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題名 | 寧握護理對早產兒扎足跟血的疼痛減輕之探討=Containment: Reducing Pain on Heel Stick for Premature Infant |
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作者姓名(中文) | 梁幸如; 王如華; 張玉坤; 王銘賢; | 書刊名 | 醫學研究 |
卷期 | 20:7 2000.08[民89.08] |
頁次 | 頁368-376 |
分類號 | 419.75 |
關鍵詞 | 寧握護理; 早產兒; 扎足跟血; 疼痛; Containment; Premature; Heel stick; Pain; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的在探討寧握護理對早產兒扎足跟血時疼痛減輕的成效。採交叉配對之實驗性研究設計,並以重複測量、隨機分派法在臺北市5所新生活加護中心共選取33位符合條件的早產兒進行研究。採取寧握護理的時機為扎足跟血前5分鐘到扎足跟血後5分鐘,兩期測量時間間隔24小時,以「早產兒疼痛量表」比較同一個早產兒接受寧握護理措施對疼痛減輕的成效。研究結果發現在生理反應方面:接受寧握護理的早產兒在扎足跟血後的心跳速率變化會比未接受寧握護理的早產兒少,且回復到基準值的時間快;而氧氣飽和濃度變化亦會比未接受寧握護理的早產兒少。另於早產兒疼痛評估方面:發現第二次早產兒疼痛評估及第三次早產剩疼痛評估(p<0.001),皆具統計上差異。整體而言,寧握護理可穩定生理及行為上的壓力,達到疼痛減輕的功效,藉此期望醫護專業人員於平日進行常規的檢查時,有效運用寧握護理的措施,提供發展性的照護,並減少因侵入性治療所造成的傷害,進而達到提昇護理品質的目的。 |
英文摘要 | The purpose of this study is to investigate the effect of containment on reducing heel stick pain for the premature infant. In this randomized crossover study. 33 eligible premature infants from 5 NICU in Taipei city were recruited. The containment was given before and after 5 minutes taking blood samples from the heel. The interval of each measurement was 24 hours. Data were used to compare the pain reduction with and without containment for the same premature infant while taking blood samples from the heel by Premature Infant Pain Profile. The major findings included: the premature infant demonstsated a lower changed mean heart rate, shorter got back to baseline, and lower changed mean oxygen saturation after heelstick with containment that without. In the premature infant pain assessment, only second and third premature infant pain assessments has statically difference (p<0.001). Overall, the containment can stable the stress physically and behaviorally and also reduce the pain. The author suggests that the used of containment provides development care, reduces discountable and also aims to provide better nursing care. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。