系统性评价袋鼠式护理对减轻侵入性护理操作所致新生儿疼痛的重要作用  

Important Role of Kangaroo Nursing in Reducing Neonatal Pain Caused by Invasive Nursing Procedures

作　　者：邓玉芳 李锦萍 孙玉梅 DENG Yufang;LI Jinping;SUN Yumei(Department of Intensive Care Medicine,Wuwei Liangzhou Hospital,Wuwei,Gansu Province,733000 China)

机构地区：[1]武威市凉州医院重症医学科,甘肃武威733000

出　　处：《中外医疗》2024年第10期132-135,共4页China & Foreign Medical Treatment

摘　　要：目的系统性评价袋鼠式护理对减轻侵入性护理操作所致新生儿疼痛的重要作用。方法方便选择2018年1月—2022年1月武威市凉州医院收治的106例足月新生儿作为研究对象,按随机数表法分为两组,每组53例,对照组进行常规护理,研究组进行袋鼠式护理。比较两组护理指标。结果穿刺中、穿刺后研究组血氧饱和度高于对照组,心率低于对照组,差异有统计学意义(P均<0.05)。研究组啼哭、疼痛面容开始时间较对照组晚,啼哭、疼痛面容持续时间较对照组短,差异有统计学意义(P均<0.05);侵入性操作即刻、30 s、60 s不同时间点,研究组伴有疼痛面容人数较对照组少,差异有统计学意义(P均<0.05);穿刺后,研究组新生儿疼痛评价量表评分低于对照组,差异有统计学意义(P<0.05);研究组满意度为94.34%,高于对照组的77.36%,差异有统计学意义(χ^(2)=6.290,P=0.012)。结论袋鼠式护理对减轻侵入性护理操作所致新生儿疼痛作用明显,可缩短新生儿啼哭及疼痛面容持续时间,有利于新生儿生理及心理状况改善,新生儿家属满意度高。Objective To systematically evaluate the important role of kangaroo nursing in alleviating neonatal pain caused by invasive nursing procedures.Methods A total of 106 full-term newborns treated in Wuwei Liangzhou Hospital from January 2018 to January 2022 were conveniently selected as the study objects and divided into two groups by random number table method,with 53 cases in each group.The control group received routine nursing,and the study group received kangaroo nursing.The nursing indexes of the two groups were compared.Results During and after puncture,the blood oxygen saturation of the study group was higher than that of the control group,and the heart rate was lower than that of the control group,and the differences were statistically significant(both P<0.05).The onset time of crying and painful face in study group were later than those in control group,and the duration of crying and painful face were shorter than those in control group,and the differences were statistically significant(all P<0.05);at different time points of immediate,30 s,and 60 s of invasive surgery,the number of patients with painful facial features in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05);after puncture,the Neonatal Infant Pain Scale score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05);the satisfaction of the study group was 94.34%,higher than that of the control group 77.36%,and the difference was statistically significant(χ^(2)=6.290,P=0.012).Conclusion Kangaroo nursing has an obvious effect on alleviating newborn pain caused by invasive nursing operations,can shorten the duration of newborn crying and painful face,is conducive to the improvement of newborn physiological and psychological conditions,and newborn families have high satisfaction.

关 键 词：袋鼠式护理 侵入性护理 新生儿 疼痛 

分 类 号：R47[医药卫生—护理学]