烧伤患儿操作性疼痛管理的证据总结
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女,硕士,护士

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甘肃省科技计划项目(25JRRA300)


Summary of evidence on the management of procedural pain in pediatric burn patients
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    目的 通过循证方法提取和整合烧伤患儿疼痛管理证据,为烧伤患儿操作性疼痛护理实践提供参考。方法 通过计算机检索国内外数据库、指南库和专业协会网站,收集烧伤患儿操作性疼痛管理的相关文献。检索时限为数据库建立至2024年11月27日。结果 最终纳入16篇文献,包括5篇指南、4篇临床决策、3篇专家共识、3篇证据总结和1篇系统评价。从疼痛管理原则、疼痛评估、药物干预、负压伤口疗法、非药物干预、敷料选择、教育与培训7个方面总结出33条证据。结论 总结的证据可指导医护人员减轻烧伤患儿操作性疼痛,但需结合临床情境及患儿病情,促进证据的有效应用与转化。

    Abstract:

    Objective To extract and synthesize evidence on pain management for pediatric burn patients using an evidence-based approach, so as to provide a reference for nursing practices in procedural pain management for this population.Methods A compute-rized search was conducted across multiple databases, guideline repositories, and professional association websites to collect relevant literature on the management of procedural pain in pediatric burn patients.The retrieval time was from the establishment of the databases to November 27, 2024.Results A total of 16 articles were included, consisting of 5 guidelines, 4 clinical decision-making tools, 3 expert consensus statements, 3 evidence summaries, and 1 systematic review.Thirty-three pieces of relevant evidence were summarized and categorized into seven key aspects:principles of pain management, pain assessment, pharmacological treatment, negative pressure wound therapy, non-pharmacological interventions, dressing selection, and education and training.Conclusion The synthesized evidence provides a robust foundation for reducing procedural pain in pediatric burn patients.Effective implementation and translation of these recommendations require careful consideration of clinical contexts and patient illness.

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杨迪,董菲,张海莹,王雪辰,张凤娃.烧伤患儿操作性疼痛管理的证据总结[J].护理学杂志,2025,(11):53-57

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  • 收稿日期:2025-01-03
  • 最后修改日期:2025-02-25
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  • 在线发布日期: 2025-07-09