JBI database of systematic reviews and implementation reports
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JBI Database System Rev Implement Rep · Jul 2019
Non-pharmacological interventions for acute pain management in patients with opioid abuse or opioid tolerance: a scoping review protocol.
The objective of this scoping review is to identify and map the evidence on non-pharmacological interventions for acute pain management in patients with opioid tolerance and opioid abuse. ⋯ PubMed, CINAHL, Scopus, Embase, Europe PubMed Central, PsycINFO, Cochrane Central Register of Controlled Trials and ClinicalTrials.gov will be searched, as well as sources of unpublished studies. After screening the titles and abstracts of identified citations, two independent reviewers will retrieve potentially relevant full-text studies, assess methodological quality and extract data. Data will be presented in diagrammatic or tabular form, and a qualitative thematic analysis will be undertaken. A narrative summary will accompany the tabulated results.
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JBI Database System Rev Implement Rep · Jul 2019
Reliability, validity and generalizability of multidimensional pain assessment tools used in postoperative adult patients: a systematic review protocol.
The objective of this review is to evaluate the measurement properties of multidimensional pain assessment tools for postoperative pain in adults. ⋯ MEDLINE, CINAHL, Embase, PsycINFO and Cochrane Trials (CENTRAL) will be searched, as well as ClinicalTrials.gov and multiple gray literature sources. There will be no limitations on publication date. Titles and abstracts will be screened by independent reviewers for inclusion. The full text of selected papers will be retrieved and assessed against the inclusion criteria. Two independent reviewers will assess papers for methodological quality using the COSMIN checklist, and papers with poor scores on relevant items will be excluded. Data will be extracted by two independent reviewers using a standardized data extraction tool. Statistical pooling will be performed, if possible.
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JBI Database System Rev Implement Rep · Jul 2019
Effectiveness of vibratory stimulation on needle-related procedural pain in children: a systematic review.
The objective of this systematic review was to identify, evaluate and synthesize evidence of the effectiveness of vibratory stimulation to reduce needle-related procedural pain in children aged 18 years and younger. ⋯ Vibratory stimulation was effective in reducing NRP pain in children; however, blinding was not possible in the trials. Moreover, heterogeneity was high. Therefore, the confidence in the evidence is low. Personal preference should be a priority when using vibratory stimulation in the clinical setting.
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JBI Database System Rev Implement Rep · Feb 2019
Effects of induction of labor prior to post-term in low-risk pregnancies: a systematic review.
The objective of this review was to identify, assess and synthesize the best available evidence on the effects of induction prior to post-term on the mother and fetus. Maternal and fetal outcomes after routine labor induction in low-risk pregnancies at 41+0 to 41+6 gestational weeks (prior to post-term) were compared to routine labor induction at 42+0 to 42+6 gestational weeks (post-term). ⋯ Induction prior to post-term was associated with few beneficial outcomes and several adverse outcomes. This draws attention to possible iatrogenic effects affecting large numbers of low-risk women in contemporary maternity care. According to the World Health Organization, expected benefits from a medical intervention must outweigh potential harms. Hence, our results do not support the widespread use of routine induction prior to post-term (41+0-6 gestational weeks).
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JBI Database System Rev Implement Rep · Jan 2019
Sexuality and intimacy among people with serious mental illness: a qualitative systematic review.
The aim of this systematic review was to synthesize the best available qualitative evidence on the experiences and support needs of people with serious mental illness (SMI) regarding sexuality and intimacy within hospital and community settings. The objectives were to explore intimate relationship experiences of people with SMI, to uncover potential obstacles to the expression of sexuality and to present recommendations for mental health policy, education, research and practice. ⋯ Having fulfilling and satisfying sexual and relationship experiences is a fundamental human right that can enhance an individual's quality of life. Being aware of the potential stresses and challenges that having a SMI can have on a relationship and involving partners in the treatment, may help to promote intimacy and recovery. Practitioners can use these findings to guide future policy, education and developments in practice. Further research is required to develop and evaluate interventions that target the identified barriers and help people with SMI to fulfil their unmet sexuality and intimacy needs.