主管:国家卫生健康委员会
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
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中国护理管理 ›› 2020, Vol. 20 ›› Issue (7): 1103-1107.doi: 10.3969/j.issn.1672-1756.2020.07.029

• 专科管理 • 上一篇    下一篇

家庭参与式护理在缓解NICU早产儿操作性疼痛中的应用

谭彦娟 杨斯钰 陈羽双 刘玄巾 周乐山   

  1. 中南大学湘雅三医院NICU,410013 长沙市(谭彦娟);中南大学湘雅护理学院、湖南妇女儿童健康与发展研究中心(杨斯钰,刘玄巾,周乐山);华中科技大学同济医学院附属同济医院护理部(陈羽双)
  • 出版日期:2020-07-15 发布日期:2020-07-15
  • 通讯作者: 周乐山,博士,教授,硕士生导师,E-mail:leshanzhou@csu.edu.cn
  • 作者简介:谭彦娟,硕士,主管护师,护士长
  • 基金资助:
    湖北省妇女理论与实践研究课题(19YB11)

The implementation of family integrated-care for procedural pain among premature infants in the Neonatal Intensive Care Unit

TAN Yanjuan, YANG Siyu, CHEN Yushuang, LIU Xuanjin, ZHOU Leshan   

  1. Neonatal Intensive Care Unit, the third Xiangya Hospital of Central South University, Changsha, 410013, China
  • Online:2020-07-15 Published:2020-07-15
  • Contact: E-mail:leshanzhou@csu.edu.cn

摘要: 目的:分析家庭参与式护理对NICU早产儿进行足跟采血导致的操作性疼痛的影响。方法:采用便利抽样法选择长沙市某三级甲等医院2018年6月至2019年2月入科的早产儿,将72名早产儿随机分为干预组(37名)和对照组(35名)。对照组接受NICU常规镇痛措施,干预组在此基础上,还接受父母协同生活护理、感知觉干预和袋鼠式护理等家庭参与式护理。运用早产儿疼痛修订版简表评估实施3次、5次和7次家庭参与式护理后两组首轮足跟采血的疼痛程度。结果:干预后,干预组早产儿疼痛评分降低(P<0.05),且低于对照组(P<0.05)。干预组早产儿心率降低(P<0.05),血氧饱和度上升(P<0.05),啼哭人数减少(P<0.05)。结论:家庭参与式护理可缓解早产儿操作性疼痛,增加父母与早产儿的有效沟通和交流,促进早产儿家庭亲密,是一种安全、有效、费用低廉的早产儿疼痛管理方式,建议在临床逐步推广。

关键词: 家庭参与式护理;早产儿;操作性疼痛

Abstract: Objective: To investigate the effect of family integrated-care in reducing precrural pain due to heel stick among premature infants in the Neonatal Intensive Care Unit (NICU). Methods: Following convenient sampling, between June, 2018 and February, 2019, a total of 72 premature infants were included in the study and randomized into control group (n=35) and family integrated-care group (n=37) which included daily care, sensory intervention and kangaroo care with cooperation between parents and nurses. The Preterm Infant Pain Profile-Revised was used to assess the procedural pain after family integrated-care was implemented at three time points: after the third, fifth and seventh intervention. Results: Among infants in the family integrated-care group at each of the three time points, the scores of PIPP-R were 8.14±1.03, 6.65±0.86, 6.51±1.37, respectively, while the control group reported were 11.14±0.88, 11.00±084, 10.43±0.70, respectively. The result showed that, compared to the control group, the physical status and sensitivity to pain among infants in the family integrated-care group were significantly better after the fifth and seventh intervention (P<0.05). Conclusion: The family integrated-care could relieve premature infant procedural pain in NICU, promote effective communication among neonatal families, which is proved as an effective, safe and economical approach to neonatal pain relief among premature infants and is worthy of being introduced to NICU.

Key words: family integrated-care; premature infant; procedural pain

中图分类号: 

  • R47