care booklet alone (n = 85 control). The primary outcome was postintervention Parent Stressor Scale: NICU (PSS: NICU) scores. Secondary outcomes included parent attitudes about infant pain, nursing pain assessment, and parenting competence and role attainment after discharge. RESULTS: No differences were found between groups in PSS:NICU scores. Significant differences favoring the intervention group were found for satisfaction with pain information, parents shown infant pain cues and comforting techniques, nursing pain assessment, and parent preference for involvement during painful procedures. Role attainment after discharge was higher for the intervention group than forthe control group. Both the intervention and control groups highly valued attention to infant pain and wanted information and involvement. CONCLUSIONS: These results provide no evidence of a reduction in NICU-related stress for parents who receive an intervention to increase their understanding and involvement in infant pain management. However, parents in the intervention group were better prepared to take an active role in infant pain care and had more positive views about their role attainment in the postdischarge period.
机译：目的：证明可行性并评估干预措施以增加父母对新生儿重症监护病房（NICU）中婴儿疼痛管理的参与对父母的压力和出院后父母的能力和信心的影响。方法：该研究涉及一项随机对照试验。从4个重症监护病房招募的父母按地点随机分配，以接受（1）除一般性重症监护病房护理手册外的疼痛信息手册和有关婴儿安抚技术的说明（n = 84干预）或（2）仅使用一般性重症监护病房护理手册（ n = 85）。主要结果是干预后父母应激源量表：NICU（PSS：NICU）得分。次要结果包括父母对婴儿疼痛的态度，护理疼痛评估以及出院后父母的能力和角色获得。结果：PSS：NICU评分在两组之间没有差异。发现对疼痛信息的满意度，干预组的显着差异，父母表现出婴儿的疼痛提示和安慰技术，护理疼痛评估以及父母在痛苦手术过程中对参与的偏爱。出院后干预组的角色获得比对照组高。干预组和对照组均高度重视婴儿疼痛，并希望获得信息和参与。结论：这些结果没有为接受干预以增加他们对婴儿疼痛管理的了解和参与的父母减少与重症监护病房相关的压力的证据。但是，干预组的父母准备好在婴儿疼痛护理中发挥积极作用，并对他们在出院后的角色获得更积极的看法。

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