袋鼠式护理对静脉穿刺新生儿疼痛评分及生理指标稳定的影响  

Effect of Kangaroo Mother Care on the NIPS Score and Stability of Physiological Indexes of Neonates with Venipuncture

作　　者：李英兰 张玉红[1] 吴建华[1] LI Ying-lan;ZHANG Yu-hong;WU Jian-hua(Department of Neonatology,Zhengzhou First People’s Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市第一人民医院新生儿科,河南郑州450000

出　　处：《黑龙江医学》2021年第16期1775-1777,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨袋鼠式护理对静脉穿刺新生儿疼痛评分(NIPS)及生理指标稳定的影响。方法:回顾性收集2018年7月—2020年3月在郑州市第一人民医院行静脉穿刺的90例新生儿临床资料,将采用袋鼠式护理干预的50例新生儿纳入观察组,将采用一般常规护理的40例新生儿纳入对照组。连续护理至穿刺后,比较两组新生儿NIPS评分、生理指标及哭闹情况。结果:穿刺时、穿刺后30s、穿刺后60s,观察组新生儿NIPS评分均低于对照组,差异有统计学意义(P<0.05)。穿刺前,两组心率、血氧饱和度比较,差异无统计学意义(P>0.05);穿刺时,两组心率均升高,血氧饱和度均降低,且观察组变化幅度较小,差异有统计学意义(P<0.05)。穿刺后,两组心率均较穿刺时降低,血氧饱和度均较穿刺时升高,但观察组上述指标更接近于穿刺前,差异有统计学意义(P<0.05)。穿刺后,观察组哭闹开始时间晚于对照组,且哭闹持续时间短于对照组,差异有统计学意义(P<0.05)。结论:袋鼠式护理干预可有效维持新生儿静脉穿刺时生理指标稳定,减轻疼痛程度,缩短新生儿哭闹持续时间,值得临床广泛应用。Objective:To explore the effect of kangaroo mother care on Neonatal Infant Pain Scale(NIPS)and the stability of physiological indicators of neonates with venipuncture.Methods:The clinical data of 90 neonates who underwent venipuncture in the hospital from July 2018 to March 2020 were retrospectively collected.50 neonates with kangaroo mother care intervention were included into the observation group,50 neonates who received general routine care were included in the control group.After continuous nursing to puncture,the NIPS scores,physiological indicators and crying condition of the two groups were compared.Results:At the time of puncture,30 s after puncture and 60 s after puncture,the NIPS scores of newborns in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before puncture,there was no statistically significant difference in the heart rate and blood oxygen saturation of the two groups(P>0.05).During the puncture period,the heart rate of the two groups increased,the blood oxygen saturation decreased,and the observation group changed slightly,the difference was statistically significant(P<0.05).After puncture,the heart rate of the two groups was lower than that during the puncture,and the blood oxygen saturation was higher than that during the puncture,but the above indicators in the observation group were closer to those before puncture,and the difference was statistically significant(P<0.05).After puncture,the crying start time of the observation group was later than that of the control group,and the crying duration was shorter than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Kangaroo mother care intervention can effectively maintain the stability of physiological indicators of neonates during venipuncture,reduce the degree of pain,and shorten the duration of neonatal crying.It is worthy of clinical application.

关 键 词：静脉穿刺 袋鼠式护理 新生儿疼痛评分 生理指标 

分 类 号：R47[医药卫生—护理学]