袋鼠式护理对足月新生儿注射卡介苗疼痛干预的效果研究

Study on the effect of kangaroo nursing on pain intervention of BCG vaccination in full-term newborns

目的探讨对足月新生儿注射卡介苗过程中给予袋鼠式护理干预后,观察对新生儿疼痛程度产生的影响。方法选择2016年1月~2017年6月我院收治的100例足月新生儿,通过数字奇偶法分为对照组、观察组,每组50例。对照组在开展卡介苗注射工作期间配合采用常规模式施护;观察组在开展卡介苗注射工作期间配合采用袋鼠式护理模式施护;临床通过NIPS(新生儿疼痛评价量表)就两组卡介苗注射新生儿表现出的疼痛情况加以评估,并且针对两组新生儿的啼哭情况加以分析,此外就两组新生儿的血氧饱和度水平以及心率水平施以回顾性分析。结果观察组足月新生儿的疼痛评分低于对照组,差异有统计学意义(P<0.05);观察组的心率水平低于对照组,差异有统计学意义(P<0.05);观察组的血氧饱和度水平高于对照组,差异有统计学意义(P<0.05);观察组足月新生儿的哭闹时间短于对照组,差异有统计学意义(P<0.05)。结论对于足月新生儿在准备卡介苗进行注射期间,配合应用袋鼠式护理模式开展护理工作,对于患者疼痛程度的缓解以及生理平衡的保持可以做出充分保证,从而提高新生儿家属卡介苗注射工作满意度。

Objective To investigate the effect of kangaroo nursing intervention on pain degree of full-term newborns during the process of BCG vaccination.Methods 100 newborns who were admitted to our hospital from January 2016 to June 2017 were selected as the experimental subjects.All full-term newborns were divided into groups according to the odd and even number method;control group （50 cases）：during BCG vaccination,conventional nursing mode was carried out;observation group （50 cases）：during BCG vaccination,kangaroo nursing mode was carried out;through NIPS （neonatal pain rating scale）,the pain degree during the process of BCG vaccination in newborns was evaluated clinically,and the crying conditions of the two groups of newborns were analyzed.In addition,the blood oxygen saturation levels and heart rate levels were retrospectively analyzed in both groups.Results The pain scores of full-term newborns in the observa- tion group were lower than those in the control group,and the differences were statistically significant （P〈0.05）;the level of heart rate in the observation group was lower than that in the control group,and the difference was statistically signif- icant （P〈0.05）;the level of oxygen saturation in the observation group was higher than that in the control group,and the difference was statistically significant （P〈0.05）.The duration of neonatal crying in the observation group was shorter than that in the control group,and the difference was statistically significant （P〈0.05）.Condusion During the preparation process of BCG vaccination in full-term newborns,the kangaroo nursing model can make a full guarantee for the relief of pain degree and maintenance of physiological balance,thereby enhancing the satisfaction degree of BCG vaccination in newborn＇s family.