主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (3): 380-387.doi: 10.3969/j.issn.1672-1756.2021.03.012

• 循证护理 • 上一篇    下一篇

母亲声音对减轻新生儿操作性疼痛效果的Meta分析

连冬梅 张东颖 孙静 李颖   

  1. 中国医学科学院北京协和医院儿科,100730 北京市(连冬梅,孙静);妇产科(张东颖,李颖)
  • 出版日期:2021-03-15 发布日期:2021-03-15
  • 通讯作者: 李颖,本科,副主任护师,总护士长,E-mail:liying3487@sina.com
  • 作者简介:连冬梅,硕士,副主任护师

The effectiveness of maternal voice on procedural pain reduction in neonates: a Meta-analysis

LIAN Dongmei, ZHANG Dongying, SUN Jing, LI Ying   

  1. Pediatric Department, Chinese Academy of Medical Sciences Peking Union Medical College Hospital, Beijing, 100730, China
  • Online:2021-03-15 Published:2021-03-15
  • Contact: E-mail:liying3487@sina.com

摘要: 目的:系统评价母亲声音对减轻新生儿操作性疼痛的效果。方法:计算机检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方数据库和维普中文期刊等数据库,收集有关母亲声音对新生儿操作性疼痛影响的随机对照试验和类实验性研究;检索年限为建库至2020年5月;由2名评价者按照研究的纳入、排除标准筛选文献并使用JBI循证卫生保健中心研究质量评价工具对纳入研究进行方法学质量评价;采用RevMan?5.3软件进行Meta分析。结果:共纳入6项研究,432例新生儿;Meta分析的结果显示:母亲声音组新生儿和常规操作组新生儿相比,致痛性操作过程中疼痛评分降低、心率下降、舒适度增加(P<0.05),血氧饱和度无明显变化(P>0.05);致痛性操作结束后疼痛评分和心率仍然较对照组低(P<0.05),舒适度评分和血氧饱和度无明显变化(P>0.05)。结论:母亲声音可以减轻新生儿操作性疼痛,可以降低操作中和操作后的疼痛评分和心率,提升操作中患儿的舒适度。由于纳入研究的质量限制,样本量较小,因此未来尚需要开展高质量、大样本的原始研究,以进一步确认母亲声音对新生儿操作性疼痛的效果。

关键词: 母亲声音;新生儿;操作性疼痛; Meta分析

Abstract: Objective: To analyze the effectiveness of maternal voice for alleviating procedural pain in neonates. Methods: We searched the database of PubMed, Embase, CINAHL, Web of Science, Cochrane Library, CBM, CNKI and VIP, etc. The randomized controlled trials (RCT) and intervention researches of this topic which were published before May 2020 were included. The critical appraisal tool for RCT and quasi-experimental of Joanna Briggs Institute (JBI) was used to evaluate the methodological quality of literature. Meta-analysis was conducted by RevMan5.3 software. Results: A total of six trials were included. During the painful operation, the neonates in maternal voice group scored lower in neonatal infant pain scale, meanwhile scored higher in comfort scale and showed lower in heart rates (P<0.05). No significant difference was observed between the two groups in blood oxygen saturation. After the painful operation, the intervention group still scored lower in pain scale and slower in heart rates (P<0.05). There were no significant differences between the two groups in the score of comfort scale and oxygen saturation. Conclusion: Maternal voice can reduce the pain scores and maintain heart rates in neonates during and after the painful procedure, and improve the comfort during the painful procedure.

Key words: maternal voice; neonates; procedural pain; Meta-analysis

中图分类号: 

  • R47