医护人员在处理分娩疼痛时对非药物方法的利用：综合综述》（Healthcare Providers' Utilization of Nonpharmacological Methods in Managing Labor Pain: An Integrative Review.

IF 1.6 4区医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-07-17 DOI:10.1016/j.pmn.2024.06.010

Louisette Abikou BSN, MPH , Tausi Haruna BSN, MBE , Henry Duah BSN, MPH , Paul Shidende BSN, MMWH

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引用次数: 0

摘要

背景：分娩镇痛是产妇护理的一个重要方面，对产妇和新生儿的健康都有影响。非药物止痛疗法（NPPM）为非洲医疗机构的分娩镇痛提供了一种安全且更易获得的选择：本综述旨在确定非洲医疗保健专业人员（HCPs）在分娩过程中使用非药物镇痛的促进因素和障碍：本综述使用 2013 年至 2023 年间发表的有关 NPPM 的文章。检索的数据库包括 PubMed、CINAHL、SCOPUS 和 EMBASE。内容分析由两名审稿人独立完成，采用归纳编码法进行分类：出现了三大主题：在这一主题下出现的类别包括缺乏培训、资源限制、缺乏优先权、文化规范和信仰以及缺乏意识。第二个主题是促进卫生保健人员使用 NPPM 的潜在因素，产生的类别包括卫生保健人员的知识、卫生保健人员的积极态度、家庭支持、基础设施/工作环境、卫生保健人员的经验和客户偏好。第三个主题是医护人员使用最多的 NPPM 方法，其中背部按摩和心理支持使用最多，而音乐和运动则是医护人员使用最少的 NPPM 方法：本研究的结果表明，保健专业人员对 NPPM 的态度和知识既可以促进 NPPM 的使用，也可以阻碍 NPPM 的使用。在临床环境中，需要向主治医师宣传在分娩过程中使用这些镇痛方法的益处，以鼓励其使用。根据本研究结果设计的干预措施可促进非洲医疗机构采用更全面的分娩镇痛方法。

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Healthcare Providers’ Utilization of Nonpharmacological Methods in Managing Labor Pain: An Integrative Review

Background

The management of labor pain is a critical aspect of maternal care, with implications for the well-being of both the mother and the newborn. Nonpharmacological pain management (NPPM) offers a safe and more accessible option to labor pain management in African healthcare settings.

Objective

This review aims to determine the facilitators of and barriers to using NPPM during labor among healthcare professionals (HCPs) in Africa.

Methods

This integrative review was done using articles that focused on NPPM and published between 2013 and 2023. Databases searched include PubMed, CINAHL, SCOPUS, and EMBASE. Content analysis was done independently by two reviewers using inductive coding to generate categories.

Findings

Three main themes emerged: Perceived barriers to the utilization of NPPM among HCPs, categories that emerged under this theme include lack of training, resource limitation, lack of priority, cultural norms and beliefs, and lack of awareness. The second theme is potential facilitators to the utilization of NPPM among HCP, the categories generated include healthcare provider’ knowledge, positive attitude of healthcare providers, family support, infrastructure/working environment, experiences of HCPs, and client preferences. The third theme that emerged is the most utilized methods of NPPM among HCPs, with back massage and psychological support being the most used, whereas music and exercise were the least NPPM methods used by HCPs.

Recommendations and implications for care

The findings from this study show that the attitudes and knowledge of HCPs about NPPM can either be a facilitator or a barrier in its utilization. In the clinical setting, HCPs need to be sensitized on the benefits of using these methods of pain management during labor to encourage use. Interventions designed based on the findings from this study can promote a more holistic approach to labor pain management in African healthcare settings.

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.