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題名：非營養性吸吮對早產兒抽痰生理指標之成效
書刊名：榮總護理
作者：侯慧明／張和美／陳永娟
作者(外文)：Hou, Hui-ming／Chang, Ho-mei／Chen, Yong-chuan
出版日期：2007
卷期：24:4
頁次：頁329-337
主題關鍵詞：早產兒；非營養性吸吮；生理指標；Preterm infants；Nonnutritive sucking；Physiological parameters
原始連結：連回原系統網址new window
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非營養性吸吮為早產兒發展性照護措施之一，可以減緩早產兒在新生兒加護病房因侵入性刺激所造成的不適。本研究目的在探討早產兒執行口鼻抽痰後非營養性吸吮對穩定生理指標之成效。採類實驗研究設計之交叉配對，進行重覆測量。選取中部某醫學中心新生兒加護病房，共30名符合收案條件的早產兒。以生理指標監測儀 (Dragerfer EKG) 於抽痰前10分鐘、抽痰時及抽痰後10分鐘，每分鐘記錄早產兒心跳、呼吸及血氧值之變化。實驗組，抽痰後立即於早產兒口中放入含蒸餾水之安撫奶嘴，對照組則未提供合蒸餾水之安撫奶嘴。資料分析與統計以平均值、標準差、最大值、最小值及一般線性模式混合模式 (GLM-Mixed Model) 等。研究結果顯示接受非營養性吸吮之早產兒在抽痰後1分鐘之心跳比對照組平穩7.93次/分，具統計上之顯著差異(t=2.066, P<.05)。血氧值方面，實驗組與對照組之血氧值於抽痰後第一至二分鐘有組別間之顯著差異(t=-4.186, -2.962, P=.000, .003)，實驗組的早產兒血氧值比對照組的上升1.9%，但在呼吸方面則無統計上顯著差異。非學養性吸吮能使早產兒抽痰後血氧值較穩定，期盼本研究能提供臨床護理人員於早產兒抽痰後，給予非營養性吸吮之實證基礎。
The purpose of this study was to examine the effects of nonnutritive sucking on the physiological response of preterm infants after suctioning. A quasi-experimental cross over and repeated measurement was employed. Thirty preterm infants were recruited. Heart rate, respiratory rate, and oxygen saturation were recorded at 1-minute intervals using EKG monitor 10 minutes before, during, and 10 minutes after suctioning. In the intervention group, water-moistened pacifiers were placed into preterm infants' mouths immediately after suctioning. Results indicated that after suctioning 1 minute intervention group had a more stable heart rate 7.93 bpm (t=2.066, P<.05). There was a significant difference on oxygen saturation between two groups after suctioning 1 to 2 minutes (t=-4.186, -2.962, P=.000,. 003) showing 1.9% higher oxygen saturation in the intervention group. We hope to provide this evidence to the clinical setting.
期刊論文
1.Byers, J. F.(2003)。Components of developmental care and the evidence for their use in the NICU。The American Journal of Maternal/Child Nursing，28(3)，174-180。  new window
2.Corbo, M. G.、Mansi, G.、Stagni, A.、Romano, A.、van den Heuvel, J.、Capasso, L.(2000)。Nonnutritive sucking during heelstick procedures decreases behavioral distress in the newborn infants。Biology of Neonates，77(3)，162-167。  new window
3.Bo, L. K.、Callaghan, P.(2000)。Soothing painelicited distress in Chinese neonate。Pediatrics，105(4)，49-53。  new window
4.Als, H.、Lawhon, G.、Duffy, F.、McAnulty, G. B.、Gibes-Grossman, R.、Blickman, J. G.(1994)。Individualized development care for the very low-birth-weight preterm infant。Journal of the American Medical Association，272(11)，853-858。  new window
5.Miller, H. D.、Anderson, G. C.(1993)。Nonnutritive sucking: Effects on crying and heart rate in intubated infants requiring assisted mechanical ventilation。Nursing Research，42(5)，305-307。  new window
6.Gibbins, S.、Stevens, B.(2001)。Mechanisms of sucrose and nonnutritive sucking in procedural pain management in infants。Pain Research Management，6(1)，21-28。  new window
7.Field, T.、Ignatoff, E.、Stringer, S.、Brennan, J.、Greenberg, R.、Widmayer, S.、Anderson, G. C.(1982)。Nonnutritive sucking during tube feeding: Effects on preterm neonates in an intensive care unit。Pediatrics，70(3)，381-384。  new window
8.DiPietro, J. A.、Cusson, R. M.、Caughy, M. O.、Fox, N. A.(1994)。Behavioral and physiologic effects of nonnutritive sucking during gavage feeding in preterm infants。Pediatric Research，36(2)，207-214。  new window
9.Durand, M.、Sangha, B.、Cabal, L. A.、Hoppenbrouwers, T.、Hodgman, J. E.(1989)。Cardiopulmonary and intracranial pressure change related to endotracheal suctioning in preterm infants。Critical Care Medicine，17(6)，506-510。  new window
10.Stevens, B.、Johnston, C. C.(1994)。Physiological response of premature infants to a painful stimulus。Nursing Research，43(4)，226-231。  new window
11.Shiao, S. P. K.、Chang, Y.、Lannon, H.、Yarandi, H.(1997)。Meta-analysis of the effects of nonnutritive sucking on heart rate and peripheral oxygenation: Research from the past 30 years。Issues in Comprehensive Pediatric Nursing，20(1)，11-24。  new window
12.Pinelli, J.、Symington, A.、Ciliska, D.(2002)。Nonnutritive Sucking in High-Risk Infants: Benign Intervention or Legitimate Therapy?。Journal of Obstetric, Gynecologic, & Neonatal Nursing，31(5)，582-591。  new window
13.Paludetto, R.、Robertson, S. S.、Hack, M.、Shivpuri, C. R.、Martin, R. J.(1984)。Transcutaneous oxygen tension during nonnutritive sucking in preterm infants。Pediatrics，74(4)，539-542。  new window
14.Pickler, R. H.、Higgins, K. E.、Crummette, B. D.(1993)。The effect of nonnutritive sucking on bottle feeding stress in preterm infants。Journal of Obstetric, Gynecologic, and Neonatal Nursing，22(3)，230-234。  new window
15.Stevens, B.、Johnston, C. C.、Horton, L.(1993)。Multidimensional Pain Assessment in Premature Neonates: A Pilot Study。Journal of Obstetrical, Gynecological and Neonatal Nursing，22(6)，531-541。  new window
16.Youngmee, A.、Yonghoon, J.(2003)。The effects of shallow and the deep endotracheal suctioning on oxygen saturation and heart rate in high-risk infant。International Journal of Nursing Studies，40(2)，97-104。  new window
17.Stevens, B.、Johnston, C.、Frank, L.、Petryshen, P.、Jack, A.、Foster, G.(1999)。The efficacy of developmentally sensitive interventions and sucrose for relieving procedural pain in very low birth weight neonates。Nursing Research，48(1)，35-43。  new window
學位論文
1.張和美(2006)。評價早產兒抽痰時包裹四肢對穩定生理指標的效果--李文能量保存護理模式之應用(碩士論文)。中國醫藥大學。  延伸查詢new window
 
 
 
 
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