摘要
目的分析拥抱安抚联合非营养性吸吮在新生儿末梢采血过程中的干预价值。方法随机选取2019年1月—2020年10月在福建中医药大学附属人民医院行末梢采血的100例新生儿作为研究对象,采用随机数表法将其分为对照组和观察组,各50例。对照组采用常规护理干预,观察组在对照组基础上采用拥抱安抚联合非营养性吸吮,比较两组新生儿各时间段的心率、呼吸频率、新生儿疼痛(NIPS)评分、哭声持续时间及其一次性采血成功率和血肿发生率。结果穿刺时、采血完成时,观察组的心率、呼吸频率均低于对照组,观察组的NIPS评分低于对照组,观察组哭声持续时短于对照组,差异有统计学意义(P<0.05);观察组一次性采血成功率(100.00%)高于对照组(82.00%),差异有统计学意义(χ^(2)=7.814,P=0.005),血肿发生率(0.00%)低于对照组(12.00%),差异有统计学意义(χ^(2)=4.433,P=0.035)。结论在新生儿末梢采血过程中采用拥抱安抚联合非营养性吸吮,能有效稳定新生儿的体征,减轻其穿刺部位疼痛感并缩短哭闹时间,提高一次性采血成功率,降低血肿发生率。
Objective To analyze the intervention value of hug and comfort combined with non-nutritive sucking in the process of neonatal peripheral blood collection.Methods 100 neonates who underwent peripheral blood collection in Fujian University of Traditional Chinese Medicine Hospital from January 2019 to October 2020 were randomly selected as the research objects,and they were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was given routine nursing intervention,the observation group was given hugging and comforting combined with non-nutritive sucking on the basis of the control group.The heart rate,respiratory rate,neonatal pain(NIPS)score,duration of crying and the success rate of onetime blood collection and the incidence of hematoma were compared between the two groups of newborns at each time period.Results At the time of puncture and blood collection,the heart rate and respiratory rate of the observation group were lower than those of the control group,the NIPS score of the observation group was lower than that of the control group,and the crying duration of the observation group was shorter than that of the control group,the difference was statistically significant(P<0.05).The success rate of one-time blood collection in the observation group(100.00%)was higher than that in the control group(82.00%),the difference was statistically significant(χ^(2)=7.814,P=0.005),and the incidence of hematoma(0.00%)was lower than that in the control group(12.00%),the difference was statistically significant(χ^(2)=4.433,P=0.035).Conclusion In the process of neonatal peripheral blood collection,hugging and appeasing combined with non-nutritive sucking can effectively stabilize the signs of neonates,reduce the pain at the puncture site,shorten the crying time,improve the success rate of one-time blood collection,and reduce the incidence of hematoma.
作者
包小琴
马莉
BAO Xiaoqin;MA Li(Newborn pediatrics of the People´s Hospital affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian Province,350000 China)
出处
《中外医疗》
2022年第17期179-182,191,共5页
China & Foreign Medical Treatment
关键词
新生儿
末梢采血
拥抱安抚
非营养性吸吮
Newborn
Peripheral blood collection
Hug and comfort
Non-nutritive sucking
