多感官干预对新生儿静脉穿刺疼痛的影响  

Effect of multisensory intervention on neonatal venipuncture pain

作　　者：李家菁 史丽丽 程丽娜 郑凯 Li Jiajing;Shi Lili;Cheng Lina;Zheng Kai(Neonatal Care Unit,The First Affiliated Hospital of Ningbo University,Ningbo 315000,China)

机构地区：[1]宁波大学附属第一医院新生儿监护室,浙江宁波315000

出　　处：《护理学杂志》2023年第14期38-40,共3页Journal of Nursing Science

基　　金：浙江省医药卫生科技计划项目(2021KY1044)。

摘　　要：目的观察视、听、触、味觉多感官干预对新生儿静脉穿刺疼痛的影响,探讨减轻新生儿穿刺疼痛的有效方法。方法将90例新生儿肺炎患儿随机分为对照组与观察组各45例,对照组实施静脉穿刺常规护理,观察组在此基础之上通过戴眼罩、听母亲语音与心音、抚触、舌前部滴24%蔗糖水分别进行视、听、触、味觉干预。比较两组新生儿疼痛评分、生理参数及一次静脉穿刺成功率。结果观察组新生儿穿刺时疼痛评分显著低于对照组,心率、呼吸及血氧饱和度显著优于对照组(均P<0.05)。一次性静脉穿刺成功率高于对照组,但两组比较差异无统计学意义(P>0.05)。结论视、听、触、味觉多感官干预可有效减轻新生儿静脉穿刺疼痛,维持患儿生理参数稳定。Objective To observe the effect of audio-visual-tactile-olfactory interventions on neonatal venipuncture pain,and explore effective methods to reduce neonatal venipuncture pain.Methods A total of 90 cases with neonatal pneumonia were randomly divided into the control group and the observation group,with 45 cases in each group.The control group received routine nursing care for venipuncture,and the observation group received audio-visual-tactile-olfactory interventions of wearing an eye mask,listening to their mother′s voice and heartbeat,touch,and dripping 24%sucrose water on their anterior tongue on the basis of routine nursing care.The neonatal pain score,physiological parameters,and the success rate of one-time venipuncture were compared between the two groups.Results The neonatal pain score during puncture in the observation group was significantly lower than that in the control group,the heart rate,respiration,and blood oxygen saturation were significantly better than those in the control group(all P<0.05).The success rate of one-time venipuncture in the control group was higher than that in the control group,but the difference between the two groups was not statistically significant(P>0.05).Conclusion Audio-visual-tactile-olfactory interventions can effectively reduce neonatal puncture pain and maintain their physiological parameters stability.

关 键 词：新生儿肺炎 静脉穿刺 多感官干预 疼痛 眼罩 蔗糖水 抚触 

分 类 号：R473.72[医药卫生—护理学]