Abstract：
OBJECTIVE: Preterm infants experience numerous stressors in the neonatal intensive care unit. Non-pharmacological interventions, including maternal comforting touch, reduce stress responses of preterm infants; however, the effects of clinician-administered comforting touch are unclear. The purpose of this integrative review was to synthesize findings from clinical trials to determine the effect of clinician-administered comforting touch on preterm infants\' acute stress responses.
METHODS: Eligible clinical trials were published in English between 2001 and October 2021 and reported effects of clinician-administered comforting touch on acute stress responses in preterm infants.
METHODS: Thirty clinical trials were included.
RESULTS: Researchers tested the effect of comforting static touch, massage, massage with kinesthetic stimulation, sensorial saturation, and Yakson. There was significant heterogeneity in study design, comparison condition, and context of intervention delivery. Results varied; some studies demonstrated efficacy of comforting touch in reducing acute stress responses and others showed no effect. Generally, comforting touch provided during stressful procedures was associated with lower stress responses compared to standard care and was an effective adjunct to other stress management strategies. However, comforting touch alone was insufficient for managing pain, especially during skin-breaking procedures.
CONCLUSIONS: While comforting touch may be a useful part of stress management plans for preterm infants, additional research is needed to determine when comforting touch is appropriate and effective.
CONCLUSIONS: Comforting touch is beneficial to preterm infants and should be provided for stress management. For highly intrusive or painful procedures, comforting touch can be provided as part of a comprehensive stress management plan.
METHODS: Eligible clinical trials were published in English between 2001 and October 2021 and reported effects of clinician-administered comforting touch on acute stress responses in preterm infants.
METHODS: Thirty clinical trials were included.
RESULTS: Researchers tested the effect of comforting static touch, massage, massage with kinesthetic stimulation, sensorial saturation, and Yakson. There was significant heterogeneity in study design, comparison condition, and context of intervention delivery. Results varied; some studies demonstrated efficacy of comforting touch in reducing acute stress responses and others showed no effect. Generally, comforting touch provided during stressful procedures was associated with lower stress responses compared to standard care and was an effective adjunct to other stress management strategies. However, comforting touch alone was insufficient for managing pain, especially during skin-breaking procedures.
CONCLUSIONS: While comforting touch may be a useful part of stress management plans for preterm infants, additional research is needed to determine when comforting touch is appropriate and effective.
CONCLUSIONS: Comforting touch is beneficial to preterm infants and should be provided for stress management. For highly intrusive or painful procedures, comforting touch can be provided as part of a comprehensive stress management plan.
摘要：
目的：早产儿在新生儿重症监护病房经历了许多压力源。非药物干预措施，包括产妇安慰的触摸，减少早产儿的应激反应;然而，临床医生给予安慰抚触的效果尚不清楚.这篇综合综述的目的是综合临床试验的结果，以确定临床医生给予的安慰触摸对早产儿急性应激反应的影响。
方法：合格的临床试验在2001年至2021年10月之间以英文发表，并报告了临床医生给予的安慰触摸对早产儿急性应激反应的影响。
方法：纳入30项临床试验。
结果：研究人员测试了舒适的静态触摸效果，按摩,动觉刺激按摩，感觉饱和,还有Yakson.研究设计存在显著的异质性，比较条件,以及干预交付的背景。结果各不相同；一些研究证明了舒适触摸在减少急性应激反应方面的功效，而其他研究则没有效果。一般来说,与标准护理相比,在压力治疗过程中提供的舒适接触与较低的应激反应相关,并且是其他压力管理策略的有效辅助手段.然而,仅仅安慰触摸不足以控制疼痛，尤其是在皮肤破裂过程中。
结论：虽然舒适的触摸可能是早产儿压力管理计划的一个有用部分，需要更多的研究来确定舒适的触摸何时是适当和有效的。
结论：舒适触摸对早产儿有益，应提供压力管理。对于高度侵入性或痛苦的程序，舒适的触摸可以作为全面的压力管理计划的一部分提供。
方法：合格的临床试验在2001年至2021年10月之间以英文发表，并报告了临床医生给予的安慰触摸对早产儿急性应激反应的影响。
方法：纳入30项临床试验。
结果：研究人员测试了舒适的静态触摸效果，按摩,动觉刺激按摩，感觉饱和,还有Yakson.研究设计存在显著的异质性，比较条件,以及干预交付的背景。结果各不相同；一些研究证明了舒适触摸在减少急性应激反应方面的功效，而其他研究则没有效果。一般来说,与标准护理相比,在压力治疗过程中提供的舒适接触与较低的应激反应相关,并且是其他压力管理策略的有效辅助手段.然而,仅仅安慰触摸不足以控制疼痛，尤其是在皮肤破裂过程中。
结论：虽然舒适的触摸可能是早产儿压力管理计划的一个有用部分，需要更多的研究来确定舒适的触摸何时是适当和有效的。
结论：舒适触摸对早产儿有益，应提供压力管理。对于高度侵入性或痛苦的程序，舒适的触摸可以作为全面的压力管理计划的一部分提供。
