摘要
目的探讨拥抱安抚联合非营养性吸吮在足月新生儿桡动脉采血所致疼痛的干预效果。方法采用回顾性调查的方法,将140例足月黄疸患儿分为对照组(常规护理)和观察组(拥抱安抚联合非营养性吸吮组)各70例,两组新生儿在进行桡动脉采血时依据新生儿疼痛评估量表(NIPS)进行疼痛评分,并对比哭闹持续时间及穿刺前5 s,穿刺后20 s、1 min、3 min时心率、呼吸、血氧饱和度。结果观察组新生儿疼痛评分低于对照组(P<0.05),新生儿哭闹持续时间明显少于对照组(P<0.05),操作后心率、呼吸频率和血氧饱和度恢复至穿刺前水平的时间显著优于对照组(P<0.05)。结论拥抱安抚结合非营养性吸吮能很好的缓解新生儿桡动脉采血引起的疼痛,使新生儿的生命体征趋于平稳,提高了桡动脉穿刺的安全性。
Objective To explore the intervention effect of hugging and soothing combined with non-nutritive sucking on the pain caused by radial artery sampling in full-term neonates. Methods A retrospective study, Total 140 full-term newborns which suffered from hyperbilirubinimia were divided into control group（regular care）and observation group（embrace soothing and non-nutritive sucking group）,70 cases in each group,valuated the pain score of two groups in radial artery sampling by neonatal pain assessment scale（NIPS）,and the crying duration,heart rate,respiration,blood oxygen saturation 5 s before puncture and 20 s,1 min,3 min,after the puncture were compared.Results The pain score of the observation group was lower than the control group（P〈0.05）,neonatal crying duration was significantly less than that of the control group（P〈0.05）,after operation,the recovery time of heart rate,respiratory rate and oxygen saturation after puncture was significantly shorter than the control group（P〈0.05）.Conclusion Hugging and soothing combined with non-nutritive sucking can relieve the pain caused by radial artery blood sampling in newborns,keep the vital signs of newborn more stable and improve the safety of radial artery puncture.
出处
《中国继续医学教育》
2017年第31期164-166,共3页
China Continuing Medical Education
关键词
新生儿
疼痛
拥抱安抚
非营养性吸吮
neonate
pain
hugging and soothing
non-nutritive sucking
