早期护理干预在新生儿疼痛中的应用

Early Nursing Intervention on Neonatal Pain

目的探讨护理干预对新生儿疼痛的影响效果。方法收集60例新生儿临床资料,随机分为对照组和干预组各30例,干预组在疼痛时采用护理干预,观察两组新生儿疼痛的表现,并于疼痛后1min、5min采用新生儿面部编码系统(neonatal facial coding system,NFCS)进行疼痛评估。结果新生儿对疼痛反应主要表现在面部表情变化,以皱眉、张口、挤眼最为常见,另外还有肢体动作以及呻吟、尖叫、甚至屏气等。而早期护理干预能缓解新生儿的疼痛,两组在疼痛后1min、5min的疼痛程度差别有极显著性意义。结论新生儿对疼痛极为敏感,反应较强烈,而进行有效的护理干预能缓解新生儿的疼痛。

Objective To investigate the effects of nursing intervention on neonatal pain. Methods The clinical data of 60 cases of neonates were randomly divided into control group and intervention group, with 30 cases in each. Nursing intervention was adopted in intervention group when the newborns were in pain, to observe the performance of neonatal pains in the two groups. Neonatal facial coding system （NFCS） was used at pain after 1 min, 5 rain for pain assessment. Results Neonatal response to pain mainly manifested in facial expression changes, most common as flown, mouth-opening, wink, in addition to physical movements as well as moaning, screaming, and breath-holding and so on. Moreover, early nursing intervention could relieve the neonatal pain. The pain intensity difference was highly significant at pain after 1 min, 5 min between the two groups. Conclusions As neonates are extremely sensitive and stronger reactive to pain, effective nursing intervention can relieve neonatal pain.