Extremity Movements Help Occupational Therapists Identify Stress Responses in Preterm Infants in the Neonatal Intensive Care Unit: A Systematic Review
Extremity Movements Help Occupational Therapists Identify Stress Responses in Preterm Infants in the Neonatal Intensive Care Unit: A Systematic Review
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DOI：
10.1177/000841740707400306
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发表时间：
2007-06
期刊：
影响因子：
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通讯作者：
L. Holsti;R. Grunau
中科院分区：
文献类型：
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作者：
L. Holsti;R. Grunau
背景在新生儿重症监护病房（NICU）中对早产儿的疼痛和压力进行准确的评估和治疗至关重要，因为疼痛和压力反应与该人群的长期发育变化有关。目的.回顾早产儿在压力程序中观察到的特定肢体运动的证据。方法.检索了5个在线数据库中的相关研究。对于每项研究，确定证据水平并计算效应量估计值。每项研究还评估了对其有效性构成潜在威胁的具体因素。结果确定了18项研究，其中7项包括审查。合并样本包括359名早产儿。六个具体的运动与痛苦和侵入性的程序。临床意义。一组特定的肢体运动，结合其他可靠的生物行为的疼痛和压力的措施，可以形成未来的研究和开发的早产儿临床压力量表的基础。
Background. Accurate assessment and treatment of pain and stress in preterm infants in neonatal intensive care units (NICU) is vital because pain and stress responses have been linked to long-term alterations in development in this population. Purpose. To review the evidence of specific extremity movements in preterm infants as observed during stressful procedures. Methods. Five on-line databases were searched for relevant studies. For each study, levels of evidence were determined and effect size estimates were calculated. Each study was also evaluated for specific factors that presented potential threats to its validity. Results. Eighteen studies were identified and seven comprised the review. The combined sample included 359 preterm infants. Six specific movements were associated with painful and intrusive procedures. Clinical Implications. A set of specific extremity movements, when combined with other reliable biobehavioural measures of pain and stress, can form the basis for future research and development of a clinical stress scale for preterm infants.