白噪声联合安慰奶嘴干预在新生儿足跟采血中的应用效果  

Application effeet of the white noise combined with the comfort pacifier intervention for neonates during their heel blood collection

作　　者：赵亚坤 张婧超 戚媚 ZHAO Yakun;ZHANG Jingchao;QI Mei(Beijing Friendship Hospital,Ca pital Medical University,Beijing,101125)

机构地区：[1]首都医科大学附属北京友谊医院,101125

出　　处：《中国计划生育学杂志》2024年第10期2322-2325,共4页Chinese Journal of Family Planning

摘　　要：目的:分析白噪声联合安慰奶嘴干预对新生儿足跟采血的应用效果。方法:选取2020年12月-2023年12月于本院出生拟行足跟采血筛查的新生儿106例,按照简单随机抽样法分为对照组(常规干预)和干预组(白噪声联合安慰奶嘴干预),每组各53例;观察对比两组新生儿采血情况、采血前后生理指标、疼痛反应,记录两组新生儿穿刺不良事件发生情况。结果:与对照组比,干预组血滴直径(11.04±1.69mm比7.86±1.03mm)较大,出血时间(2.55±0.40s比3.64±0.43s)及哭闹时间(44.16±5.21s比92.08±10.37s)均较短,采血后两组心率、呼吸频率均升高但干预组(137.1±16.1次/min、48.0±5.1次/min)低于对照组(153.5±16.2次/min、56.2±6.1次/min),SaO_(2)两组均低于干预前但干预组(92.3±2.7)%高于对照组(91.3±2.5)%;干预组疼痛程度低于对照组,血肿、出血、瘀斑等穿刺不良事件总发生率(17.0%)低于对照组(35.9%)(均P<0.05)。结论:对足跟采血新生儿给予白噪声联合安慰奶嘴干预可获得较好效果,可减轻新生儿采血时疼痛,降低穿刺不良事件发生风险。Objective:To analyze the application effect of the white noise combined with the comfort pacifier intervention for neonates during their heel blood collection.Methods:106 neonates born in the hospital who wanted screening by the heel blood collection were selected and were divided into control group(neonates with the routine intervention during heel blood collection)and intervention group(53 neonates with the white noise combined with the comfort pacifier intervention)by means of simple random sampling method from December 2020 to December 2023.The blood collection status,and the physiological indexes and the pain response before and after blood collection of the neonates were observed and compared between the two groups.The neonatal puncture adverse events in the two groups were recorded.Results:The diameter of the blood drop(11.04±1.69mm)of the neonates in intervention group was significantly higher than that(7.86±1.03mm)of the neonates in the control group.The bleeding time(2.55±0.40s)and the crying time(44.16±5.21s)of the neonates in intervention group were significantly shorter than those(3.64±0.43s and 92.08±10.37s)of the neonates in the control group.After blood collection,the heart rate and the respiratory rate of the neonates in the two groups had increased significantly,but both of which(137.1±16.1 times/min and 48.0±5.1 times/min)of the neonates in the intervention group were significantly lower than those(153.5±16.2 times/min and 56.2±6.1 times/min)of the neonates in the control group.The SaO_(2) value of the neonates in the two groups after blood collection had decreased significantly,and which(92.3±2.7%)of the neonates in the intervention group was significantly higher than that(91.3±2.5%)of the neonates in the control group.The degree of pain of the neonates in the intervention group was significantly lower than that of the neonates in the control group,and the total incidence(17.0%)of adverse puncture events,such as hematoma,bleeding and ecchymosis,of the neonates in the intervention g

关 键 词：新生儿足跟采血 白噪声 安慰奶嘴 疼痛 穿刺不良事件 

分 类 号：R473.72[医药卫生—护理学]