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來源文獻資料
摘要
外文摘要
引文資料
題名:
Comparison of Pain Responses of Premature Infants to the Heelstick between Containment and Swaddling
書刊名:
The Journal of Nursing Research
作者:
黃金梅
/
董宛姝
/
郭麗坽
/
張瑩如
作者(外文):
Huang, Chin-mei
/
Tung, Wan-shu
/
Kuo, Li-lin
/
Chang, Ying-ju
出版日期:
2004
卷期:
12:1
頁次:
頁31-40
主題關鍵詞:
早產兒
;
扎足跟血
;
寧握護理
;
布包裹
;
疼痛
;
Premature
;
Heelstick
;
Containment
;
Swaddling
;
Pain
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
2
共同引用:
1
點閱:48
本研究之目的在比較寧握及布包裹護理對扎足跟血之早產兒的心跳、血氧飽和度及疼痛量表得分之差異。研究方法是採交叉配對實驗設計,研究對象為32位出生週數少於37週、體重 �T 2,500公克及未被診斷為先天心臟病、畸形、敗血症或第三度及以上腦室出血的早產兒。同一研究對象在不同時段接受扎足跟血檢查時,分別隨機抽樣寧握及布包裹護理,在扎足跟血前5分及之後11分鐘同時監測心跳、血氧飽和度、臉部表情變化及PIPP (Premature Infant Pain Profile) 量表得分;以配對t 檢定發現:(1) 扎足跟血後接受兩種護理處置時,平均心跳及血氧飽和濃度分別大於及小於基準值 (p < .05),接受布包裹之早產兒比寧握護理組回復到基準值的時間快,但兩種護理處置之下,心跳及血氧飽和濃度均無顯著差異。(2) PIPP之總得分顯示布包裹護理處置對於扎足跟血之疼痛比寧握護理的得分低,但兩種護理處置之下,在第三分及第七分鐘有顯著之差異 (p < .05)。整體而言,使用布包裹及寧握護理對於急性疼痛所產生之生理及行為上的壓力之穩定作用並無太大之差異,本研究結果提供早產兒急性疼痛護理的實證基礎,在臨床上布包裹及寧握護理可以依早產兒個別差異相互取代使用。
以文找文
The objective of this study was to compare the effects of containment and swaddling on premature infants' heart rates (HR), oxygen saturation (SpO2), and the Premature Infant Pain Profile (PIPP) scores after heelstick. The study used a cross-over experimental design, 32 premature infants with gestational age < 37 weeks, bodyweight 2,500 grams, and no diagnosis of congenital heart disease, deformity, sepsis or Grade 3 intraventricular hemorrhage were selected as subjects. Each subject was randomly assigned to containment or swaddling once while undergoing two heelsticks in different time periods. Heart rate, oxygen saturation, facial expression and PIPP score were recorded from 5 minutes before to 11 minutes after heelstick. According to the paired t test, the results showed (1) that mean HR was higher and mean SpO2 was lower than their respective baseline values under the two interventions after heelstick (p < .05), and that premature infants in swaddling returned to their baseline HR and SpO2 values in shorter time periods compared to those in containment, though the variations of HR and SpO2 between the two interventions exhibited no significant differences; and (2) that pain responses to heelstick under swaddling yielded lower scores than those under containment according to the total PIPP scores, but significant difference between the two interventions was only found at the 3rd and 7th minute. As a whole, there is little difference between the effects of swaddling and containment on attenuating physiological and behavioral stress caused by acute pain. The results of this study can serve as an evidence basis for nursing interventions in acute pain for premature infants. In clinical practice, containment and swaddling can be administered interchangeably according to patients' individual differences.
以文找文
期刊論文
1.
Gray, J. E.、Richardson, D. J.、McCormick, M. C.、Workman-Daniels, K.、Goldmann, D. A.(1992)。Neonatal therapeutic intervention scoring system: A therapy-based severity-of-illness index。Pediatrics,90(4),561-567。
2.
梁幸如、王如華、張玉坤、王銘賢(20000800)。寧握護理對早產兒扎足跟血的疼痛減輕之探討。醫學研究,20(7),368-376。
延伸查詢
3.
Als, H.(1982)。Toward a synactive theory of development: promise for the assessment and support of infant individuality。Infant Mental Health Journal,3(4),229-243。
4.
Als, H.、Lawhon, G.、Duffy, F. H.、McAnulty, G. B.、Gibes-Grossman, R.、Blickman, J. G.(1994)。Individualized developmental care for the very low birth weight preterm infant: Medical and neurofunctional effects。The Journal of the American Medical Association,272(11),853-858。
5.
Anand, K. J. S.、Phil, D.、Hickey, P. R.(1987)。Pain and its effect in the human neonate and fetus。The New England Journal of Medicine,317(21),1321-1329。
6.
Anand, K. J. S.、Carr, D. B.(1989)。The neuroanatomy, neurophysiology, and neurochemistry of pain, stress, and analgesia in newborns and children。The Pediatric Clinics of North America,36,795-822。
7.
Anand, K. J. S.、Phil, D.、Hickey, P. R.(1992)。Halothane-morphine compared with high-dose sufentanil for anesthesia and postoperative anesthesia in neonatal cardiac surgery。The New England Journal of Medicine,326,1-9。
8.
Campos, R. G.(1989)。Soothing pain: Elicited distress in infants with swaddling and pacifier。Child Development,60,781-792。
9.
Corff, K. E.、Seideman, R.、Venkataraman, P. S.、Lutes, L.、Yates, B.(1995)。Facilitated tucking: A nonpharmacologic comfort measure for pain in preterm neonates。Journal of Obstetric Gynecologic and Neonatal Nursing,24(2),143-147。
10.
Field, T.(1990)。Alleviating stress in newborn infants in the intensive care unit。Clinics in Perinatology,17(1),1-9。
11.
Gorski, P. A.、Huntington, L.、Lewkowicz, D. J.(1990)。Handling preterm infants in hospitals: Stimulating controversy about timing of stimulation。Clinics in Perinatology,17(1),103-112。
12.
Grunau, R. V. E.、Whitfield, M.、Petrie, J.、Fryer, E. L.(1994)。Early pain experience, child and family factors, as precursors of somatization: A prospective of extremely premature and fullterm children。Pain,56,353-359。
13.
Grunau, R. V. E.、Whitefield, M.、Petrie, J.(1994)。Pain sensitivity and temperament in extremely low-birth-weight premature toddlers and preterm and full-term controls。Pain,58,341-346。
14.
Grunau, R.(2002)。Early pain in preterm infant. A model of long-term effects。Clinics in Perinatology,29(3),373-394。
15.
Johnston, C. C.、Stevens, B. J.、Frank, L. S.、Jack, A.、Stremler, R.、Platt, R.(1999)。Factors explaining lack of response to heel stick in preterm newborns。Journal of Obstetric Gynecologic and Neonatal Nursing,28(6),587-594。
16.
Neu, M.、Browne, J. V.(1997)。Infant physiologic and behavioral organization during swaddled versus unswaddled weighing。Journal of Perinatology,17(3),193-198。
17.
Stevens, B. J.、Johnston, C. C.(1994)。Physiological responses of premature infants to a painful stimulus。Nursing Research,43(4),226-231。
18.
Stevens, B. J.、Franck, L.(1995)。Special needs of preterm infants in the management of pain and discomfort。Journal of Obstetric Gynecologic and Neonatal Nursing,24(9),856-862。
19.
Stevens, B. J.、Johnston, C. C.、Grunau, R. V. E.(1995)。Issues of assessment pf pain and discomfort in neonates。Journal of Obstetric Gynecologic and Neonatal Nursing,24(9),849-855。
20.
Stevens, B. J.、Johnston, C. C.、Petryshen, P.、Taddio, A.(1996)。Premature infant pain profile: Development and initial validation。The Clinical Journal of Pain,12(1),13-22。
21.
曹伯年、滕儒錚、吳宗瑾、唐禎瑞、鄒國英(1998)。臺灣極低體重兒的早期預後。臺灣醫學會雜誌,97(7),471-476。
延伸查詢
22.
Velasco-Whetsell, M.、Even, J. C.、王銘賢(1992)。Do postsuctioning transcutaneous PO2 values change when a neonate's movements are restrained?。Journal of Perinatology,12,333-337。
23.
王銘賢、顧小明(1995)。寧握護理對早產兒抽痰的效益評估。榮總護理,14(4),406-414。
延伸查詢
圖書
1.
余玉眉、田聖芳、蔣欣欣(1991)。質性研究:田野研究法於護理學之應用。臺北:巨流。
延伸查詢
2.
Fitzgerald, M.(1993)。Development of pain pathways and mechanism。Pain in neonates。Amsterdam, Netherlands。
3.
Franck, L.(1993)。Identification, management, and prevention of pain in the neonate。Comprehensive Neonatal Nursing: A Physiologic Perspective。Philadelphia, PA。
4.
Grossman, R. G.、Lawhon, G.(1993)。Individualized supportive care to reduce pain and stress。Pain in neonates。Amsterdam, Netherlands。
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