Setting the Stage for Improved Practices During Vaccine Injections: A Knowledge Synthesis of Interventions for the Management of Pain and Fear.
Setting the Stage for Improved Practices During Vaccine Injections: A Knowledge Synthesis of Interventions for the Management of Pain and Fear.
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DOI：
10.1097/ajp.0000000000000274
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发表时间：
2015-10-01
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影响因子：
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通讯作者：
Taddio, Anna
中科院分区：
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作者：
Taddio, Anna
疫苗注射是全世界最常进行的医疗程序。疼痛是疫苗注射的一个显着特征，会给接种者和旁观者带来负面的疫苗接种体验。 1 对疼痛的担忧也是未来接种疫苗的一个有记录的障碍，并且疫苗不合规会增加疫苗可预防疾病爆发的风险。 1 因此，控制疼痛对个人和人群的健康和福祉具有直接和长期的影响，因此具有高度的临床和科学相关性。关于管理疫苗注射期间疼痛的临床研究证据不断产生，这有可能显着改善疫苗接种体验并最大限度地减少疼痛的不良后遗症。然而，这一证据需要在临床实践中采用才能产生影响。在医疗保健的各个方面，研究证据在实践中的应用被描述为不均衡、缓慢且不可预测，从而造成了临床护理差距。 2 疫苗接种疼痛管理也不例外。研究证据与实践之间存在有据可查的差异，因此大多数人无法从基于证据的疼痛治疗中受益。 3, 4《临床疼痛杂志》的本期增刊致力于解决疫苗接种疼痛管理方面的临床护理差距。它提供了当前关于该主题的全球研究证据的知识综合。此次大规模知识综合是对同一作者于 2009 年进行的先前知识综合的更新和扩展。 5–7 帮助消除儿童和成人的疼痛
Vaccine injections are the most commonly performed medical procedure worldwide. Pain is a salient feature of vaccine injections and contributes to a negative vaccination experience for individuals being vaccinated and onlookers alike. 1 Concern about pain is also a documented barrier to future vaccine uptake, and vaccine noncompliance increases the risk for outbreaks of vaccine-preventable disease. 1 Managing pain therefore has immediate and long-term implications for the health and well-being of individuals and populations, and is thus highly clinically and scientifically relevant. Clinical research evidence about managing pain during vaccine injections is continually being generated, which has the potential to significantly improve the vaccination experience and minimize the adverse sequelae of pain. However, this evidence needs to be adopted in clinical practice before it can have an impact. Uptake of research evidence into practice has been described as uneven, slow, and unpredictable across all aspects of health care, creating clinical care gaps. 2 Vaccination pain management is no exception. There are well-documented discrepancies between research evidence and practice, such that the majority of individuals do not benefit from evidence-based pain treatments. 3, 4This supplement issue of the Clinical Journal of Pain is devoted to addressing the clinical care gap in vaccination pain management. It provides a knowledge synthesis of the current global research evidence on this topic. This largescale knowledge synthesis is an update and expansion of a previous knowledge synthesis undertaken in 2009 by the same authors. 5–7 Help ELiminate Pain in Kids and Adults