查詢結果分析
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頁籤選單縮合
題 名 | Effects of Tub Bathing Procedures on Preterm Infants' Behavior=盆浴洗澡步驟對早產兒的行為影響 |
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作 者 | 廖珍娟; 楊立華; 喻永生; 尹玓; | 書刊名 | The Journal of Nursing Research |
卷 期 | 14:4 民95.12 |
頁 次 | 頁297-305 |
分類號 | 419.75 |
關鍵詞 | 洗澡; 新生兒加護中心; 早產兒; 行為; Bath; Neonatal intensive care unit; NICU; Preterm infant; Behavior; |
語 文 | 英文(English) |
中文摘要 | 醫療進步雖增加早産兒存活率,然其神經發展障礙的致病率仍未減少,因此照顧者需再思考新生兒加護中心的照護對早産兒的影響。本研究之目的是評估不同時期的洗澡步驟對早産兒行為的影響。本研究乃是一個探索性重複測量的研究設計,十三位護理人員在不同天重複地幫12位早産兒洗澡,總共拍攝六十四次洗澡,以此來評估不同時期洗澡早産兒的行為變化。洗澡的步驟被分為三期:分別是第Ⅰ、Ⅱ、Ⅲ期,這些行為變項是用早産兒行為編碼架構來測量,其觀察者間的一致信度範圍是在.82至.99。結果顯示早産兒除四肢伸展、軀幹過度伸展、全身扭動的行為發生率沒有顯著差異外,大部分壓力性行為的發生率在這三個洗澡的時期皆有顯著差異(如:驚嚇、用力猛扯、顫抖;F=25.62,p<.001)。尤其是在洗澡的第二個時期這些壓力性行為的發生率有顯著的增加。常規洗澡不僅打擾早産兒的睡眠,而且也引起壓力性行為的發生。早産兒壓力因著護理處置步驟的干擾而增加,照顧者應考慮常規護理活動對早産兒的影響並修正其照顧處理技巧,以便增進早産兒的疾病恢復、成長與發展。 |
英文摘要 | Although medical advances have increased the survival rate of preterm infants, morbidity in terms of neurodevelopmental impairment has not decreased for this population. This results in caregivers having to reconsider how neonatal intensive care unit (NICU) caregiving impacts on preterm infants. The purpose of this study was to examine the effects of different phases of a routine tub bath on preterm infants' distress and state behavior in the NICU. The study used an exploratory repeated measures design that focused on preterm infants' distress and state behavior, and evaluated the effects of three phases of a routine tub bath, which were performed according to standard unit practice in the NICU. Thirteen nurses repeatedly bathed 12 infants on different days, and 64 baths were videotaped for the purpose of assessing the variety of distress behavior. The procedures of one bath could be categorized into three phases designated to Phases I, II, and III. The variables were measured by a preterm infant behavioral coding scheme developed for this research. The inter-rater reliability of the instrument ranged from .82 to .99. Mixed effects analysis of variance was used to analyze the differences among the bath phases in the occurrences of distress and state behavior. The results showed significant statistical difference among most distress behaviors during the three phases (e.g. "startle, jerk, tremor" F ratio = 25.62, p < .001; "finger splay, grasping, fisting" F ratio = 49.99, p < .001; "grimace" F ratio = 36.55, p < .001; "fussing or crying" F ratio = 25.27, p < .001), with the exception of "extension, arching and squirming". In particular, the occurrence of distress and state behavior increased significantly in phase II. Routine tub bathing not only disrupts preterm infants' sleep but also causes an increase in distress behavior. Preterm infants' stress increases with the intrusiveness of nursing procedures. NICU caregivers should consider the effects of routine nursing activities that influence the infants, and modify handling to promote techniques to promote preterm infants' recovery, growth and development. |
本系統中英文摘要資訊取自各篇刊載內容。