感觉饱和法在早产儿股静脉采血中的应用  

Application of the 3t sensorial saturation in femoral vein blood collection of premature infants

作　　者：甄艺婉 张静[2] 李颖[3] 李鹏[4] 郭红涛 Zhen Yiwan;Zhang Jing;Li Ying;Li Peng;Guo Hongtao(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Department of Nursing,Shanxi Children's Hospital,Taiyuan 030001,China;Department of PICU,Shanxi Children's Hospital,Taiyuan 030001,China;Department of Neonatology,Shanxi Children's Hospital,Taiyuan 030001,China)

机构地区：[1]山西医科大学护理学院,太原030001 [2]山西省儿童医院护理部,太原030001 [3]山西省儿童医院PICU,太原030001 [4]山西省儿童医院新生儿科,太原原030001

出　　处：《中国实用护理杂志》2023年第21期1613-1619,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨感觉饱和法对缓解早产儿股静脉采血所致疼痛和舒适的效果,为临床护理方案选择提供参考。方法本研究为类实验研究,选取2021年8月至2022年3月山西省儿童医院新生儿科收治入院的110例早产儿为研究对象,使用随机数字表法分为对照组和干预组,每组55例。对照组实施常规护理,干预组在对照组的基础上实施包括味觉、触觉、听觉于一体的感觉饱和法,分别于采血前3 min、采血时和采血后3 min使用早产儿疼痛评分量表(PIPP)、新生儿舒适量表评估2组早产儿的疼痛和舒适度,并比较2组的心率和SpO2。结果最终,对照组和干预组各纳入52例早产儿。干预组早产儿在采血前3 min、采血时、采血后3 min PIPP得分、新生儿舒适量表得分、心率、SpO2分别为2.00(1.00,3.00)、6.50(6.00,7.75)、4.00(3.00,5.00)分,7.00(6.00,8.00)、17.00(15.00,19.00)、9.50(9.00,10.00)分,(137.29±8.58)、(148.31±8.89)、(143.06±7.61)次/min,0.980(0.970,0.990)、0.960(0.950,0.970)、0.980(0.970,0.990),对照组分别为2.00(1.25,3.00)、12.00(11.00,13.00)、7.00(6.00,8.00)分,7.00(6.00,9.00)、25.00(23.00,27.00)、20.00(19.00,22.00)分,(141.54±10.57)、(179.71±14.62)、(162.00±14.32)次/min,0.980(0.960,0.990)、0.940(0.920,0.958)、0.960(0.940,0.978)。广义估计方程分析显示,早产儿PIPP得分、新生儿舒适量表得分、SpO2经不同时点、分组、分组与时点的交互效应均有统计学意义(Waldχ^(2)值为16.72~2489.71,均P<0.05);双因素重复测量方差分析显示,早产儿心率经不同时点、分组、分组与时点的交互效应均有统计学意义(F=253.08、105.02、77.17,均P<0.05)。结论感觉饱和法可有效减轻早产儿股静脉采血时疼痛,能提高早产儿舒适水平,有利于早产儿生命体征稳定,适合在临床中推广应用。ObjectiveTo investigate the effect of the 3t sensorial saturation in the application of relieving pain and comfort due to femoral vein blood sampling in preterm infants,so as to provide the reference for the selection of clinical nursing plans.MethodsThis was a quasi experimental study.A total of 110 preterm infants admitted to the neonatal unit of Shanxi Children′s Hospital from August 2021 to March 2022 were selected and divided into the control group and intervention group with 52 cases respectively by the random number table method.The control group implemented conventional care,and the intervention group implemented the 3t sensorial saturation method including taste,touch and talk on the basis of the control group.The pain and comfort of two groups were evaluated by the Premature Infant Pain Profile(PIPP)and COMFORTneo Scale at 3 min before,during,and 3 min after blood,and the heart rate and SpO2 of the two groups were compared.ResultsFinally,52 premature infants were included in both groups.The PIPP score,the total score of the COMFORTneo Scale,the heart rate and SpO2 were 2.00(1.00,3.00),6.50(6.00,7.75),4.00(3.00,5.00),7.00(6.00,8.00),17.00(15.00,19.00),9.50(9.00,10.00)points,(137.29±8.58),(148.31±8.89),(143.06±7.61)times/min,0.980(0.970,0.990),0.960(0.950,0.970),0.980(0.970,0.990)in the intervention group,2.00(1.25,3.00),12.00(11.00,13.00),7.00(6.00,8.00),7.00(6.00,9.00),25.00(23.00,27.00),20.00(19.00,22.00)points,(141.54±10.57),(179.71±14.62),(162.00±14.32)times/min,0.980(0.960,0.990),0.940(0.920,0.958),0.960(0.940,0.978).The results of generalized estimating equation analysis showed that the PIPP score,total COMFORTneo Scale score and SpO2 via different time points,subgroups,and subgroups with time points were statistically significant(Waldχ^(2)values were 16.72-2489.71,all P<0.05).The results of two-factor repeated measures ANOVA showed that the interaction effects of heart rate via different time points,subgroups,and subgroups with time points were statistically significant(F=253.08,105.02,77

关 键 词：婴儿 早产 疼痛 感觉饱和法 股静脉采血 

分 类 号：R473.72[医药卫生—护理学]