目的:评估电子健康教育资源对婴儿程序性疼痛管理的影响,在产前期间给予,关于可行性,可接受性,知识,自我效能感,和参与。
背景:常规医疗保健要求新生儿进行痛苦的手术(例如,肌肉注射)。未经治疗的疼痛对新生儿的影响已得到广泛认可,但在临床实践中采用有效的程序性疼痛管理策略各不相同。有明确的证据支持在手术过程中父母主导的疼痛管理的有效性(例如,皮肤对皮肤护理)和信誉良好的资源,以提高父母的认识。我们的团队共同创造了育儿疼痛,一个网站,为父母提供证据,以协助管理手术的痛苦,并授权他们参与其中。
方法:使用低风险预期父母的干预前/后设计进行准实验评估。
结果:在41名参与者中,在干预暴露之前,参与者熟悉或使用过皮肤对皮肤护理(n=33),母乳喂养(n=30)和蔗糖(n=13)作为疼痛管理。大多数参与者(n=38)希望获得更多关于如何参与的信息。支持在怀孕期间提供育儿疼痛的访问权限,参与者使用系统可用性量表将网站排名高于平均水平。育儿疼痛Away对结果没有统计学上的显着影响。参与者报告了父母主导的疼痛管理在临床支持方面的差异。
结论:建议采用多方面的方法来维持婴儿程序化疼痛管理。
■使用电子健康方法为父母提供与婴儿疼痛管理相关的知识,满足了他们的信息需求。研究结果是围产期保健提供者的重要考虑因素,政策制定者,和家庭最终实现适当的程序化疼痛管理。
■这项研究使用了STROBE检查表,遵守EQUATOR准则。
■利益相关者团体(预期父母,父母,围产期研究人员,临床医生,和管理员)的创建是为了告知研究设计和干预。
OBJECTIVE: To evaluate the impact of an eHealth educational resource about infant procedural pain management, given during the prenatal period, on feasibility, acceptability, knowledge, self-efficacy, and involvement.
BACKGROUND: Routine health care requires newborns to have painful procedures (e.g., intramuscular injection). The impacts of untreated pain in neonates are widely recognised but adoption of effective procedural pain management strategies in clinical practice varies. There is clear evidence supporting the effectiveness of parent-led pain management during procedures (e.g., skin-to-skin care) and reputable resources to raise awareness among parents are warranted. Our team co-created Parenting Pain Away, a website to equip parents with evidence to assist with managing the pain of procedures and empower them to be involved.
METHODS: A quasi-experimental evaluation using a pre/post intervention design with low-risk expectant parents.
RESULTS: Of the 41 participants, before intervention exposure participants were familiar or had used skin-to-skin care (n = 33), breastfeeding (n = 30) and sucrose (n = 13) as pain management. Most participants (n = 38) desired more information on how to be involved. Providing access to Parenting Pain Away during pregnancy was supported and participants ranked the website above average using the System Usability Scale. Parenting Pain Away did not have a statistically significant influence on outcomes. Participants reported variation in clinical support with parent-led pain management.
CONCLUSIONS: A multifaceted approach is recommended to maintain infant procedural pain management.
UNASSIGNED: Equipping parents with knowledge related to infant pain management using an eHealth approach satisfied their information desires. The study findings are important considerations for perinatal care providers, policy makers, and families to finally achieve adequate procedural pain management.
UNASSIGNED: This study used the STROBE checklist, adhering to EQUATOR guidelines.
UNASSIGNED: A stakeholder group (expectant parents, parents, perinatal researchers, clinicians, and administrators) was created to inform the study design and intervention.