摘要
目的探讨不同类型的音乐干预在早产儿血管穿刺镇痛中的应用效果。方法选取2019年7月至2022年7月在广西壮族自治区妇幼保健院新生儿科住院的124例早产儿为研究对象,按随机数字表法进行分组。最终除去研究期间脱落的5例后,分为对照组(27例)、经典音乐组(31例)、儿童音乐组(31例)、母亲声音组(30例),共119例。比较各组新生儿疼痛/激惹与镇静量表(N-PASS)评分和心率。结果经典音乐组、母亲声音组穿刺5、10、30 min的N-PASS评分均低于对照组(P<0.05);儿童音乐组穿刺5、10 min的N-PASS评分均低于对照组(P<0.05)。相比于对照组,其余各组穿刺30 s的心率更低(P<0.05);儿童音乐组穿刺30 s的心率高于经典音乐组和母亲声音组(P<0.05);儿童音乐组穿刺10 min的心率与对照组比较,差异无统计学意义(P>0.05);经典音乐组与母亲声音组穿刺10 min的心率低于对照组(P<0.05)。结论经典音乐和母亲声音干预在早产儿血管穿刺中能够发挥一定的镇痛效果,减少早产儿的生命体征波动。
Objective To explore the application effect of different types of music intervention in pain relief for vascular punctures in premature infants.Methods A total of 124 premature infants hospitalized in the Department of Neonatology,Maternity and Child Healthcare of Guangxi Zhuang Autonomous Region from July 2019 to July 2022 were selected as the study objects and grouped according to the random number table method.After removing 5 cases that fell off during the study period,119 cases were divided into control group(27 cases),classical music group(31 cases),children music group(31 cases),and mother voice group(30 cases).The neonatal pain,agitation and sedation scale(N-PASS)score and heart rate were com pared between the groups.Results The N-PASS score of classical music group and mother voice group was lower than that of control group at 5,10,and 30 mi nutes of puncture(P<0.05).The N-PASS score of children m usic group was lower than that of control group at 5 and 10 m inutes of puncture(P<0.05).Compared with the control group,the heart rate of other groups at 30 seconds of puncture was lower(P<0.05).The heart rate of children music group at 30 seconds of puncture was higher than that of classical music group and mother voice group(P<0.05).There was no significant difference in heart rate between children music group and control group at 10 minutes of puncture(P>0.05).The heart rate of classical music group and mother voice group at 10 minutes of puncture was lower than that of control group(P<0.05).Conclusion Classical music and mother voice intervention can play a certain pain relief effect in the vascular puncture of premature infants,and reduce the fluctuation of vital signs of them.
作者
李凌霄
马俊
LI Lingxiao MA Jun(Neonatal Medical Center Ward Three,Maternity and Child Healthcare of Guangxi Zhuang Autonomous Region,Guangxi Zhuang Autonomous Region,Nanning 530000,China)
出处
《妇儿健康导刊》
2024年第23期41-44,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20201060)。
关键词
早产儿
血管穿刺
镇痛
音乐干预
Premature infant
Vascular puncture
Pain relief
Music interve ntion
