NICU新生儿操作性疼痛家庭参与式非药物管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2026.01.009

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (1): 61-69.doi: 10.3761/j.issn.2096-7446.2026.01.009

NICU新生儿操作性疼痛家庭参与式非药物管理的最佳证据总结

冯璐¹(), 李艳², 敬洁³^,^*(), 聂新月⁴, 胡欢¹, 唐彬秩⁵

1.四川省医学科学院·四川省人民医院（电子科技大学附属医院）小儿外科成都市 610072
2.四川省医学科学院·四川省人民医院（电子科技大学附属医院）肾脏内科成都市 610072
3.四川省医学科学院·四川省人民医院（电子科技大学附属医院）护理部成都市 610072
4.四川省医学科学院·四川省人民医院（电子科技大学附属医院）急诊监护室成都市 610072
5.四川省医学科学院·四川省人民医院（电子科技大学附属医院）儿科成都市 610072

收稿日期:2025-01-20 出版日期:2026-01-10 发布日期:2026-01-06
通讯作者: 敬洁，E-mail：jingjie_1130@163.com
作者简介:冯璐：女，硕士，主管护师，E-mail：546772885@qq.com
基金资助:
2024年度四川省医学会医学科研项目(S2024013)

Best evidence summary for family participatory non-pharmacological management of procedural pain in NICU neonates

FENG Lu¹(), LI Yan², JING Jie³^,^*(), NIE Xinyue⁴, HU Huan¹, TANG Binzhi⁵

^1. Department of Pediatric Surgery， Sichuan Provincial People’s Hospital，University of Electronic Science and Technology of China， Chengdu 610072， China
^2. Department of Nephrology， Sichuan Provincial People’s Hospital，University of Electronic Science and Technology of China， Chengdu 610072， China
^3. Department of Nursing， Sichuan Provincial People’s Hospital，University of Electronic Science and Technology of China， Chengdu 610072， China
^4. Department of Emergency Intensive Care Unit， Sichuan Provincial People’s Hospital，University of Electronic Science and Technology of China， Chengdu 610072， China
^5. Department of Pediatrics， Sichuan Provincial People’s Hospital，University of Electronic Science and Technology of China， Chengdu 610072， China

Received:2025-01-20 Online:2026-01-10 Published:2026-01-06
Contact: JING Jie，E-mail：jingjie_1130@163.com
Supported by:
2024 Sichuan Medical Association Medical Research Project(S2024013)

摘要/Abstract

摘要：

目的总结NICU新生儿操作性疼痛家庭参与式非药物管理的证据，为临床实践提供依据。方法系统检索国内外数据库及相关网站中关于NICU新生儿操作性疼痛家庭参与式非药物管理的文献，检索时限为建库至2024年3月，对文献进行质量评价后，提取证据并汇总。结果共纳入26篇文献，包括临床决策2篇、指南6篇、专家共识1篇、证据总结8篇、系统评价9篇。从制度规范、环境设施、多学科团队、培训教育、沟通支持、疼痛评估、非药物干预、效果评价8个方面总结了41条证据。结论该研究总结的最佳证据，可为临床医护人员针对性开展证据应用提供循证依据。

关键词: 新生儿重症监护室, 操作性疼痛, 家庭参与, 非药物管理, 循证护理学

Abstract:

Objective To summarize the evidence for family participatory non-pharmacological management of procedural pain in NICU neonates，and to provide a basis for clinical practice. Methods Domestic and foreign databases and relevant websites were systematically searched for the literature on family participatory non-pharmacological management of procedural pain in NICU neonates. The retrieval time limit was from the establishment of the database until March 2024，and the evidence was extracted and summarized after a quality assessment of the literature. Results A total of 26 pieces of literature were included，including two clinical decisions，six guidelines，an expert consensus，eight evidence summaries，and nine system reviews. 41 pieces of evidence were summarized in eight areas，including institutional norms，environmental facilities，multidisciplinary team，training and education，communication and support，pain assessment，non-pharmacological interventions，and effectiveness evaluation. Conclusion The best evidence summarized in this study can provide evidence-based basis for clinical healthcare professionals to target the application of evidence.

Key words: Intensive Care Units, Neonatal, Procedural Pain, Family Involvement, Non-Pharmacological Management, Evidence-Based Nursing

冯璐, 李艳, 敬洁, 聂新月, 胡欢, 唐彬秩. NICU新生儿操作性疼痛家庭参与式非药物管理的最佳证据总结[J]. 中华急危重症护理杂志, 2026, 7(1): 61-69.

FENG Lu, LI Yan, JING Jie, NIE Xinyue, HU Huan, TANG Binzhi. Best evidence summary for family participatory non-pharmacological management of procedural pain in NICU neonates[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 61-69.

图/表 4

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NICU新生儿操作性疼痛家庭参与式非药物管理的最佳证据总结

Best evidence summary for family participatory non-pharmacological management of procedural pain in NICU neonates

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