TY - JOUR
T1 - Systematic Review of the Effectiveness of Involving Parents During Painful Interventions for Their Preterm Infants
AU - Eissler, A.B.
AU - Zwakhalen, S.
AU - Stoffel, L.
AU - Hahn, S.
N1 - Funding Information:
The authors thank Ruud Halfens, Marilyn Metta, and Sabine Camenisch for their support as scientific advisors. The authors report no conflicts of interest or relevant financial relationships. None.
Publisher Copyright:
© 2021 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Objective: To systematically review the literature related to the effectiveness of parents' active involvement during painful interventions for their preterm infants. Data Sources: We performed a systematic search of PubMed, EMBASE/Ovid, CINAHL, Livivio, and PsycInfo using the keywords "preterm infants," "pain," and "parents." Study Selection: Articles were eligible for inclusion if they were published between 2000 and 2021 and reported randomized controlled trials (RCTs) in which preterm infants underwent painful interventions, and parents were pre-sent and actively involved in pain-reducing measures. Data Extraction: We used the Consolidated Standards of Reporting Trials (CONSORT) checklist for RCTs for data extraction. We assessed methodologic quality using critical appraisal for RCTs according to the Joanna Briggs Institute. Data Synthesis: In total, 22 articles met the inclusion criteria. These articles reported 19 studies focused on kangaroo/ skin-to-skin care, one focused on breastfeeding, and two focused on facilitated tucking. The methods used to evaluate pain in the infant varied substantially. Overall, kangaroo/skin-to-skin care and facilitated tucking resulted in clinically and statistically significant decreases in pain. For breastfeeding, effectiveness was linked to a more mature sucking pattern of the preterm infant. Conclusion: The current evidence suggests that involving parents in pain-reducing measures during painful in-terventions for their preterm infants is beneficial. However, more research is needed for the different methods of involving parents in pain-reducing measures. JOGNN, 51, 6-15; 2022. https://doi.org/10.1016/j.jogn.2021.08.100 Accepted September 1, 2021; Published online October 8, 2021
AB - Objective: To systematically review the literature related to the effectiveness of parents' active involvement during painful interventions for their preterm infants. Data Sources: We performed a systematic search of PubMed, EMBASE/Ovid, CINAHL, Livivio, and PsycInfo using the keywords "preterm infants," "pain," and "parents." Study Selection: Articles were eligible for inclusion if they were published between 2000 and 2021 and reported randomized controlled trials (RCTs) in which preterm infants underwent painful interventions, and parents were pre-sent and actively involved in pain-reducing measures. Data Extraction: We used the Consolidated Standards of Reporting Trials (CONSORT) checklist for RCTs for data extraction. We assessed methodologic quality using critical appraisal for RCTs according to the Joanna Briggs Institute. Data Synthesis: In total, 22 articles met the inclusion criteria. These articles reported 19 studies focused on kangaroo/ skin-to-skin care, one focused on breastfeeding, and two focused on facilitated tucking. The methods used to evaluate pain in the infant varied substantially. Overall, kangaroo/skin-to-skin care and facilitated tucking resulted in clinically and statistically significant decreases in pain. For breastfeeding, effectiveness was linked to a more mature sucking pattern of the preterm infant. Conclusion: The current evidence suggests that involving parents in pain-reducing measures during painful in-terventions for their preterm infants is beneficial. However, more research is needed for the different methods of involving parents in pain-reducing measures. JOGNN, 51, 6-15; 2022. https://doi.org/10.1016/j.jogn.2021.08.100 Accepted September 1, 2021; Published online October 8, 2021
KW - pain
KW - parents
KW - preterm newborns
KW - TO-SKIN CONTACT
KW - KANGAROO MOTHER CARE
KW - REPEATED PROCEDURAL PAIN
KW - PREMATURE-INFANTS
KW - INITIAL-VALIDATION
KW - ORAL GLUCOSE
KW - MANAGEMENT
KW - RESPONSES
KW - PARTICIPATION
KW - PERCEPTIONS
U2 - 10.1016/j.jogn.2021.08.100
DO - 10.1016/j.jogn.2021.08.100
M3 - (Systematic) Review article
C2 - 34627734
SN - 0884-2175
VL - 51
SP - 6
EP - 15
JO - Jognn-journal of Obstetric Gynecologic and Neonatal Nursing
JF - Jognn-journal of Obstetric Gynecologic and Neonatal Nursing
IS - 1
ER -