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題名：運用行為介入法減輕新生兒接種疫苗之疼痛
書刊名：護理暨健康照護研究
作者：周伊純／葉宏軒／張麗玉／林建亨
作者(外文)：Chou, Yi-chun／Yip, Wang-hin／Chang, Li-yu／Lin, Chien-heng
出版日期：2012
卷期：8:1
頁次：頁3-13
主題關鍵詞：行為介入法；新生兒；接種疫苗之疼痛；Behavioral intervention；Newborn；Vaccination pain
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:21
  • 點閱點閱:69
背景: 新生兒時期最常發生疼痛的事件之一是接種疫苗，但接種疫苗的疼痛通常都被忽略且沒有被處理。 目的: 本研究旨在探討行為介入法（聽音樂加上貼胸拍背安撫）對減輕新生兒因接種疫苗所引起疼痛之成效。 方法: 研究對象為中部某區域教學醫院嬰兒室需接種卡介苗或B型肝炎疫苗之新生兒，共有149位，採隨機取樣方式，66位實驗組及99位對照組，以視覺類比量表（visual analog scale, VAS）、修改後成人嬰幼兒平靜及悲痛測量（measure of adult and infant smoothing and distress, MAISD）、心率差異（heart ratevariability, HRV）及新生兒臉部辨識系統量表（neonatal facial coding scale system, NFCSS）等方式，進行疼痛評估。 結果: 研究結果發現，運用行為介入法之實驗組，在視覺類比量表（VAS）之疼痛評估分數及修改後成人嬰幼兒平靜及悲痛測量（MAISD）之疼痛評估分數皆顯著低於對照組（分別為 66.40 ± 16.02 vs 73.31 ± 14.22, p < .02；0.31 ± 0.41 vs 0.62 ± 0.58, p < .03）。 結論: 臨床上對新生兒疫苗注射之疼痛常被忽略，然而音樂與貼胸拍背安撫之行為介入法是一種簡單、實用且有效緩解新生兒疼痛之方法。建議日後執行新生兒相關疫苗注射時，均能運用行為介入法來緩解新生兒因接種疫苗引起之疼痛感受，進而提升照護品質。
Background: Receiving vaccinations is one of the most painful events of infancy. Healthcare staffs often fail to appreciate this and conduct vaccinations without pain management. Purpose: This study investigated the effectiveness of behavioral interventions (listening to music, cuddling and backpatting)on reducing vaccination distress in neonates. Methods: Researchers enrolled a total of 149 neonates who underwent routine HBV or BCG vaccinations at a regional teaching hospital in central Taiwan. Eighty-eight were assigned to the experimental group and 99 to the control group.Researchers assessed vaccination pain using a visual analog scale (VAS), measure of adult and infant smoothing and distress (MAISD), heart rate variability (HRV), and the neonatal facial coding scale system (NFCSS). Results: VAS and MAISD scores were significantly lower in the experimental group than the control group (66.40±16.02 vs. 73 .31 ± 14.22 and p < .02, 0.31 ± 0.41 vs. 0.62 ± 0.58 , p < .03, respectively). Conclusions: Behavioral interventions represent a simple, practical and effective approach to alleviating neonate vaccination pain. Their proper application to improve neonatal care quality is recommended.
期刊論文
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2.劉美芳、李慈音(20061200)。早產兒和新生兒之疼痛處置與護理評估。護理雜誌，53(6)，65-72。new window  延伸查詢new window
3.Cook, Janet D.(1981)。The therapeutic use of music: A literature review。Nursing Forum，20(3)，252-266。  new window
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5.Cohen, L. L.、MacLaren, J. E.、Fortson, B. L.、Friedman, A.、DeMore, M.、Lim, C. S.、Gangaram, B.(2006)。Randomized clinical trial of distraction for infant immunization pain。Pain，125(1/2)，165-171。  new window
其他
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8.劉美芳(Liu, M. F.)(2007)。比較非營養性吸吮和口服葡萄糖溶液對新生兒接受靜脈穿刺之疼痛減緩效果(A comparison of non-nutritive sucking versus oral glucose solution for pain relief in newborns experiencing venepuncture)。  延伸查詢new window
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