抚触在婴儿静脉穿刺中的应用效果观察

Effect of massage application on venipuncture in infants

目的观察抚触在婴儿静脉穿刺中的应用效果。方法将需要进行静脉输液且静脉穿刺后没有母乳哺喂的婴儿完全随机分成试验组（90例）和对照组（86例），试验组在静脉穿刺前5rain给予抚触，穿刺后继续抚触，时间15—20rain，对照组给予常规的哄抱、固定肢体等，比较2组婴儿的哭闹、觉醒时间、觉醒次数及睡眠时间。结果试验组婴儿哭闹时间较对照组明显缩短[（4．8±2．5）rain比（10．6±3．4）rain，P〈0．01]；觉醒时间、觉醒次数减少[（3．2±1．3）rain比（4．4±1．8）rain；（1．0±0．7）次比（1．4±1．0）次；P〈0．01或P〈0．05]。2组睡眠时间差异无统计学意义（P〉0．05）。结论婴儿静脉穿刺前后给予抚触可减轻疼痛感受，缩短哭闹及觉醒时间，减少觉醒次数，提高睡眠质量。

Objective To observe the effect of massage application on venipuncture in infants. Methods All the infants under 1 years of age without breast feeding lived in pediatric ward and needed intravenous infusion. They were randomly divided into experimental group and control group. Infants in the experimental group had massage 5 rain before venipuncture and the massage would continue for 15-20 minutes. The data of crying behavior, waking time and times as well as sleeping time were compared between these two groups. Results Compared to the control group, the crying time of infant in the experimental group was significantly decreased, [ （4. 8 ± 2. 5 ） rain vs （ 10. 6 ± 3.4 ） rain, P 〈 0.01 ] ; the time and frequency of awakening were also significantly decreased [ （ 3.2 ± 1.3 ） min vs （ 4.4 ± 1.8 ） rain ; （ 1.0 ± 0. 7 ） time vs （ 1.4 ± 1.0 ） time ; P 〈 0. 05 ]. There was not a significant difference in the sleeping time between these two groups （P 〉 0. 05 ）. Conclusions Massage application in infants before venipuncture can relieve pain, reduce crying time and waking time and improve sleeping quality. It is a scientific and oractical method which is worthy of clinical application.