行为和环境护理干预对新生儿桡动脉采血时疼痛和生命体征的影响  

Effect of behavioral and environmental nursing interventions on pain and vital signs in neonatal brachial artery collection

作　　者：李见章[1] 叶建忠 谢玉芳 LI Jian-zhang;YE Jian-zhong;XIE Yu-fang(Department of Nursing,Dongguan Guancheng Hospital,Guangdong Province,Dongguan 523000,China;Dongguan Guancheng Community Health Service Center,Guangdong Province,Dongguan 523112,China)

机构地区：[1]广东省东莞市莞城医院护理部,广东东莞523000 [2]广东省东莞市莞城社区卫生服务中心,广东东莞523112

出　　处：《中国当代医药》2020年第2期214-216,共3页China Modern Medicine

基　　金：广东省东莞市社会科技发展(一般)项目(2018507150271187)

摘　　要：目的分析新生儿桡动脉采血时应用行为和环境护理干预对疼痛和生命体征的影响。方法选取2018年3月~2019年3月东莞市莞城医院治疗的200例新生儿,将其随机分成对照组和研究组,每组各100例。所选新生儿均行桡动脉采血,对照组给予常规护理,研究组基于常规护理加行为和环境护理干预,比较两组疼痛和生命体征情况。结果研究组疼痛评分为(2.70±0.69)分,对照组疼痛评分为(7.78±1.77)分,研究组疼痛评分低于对照组,差异有统计学意义(P<0.05);研究组采血前后的心率、平均动脉压、血氧饱和度、呼吸频率比较,差异无统计学意义(P>0.05);对照组采血后心率、平均动脉压、血氧饱和度均高于采血前,呼吸频率低于采血前,差异有统计学意义(P<0.05);研究组采血后的心率、平均动脉压、呼吸频率均低于对照组,血氧饱和度高于对照组,差异有统计学意义(P<0.05);研究组采血时持续哭闹时间为(7.55±3.10)s,对照组采血时持续哭闹时间为(15.44±6.99)s,研究组持续哭闹时间短于对照组,差异有统计学意义(P<0.05)。结论对新生儿桡动脉采血时,行为和环境护理干预的应用不仅可减轻疼痛,还可使生命体征保持稳定状态,有显著临床价值,值得推广及应用。Objective To analyze the effect of behavioral and environmental nursing intervention on pain and vital signs in neonatal radial artery blood collection.Methods A total of 200 neonates treated in Guancheng Hospital of Dongguan City from March 2018 to March 2019.were selected,they were randomly divided into control group and study group,100 cases in each group.All neonates were selected for radial artery blood collection.The control group was given routine nursing,the study group was given behavioral and environmental nursing intervention based on routine nursing.The pain and vital signs of the two groups were compared.Results The neonatal pain score of the study group was(2.70±0.69)points and that of the control group was(7.78±1.77)points.The neonatal pain score of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The heart rate,mean arterial pressure,oxygen saturation and respiratory rate of the study group before and after blood collection had no statistically significance(P>0.05).The heart rate,mean arterial pressure and oxygen saturation of the control group after blood collection were higher than those before blood collection,and the respiratory rate was lower than that before blood collection,with statistical differences(P<0.05);The heart rate,mean arterial pressure and respiratory rate of the study group after blood collection were lower than those of the control group,and the oxygen saturation of blood was higher than that of the control group,the differences were statistically significant(P<0.05).The duration of crying during blood collection in the study group was(7.55±3.10)s,while that in the control group was(15.44±6.99)s.The duration of crying in the study group was shorter than that in the control group,the difference was statistically significant(P<0.05).Conclusion For newborns,the application of behavioral and environmental nursing intervention in radial artery blood collection can not only alleviate pain,but also keep vital signs stab

关 键 词：行为和环境护理干预 新生儿 桡动脉采血 疼痛 生命体征 

分 类 号：R473.72[医药卫生—护理学]