多感官刺激对新生儿足跟采血疼痛干预的效果研究

Effects of sensory saturation stimulation on the pain of neonatal during Heel blood collection

目的 研究多感官刺激对新生儿足跟采血疼痛干预的效果。方法 选取符合纳入标准的新生儿71例作为研究对象,随机分为观察组(n=35)和对照组(n=36)。对照组新生儿在住院期间进行足跟采血时,采用口服蔗糖水联合安抚奶嘴进行疼痛干预;观察组新生儿则采用多感官刺激方式(说话、抚摸、味觉联合刺激)进行疼痛干预。采用生理指标(呼吸、心率、血氧饱和度)、行为指标(哭闹时间)和新生儿疼痛评分进行效果评价,并统计分析组间差异。结果 在采血过程中,2组新生儿生理指标(心率、呼吸、血氧饱和度)比较,差异均无统计学意义(P>0.05);2组新生儿行为指标(哭闹时间)和疼痛评分比较,差异均有统计学意义(P<0.05)。观察组新生儿在足跟采血过程中几乎不再哭闹,且生命体征更稳定。结论 新生儿足跟采血疼痛干预时,采用多感官刺激的镇痛效果更为显著,易于临床推广。

Objective To investigate the pain intervention effects of sensory saturation on neonatal heel blood collection.Methods A total of 71 neonates who met the inclusion criteria were selected and randomly divided into the observation group(n=35)and the control group(n=36).The control group received oral sucrose solution combined with a pacifier as the pain intervention pattern.In the observation group,the pain of heel blood collection was interfered with by sensory saturation stimulation(talk,touch,taste).The effects were evaluated by physiological indexes[respiration,heart rate,oxyhemoglobin saturation(SPO 2)],behavioral index(crying time)and neonatal pain scores.And the differences between the two groups were compared.Results There were no differences in the physiological indexes(heart rate,respiration,SPO 2)between the two groups(P>0.05).There was a statistical difference in the behavioral index(crying time)and pain scores between the two groups(P<0.05).In the observation group,the newborns hardly cried during heel blood collection,and their vital signs were more stable.Conclusion The analgesic effect of sensory saturation stimulation is more remarkable in the intervention of neonatal heel blood collection pain,which is easy to be popularized in the clinic.