Effects of kangaroo care on pain relief in premature infants during painful procedures: A meta-analysis

IF 1.2 4区医学 Q3 NURSING Journal for Specialists in Pediatric Nursing Pub Date : 2022-07-20 DOI:10.1111/jspn.12390

Fang Wang, Qing Zhang, Zhi Hong Ni, Hai Tao Lv

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引用次数: 4

Abstract

AIM

This study aimed to evaluate effects of kangaroo care on pain relief in premature infants during painful procedures.

Design

A meta-analysis.

Methods

Eight databases (Cochrane Library, PubMed, Embase, Web of Science, China Biology Medicine [CBM], China Science and Technology Journal Database [CSTJ], China National Knowledge Infrastructure [CNKI], and WanFang Data) were systematically reviewed from inception to November 2021 for randomized controlled and crossover trials.

Results

Thirteen studies, including 2311 infants (kangaroo care: 1153, control: 1158) were analyzed. Kangaroo care had a moderate effect on pain relief during painful procedures in premature infants at a gestational age of 32–36 + 6 weeks but no effect at 28–31 + 6 weeks. Furthermore, 15 or 30 min of kangaroo care had a moderate effect and could markedly relieve pain at the instant of and 30/60 s after, had a small effect at 90 s after, and no effect at 120 s after the procedure.

Practice Implications

Kangaroo care may be an effective nonpharmacologic alternative therapy to relieve procedural pain in premature infants born at a gestational age of 32–36 + 6 weeks.

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袋鼠式护理对疼痛过程中早产儿疼痛缓解的影响:一项荟萃分析

目的:本研究旨在评估袋鼠式护理对早产儿疼痛过程中疼痛缓解的影响。meta分析。方法系统检索Cochrane Library、PubMed、Embase、Web of Science、中国生物医学[CBM]、中国科技期刊库[CSTJ]、中国知网[CNKI]、万方数据等8个数据库，从数据库成立至2021年11月进行随机对照和交叉试验。结果共纳入13项研究2311例，其中袋鼠护理1153例，对照组1158例。袋鼠式护理在32-36 + 6周的早产儿疼痛过程中有中等效果，但在28-31 + 6周没有效果。此外，15或30 min袋鼠式护理效果中等，可在手术瞬间和30/60 s显著缓解疼痛，在手术后90 s有小效果，在手术后120 s无效果。实践意义袋鼠护理可能是一种有效的非药物替代疗法，以减轻胎龄32-36 + 6周早产儿的程序性疼痛。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.