白噪声对新生儿操作性疼痛影响的系统评价  

A systematic evaluation of the effect of white noise on newborns operational pain

作　　者：王玥[1] 丁晓华[2] 马子怡 吴璠 曹昕怡 WANG Yue;DING Xiaohua;MA Ziyi;WU Fan;CAO Xinyi(Gansu University of Chinese Medicine,Gansu 730000 China)

机构地区：[1]甘肃中医药大学,甘肃730000 [2]甘肃省妇幼保健院 [3]兰州大学

出　　处：《循证护理》2024年第4期606-612,共7页Chinese Evidence-Based Nursing

摘　　要：目的:系统评价白噪声对缓解新生儿操作性疼痛的影响。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMbase、Web of Science、the Cochrane Library数据库,检索时限从建库至2023年5月31日,由2名研究人员独立筛选文献,并使用Cochrane系统评价的偏倚风险评价工具对纳入研究进行方法学质量评价。结果:共纳入23篇文献,涉及2 014例新生儿。结果显示,白噪声对致痛性操作中新生儿的疼痛、生理及行为指标均有不同程度的影响。结论:现有证据表明,白噪声能够缓解新生儿操作性疼痛,但对新生儿哭泣等的行为指标以及心率、血氧饱和度、呼吸频率的改善仍有争议;今后仍需开展高质量、大样本的原始研究,以进一步确认白噪声对新生儿操作性疼痛的效果。Objective:To systematically evaluate the effect of white noise on alleviating operational pain in newborns.Methods:The randomized controlled studies on the impact of white noise on operational pain in newborns was conducted through computer retrieval of CNKI,WanFang Database,VIP database,CBM,PubMed,EMbase,Web of Science,the Cochrane Library.The retrieval time was from the inception to 31 May,2023.Two researchers independently screened the literature and used the bias risk assessment tool evaluated by the Cochrane system to evaluate the methodological quality of the included studies.Results:A total of 23 articles were included,involving 2014 newborns.The results showed that white noise had different effects on pain,physiological and behavioral indexes of neonates during painful operation.Conclusion:Current studies show that white noise can alleviate operational pain in newborns,but there is still controversy over the improvement of behavioral indicators such as crying,heart rate,blood oxygen saturation,and respiratory rate in newborns;in the future,high-quality and large-scale original studies are still needed to further confirm the effect of white noise on neonatal operational pain.

关 键 词：白噪声 新生儿 操作性疼痛 系统评价 循证护理 护理 

分 类 号：R473.72[医药卫生—护理学]