集束化护理在新生儿致痛性操作时的应用效果

Application effect of cluster nursing during pain inducing operation in newborns

目的:探讨集束化护理在新生儿致痛性操作时的应用效果。方法:选择2020年6月至2021年6月收治的82例新生儿,按随机对照原则分为对照组和研究组各41例。对照组给予常规护理干预,研究组给予集束化护理模式干预。比较两组干预前后新生儿呼吸频率、心率、血氧饱和度、疼痛控制、重症监护及哭闹时间和疼痛程度。采用新生儿疼痛量表(NIPS)、新生儿面部编码系统(NFCS)、婴儿疼痛行为指征(BIIP)量表评估疼痛程度。结果:两组干预后呼吸频率、心率、SaO2水平均升高(P<0.05);研究组干预后呼吸频率、心率比对照组低,SaO2水平比对照组高(P<0.05)。研究组疼痛控制、哭闹及重症监护时间均比对照组短(P<0.05)。两组干预后NIPS、NFCS、BIIP评分降低(P<0.05);研究组干预后NIPS、NFCS、BIIP评分比对照组低(P<0.05)。结论:集束化护理应用于新生儿致痛性操作时可控制呼吸频率、心率及血氧饱和度指标的波动程度,缩短疼痛控制时间,降低疼痛程度,值得推广应用。

Objective:To explore the application effect of cluster nursing during pain inducing operation in newborns.Methods:Eighty-two newborns admitted to the hospital from June 2020 to June 2021 were selected and divided into a control group and a research group with 41 cases each according to the randomized controlled principle.The control group received routine nursing intervention,and the research group received cluster nursing mode intervention.The respiratory rate,heart rate,oxygen saturation,pain control,intensive care,crying time and pain degree of the newborns were compared between the two groups before and after the intervention.Neonatal pain scale,facial encoding system for new newborns,and indication of painful behavior in infants were used to compare the degree of pain.Results:After intervention,respiratory rate,heart rate and SaO2 level in both groups increased(P<0.05);after intervention,the respiratory rate and heart rate in the research group were lower than those in the control group,and the SaO2 level in the research group was higher than that in the control group(P<0.05).The pain control,crying,and intensive care in the research group were shorter than those in the control group(P<0.05).After intervention,the scores of neonatal pain scale,facial encoding system for new newborns,and indication of painful behavior in infants decreased in both groups(P<0.05);the neonatal pain scale,facial encoding system for new newborns,and indication of painful behavior in infants scores in the research group were lower than those in the control group(P<0.05).Conclusion:Cluster nursing can control the fluctuation of respiratory rate,heart rate and oxygen saturation,shorten the time of pain control,and reduce the degree of pain when it is applied to pain inducing operation in newborns,which is worth popularizing.