袋鼠式护理对新生儿重症监护室早产儿操作性疼痛的影响

Effect of kangaroo care on operational pain of preterm infants in neonatal intensive care unit

目的探讨新生儿重症监护室(NICU)早产儿执行疼痛性操作时应用袋鼠式护理对改善操作性疼痛的效果。方法将本院NICU收治的90例早产儿按入科顺序分为对照组和观察组。对照组45例早产儿接受NICU常规护理,观察组45例早产儿接受常规护理和袋鼠式护理。比较两组早产儿操作性疼痛评分及血氧饱和度(SPO_(2))、心率(HR)等生命体征变化。结果操作时、操作后1min,观察组新生儿疼痛评估量表(NIPS)评分均明显低于对照组(P<0.05或P<0.01);操作前1min两组HR、SPO_(2)比较无统计学差异(P>0.05),操作时、操作1min时,观察组HR明显低于对照组(P<0.01),SPO_(2)明显高于对照组(P<0.01)。结论NICU早产儿执行疼痛性操作时应用袋鼠式护理,可有效减轻操作性疼痛,减少生命体征波动。

Objective:To investigate the effect of kangaroo care on operational pain of preterm infants in neonatal intensive care unit(NICU).Methods:A total of 90 preterm infants in our hospital were divided into control group and observation group according to the order of admission.45 preterm infants in the control group received NICU routine care,and other 45 preterm infants in the observation group received routine care and kangaroo care.Operational pain score,blood oxygen saturation(SPO_(2)),heart rate(HR)and other vital signs were compared between the two groups.Results:The scores of Neonatal Infant Pain Scale(NIPS)in the observation group were significantly lower than those in the control group during operation and 1 min after operation(P<0.05 or P<0.01).There was no significant difference in HR and SPO_(2) between the two groups 1 min before operation(P>0.05).HR of the observation group was significantly lower than that of the control group(P<0.01),and SPO_(2) was significantly higher than that of the control group during the operation and 1 min after operation(P<0.01).Conclusion:The kangaroo care could relieve operational pain and reduce the fluctuation of vital signs of preterm infants in NICU during and after the painful operation.