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主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (12): 1705-1709.doi: 10.3969/j.issn.1672-1756.2018.12.026

• • 上一篇    

母亲声音缓解新生儿重症监护病房患儿静脉穿刺所致疼痛的干预效果研究

陈妍君;李杨;孙静;韩冬韧;冯淑菊;张欣   

  1. 北京协和医学院护理学院,100144(陈妍君,李杨,张欣);北京协和医院儿科(孙静,冯淑菊);首都医科大学附属北京妇产医院NICU(韩冬韧)
  • 发布日期:2019-01-07

The effect of maternal voice on neonates' pain caused by venipuncture in the Neonatal Intensive Care Unit

  • Published:2019-01-07

摘要: 目的:分析母亲声音对新生儿重症监护病房(NICU)患儿静脉穿刺(包括外周静脉穿刺和股静脉穿刺)所致疼痛的影响。方法:将62例NICU住院患儿随机分为对照组和干预组(各31例)。对照组接受NICU常规操作,干预组在常规操作基础上,操作前2分钟至操作结束患儿恢复平静状态,持续播放该患儿母亲声音录音。使用新生儿急性疼痛评估量表(NIAPAS)在操作前、操作中、操作后进行效果评价。结果:静脉穿刺操作前和操作期,干预组患儿NIAPAS总得分、行为指标和生理指标得分均低于对照组,差异有统计学意义(P<0.05);静脉穿刺恢复期干预组患儿NIAPAS总得分和行为指标得分低于对照组,差异有统计学意义(P<0.05)。结论:母亲声音可以缓解NICU患儿静脉穿刺所致疼痛。

关键词: 母亲声音;新生儿;操作性疼痛

Abstract: Objective: To evaluate the effect of maternal voice on neonates' pain caused by venipuncture (including peripheral venipuncture and femoral venipuncture) in Neonate Intensive Care Unit (NICU). Methods: We enrolled 62 neonates, randomized them into two groups (31 neonates in each group). The children in study group listened to a record of their mother's voice during venipuncture, while those in control group did not get these interventions. The Neonatal Infant Acute Pain Assessment Scale (NIAPAS) was used to evaluate the infants' pain level before, during and after the procedure. Results: Neonates in the study group had significantly lower NIAPAS scores, behavioral and physiological scores than those of infants in the control group before and during the procedure (P<0.05). Neonates in the treatment group had significantly lower NIAPAS scores and behavioral scores after the procedure (P<0.05). Conclusion: The maternal voice could relieve neonates' pain caused by venipuncture in NICU.

Key words: maternal voice; neonates; procedural pain