视听觉联合干预在改善住院新生儿头部转向偏好中的应用  

Effect of Combined Audio⁃Visual Intervention on Improving Head Turn Preference of Hospitalized Newborns

作　　者：郭宏卿[1] 谢安慰[1] 冉双芹 GUO Hongqing;XIE Anwei;RAN Shuangqin(Children's Hospital of Soochow University,Suzhou,Ji-angsu 215000;The Affiliated Suzhou Science&Technology Town Hospital of Nanjing Medical University,Su-zhou,Jiangsu 215153)

机构地区：[1]苏州大学附属儿童医院,江苏苏州215000 [2]南京医科大学附属苏州科技城医院,江苏苏州215153

出　　处：《上海护理》2021年第12期9-13,共5页Shanghai Nursing

基　　金：苏州市科技发展计划(民生科技-医疗卫生应用基础研究)项目(SYSD2019123)。

摘　　要：目的探讨视听觉联合干预在改善住院新生儿头部转向偏好中的应用效果。方法采用方便抽样法,选取2020年1—4月入住苏州大学附属儿童医院新生儿科的具有一侧头部转向偏好的新生儿140例,采用随机数字表法将其分为对照组和观察组各70例。研究过程中有14例新生儿因住院时间等原因予以剔除,最终纳入研究的新生儿为对照组59例、观察组67例。两组新生儿均予以常规护理,对照组新生儿按规范每3 h更换体位1次,观察组新生儿在对照组基础上实施视听觉联合干预。分别比较两组新生儿7 d内头部转向偏好变化、转向方向改变情况及新生儿入睡时间,并根据头部转向偏好纠正是否有效进行组间相关因素的比较。结果观察组新生儿头部转向偏好转归率高于对照组,差异有统计学意义(P<0.05);观察组新生儿头部转向偏好发生同向改变3例(4.48%)、反向改变4例(5.97%),对照组新生儿头部转向偏好发生同向改变2例(3.39%)、未发生反向改变;观察组新生儿的入睡时间短于对照组(P<0.05);观察组新生儿的各相关因素对其头部转向偏好转归均无统计学意义(P>0.05),对照组中除日龄外(P<0.05),其他因素也无统计学意义(P>0.05)。结论使用视听觉联合干预有助于住院新生儿头部转向偏好的纠正,且不受其他医源性因素影响,实施过程中应选择合适的音乐和图片,注意评估、避免干预过度。Objective To explore the effect of combined audio‑visual intervention on improving head turn preference of hospitalized newborns.Methods A total of 140 newborns who preferred to turn their heads to one side and were admitted to the Neonatology Department at Children's Hospital of Soochow University from January to April 2020 were selected by convenience sampling.They were divided into the control group(n=70)and the observation group(n=70)by using a random number table.During the study,14 newborns were excluded due to length of hospital stay and other reasons.Finally,59 cases were included in the control group and 67 cases in the observation group.Routine care was given to both groups.The newborns in the control group had their position changed once every 3 hours as required,while the newborns in the observation group were given combined audio‑visual intervention on the basis.The changes of head turn preference and turning direction and neonate sleep latency within 7 days were compared between the two groups;besides,the related factors were compared between the two groups according to the effectiveness of head turn preference correction.Results The outcome rate of head turn preference in the observation group was higher than that in the control group,with a significant difference(P<0.05).There were 3 cases(4.48%)of ipsilateral change and 4 cases(5.97%)of contralateral change in head turn preference in the observation group,and there were 2 cases(3.39%)of ipsilateral change and no contralateral change in the control group.The sleep latency of newborns in the observation group was shorter than that in the control group(P<0.05).There was no statistical significance in the outcome of head turn preference among the related factors in the observation group(P>0.05),and there was no statistical significance among the factors(P>0.05)in the control group,except day‑age(P<0.05).Conclusion Combined audio‑visual intervention contributes to the correction of head turn preference in hospitalized newborns,regardless of ot

关 键 词：新生儿 头部转向偏好 视觉 听觉 斜头畸形 

分 类 号：R473.72[医药卫生—护理学]