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題名:袋鼠護理對足月兒睡眠與哭之影響
書刊名:護理研究
作者:黃秀華
作者(外文):Shiau Hwang, Shiow-Hwa
出版日期:1999
卷期:7:3
頁次:頁198-208
主題關鍵詞:袋鼠護理睡眠隨機控制試驗Kangaroo careCryingSleepRandomized controlled trial
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(5) 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:5
  • 共同引用共同引用:0
  • 點閱點閱:30
     在新生兒適應子宮外生活期間,預防其哭泣及使其睡眠達到較佳的狀 態,對其日後的發展是很重要的。本研究係一實驗法之隨機控制試驗(randomized controlled trial),共有44對母兒參與。研究的目的是要瞭解袋鼠護理對新生兒出生 後第一天、第二天、第三天及三天內之睡眠狀態與哭之影響。本研究使用的測量 方法是依據安德森行為狀態量表(Anderson Behavioral State Scale)中對睡眠、哭泣、 及清醒之定義,於新生兒出生後4小時,每小時觀察及記錄新生兒之行為狀態, 每天觀察24小時,共持續三天。研究結果發現,一般護理組和袋鼠護理組之 坽 哭泣行為次數,除第三天外,在第一天、第二天、及三天內總和,袋鼠護理組的 新生兒有顯著的減少。夌睡眠行為,在第一天、第二天、第三天、及三天內總和, 袋鼠護理組的新生兒有顯著的增加。奅清醒狀態,除在第一天和第二天外,在第 三天、及三天內總和,袋鼠護理組的新生兒有顯著的減少。本研究結果可證實袋 鼠護理對新生兒哭泣及使其睡眠達到較佳狀態有其效果,此護理方法是值得醫護 人員在臨床上加以推廣,使新生兒得到更佳的照護。
     During the period of extrauterine adaptation, reducing neonates' crying and improving their sleep status are very important to the infant's later development. An experimental design was used in this randomized controlled trial (RCT) to test the effects of kangaroo care (KC) on infant's sleep and crying during Day 1, Day 2, Day 3 and within these 3 days after delivery. The sample consisted of 44 mother-infant dyads. The Anderson Behavioral State Scale was used to measure sleep, crying and wakefulness. These behaviors were observed and recorded once every hour 24 hours daily for 3 consecutive days after delivery. The results showed: 坽a significant decrease in infant crying behavior for the KC neonates during Day 1, Day 2, and within 3 days; 夌a significant increase in infant sleep for the KC neonates during Day 1, Day 2, Day 3, and within 3 days; 奅a significant decrease in infant wakefulness for the KC neonates during Day 3 and within 3 days. These results demonstrate the positive effects of the kangaroo method of care on crying and sleep. It is recommended that kangaroo care be incorporated into standard care in order to improve neonate care.
期刊論文
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2.Bell, S. M.、Ainsworth, M. D.(1972)。Infants crying and maternal responsiveness。Child Development,43(4),1171-1190。  new window
3.Anderson, G. C.(1989)。Skin to skin: Kangaroocare in western Europe。American Journal of Nursing,89,662-667。  new window
4.Anderson, G. C.(1988)。Crying, foramen ovale shunting and cerebral volume。Journal of Pediatrics,113,411-412。  new window
5.Als, H.、Gilkerson, L.(1995)。Developmentally supportive care in the neonatal intensive care unit。Zero to Three,15,2-17。  new window
6.Christensson, K.、Siles, C.、Moreno, L.、Belaustequi, A.、De La Fuente, P.、Lagercrantz, H.、Puyol, P.、Winberg, J.(1992)。Temperature, metabolic adaptation and crying in healthy full-term newborns cared for skin-to-skin or in a cot。Acta Paediatrica,81,488-493。  new window
7.Brooke, C. G.、Alvear, J.、Arnold, M.(1979)。Energy retentiony energy expenditure and growth in healthy immature infants。Pediatrics Research,13,215-220。  new window
8.Gill, N. E.、Behnke, M.、Conlon, M.、McNeely, J. B.、Anderson. G. C.(1988)。Effect of nonnutritive sucking on behavioral state in preterm infants before feeding。Nursing Research,37,347-350。  new window
9.Gill, N. E.、White, M. A.、Anderson, G. C.(1984)。Transitional newborn infants in a hospital nursery: From first oral cue to first sustained cry。Nursing Research,33,213-217。  new window
10.Detterman, D. K.(1978)。The effect of heartbeat sound on neonatal crying。Infant Behavior and development,1,36-48。  new window
11.Deiriggi, P. M.(1990)。The effects of waterbed flotation on indicators of energy expenditure in premature infants。Nursing Research,39,140-146。  new window
12.Landstrom, A.、Landstrom, R.(1985)。Changes in wakefulness during exposure to whole body vibration。Electroencephalography and Clinical Neurophysiology,61,411-415。  new window
13.Keefe, M.(1987)。Comparison of neonatal sleepwake patterns in nursery versus rooming-in environments。Nursing Research,36,140-144。  new window
14.Hayden, C. K.、Shattuck, K. E.、Richardson, C. V.、Ahrendt, D. K.、House, R.、Swischuk, L. E.(1985)。Subependymal germinal matrix hemorrhage in full-term neonates。Pediatrics,75,714-718。  new window
15.Harpin, V. A.、Chellappah, G.、Rutter, N.(1983)。Responses of the newborn infant to overheating。Biology of the Neonate,44,65-76。  new window
16.Ludington-Hoe, S. M.、Hashemi, M. S.、Argote, L. A.、Medellin, G.、Rey, H.(1992)。Selected physiologic measures and behavior during paternal skin contact with Colombian preterm infants。Journal of Developmental Physiology,18,223-232。  new window
17.Ludington-Hoe, S. M.、Hadeed, A. J.、Anderson, G. C.(1991)。Physiologic responses to skin-to-skin contact in hospitalized premature infants。Journal of Perinatology,11,19-24。  new window
18.Wahlberg, V.、Affonso, D.、Persson, B.(1992)。A retrospective comparative study using the kangaroo method as a complement to standard incubator care。European Journal of Public Health,2,34-37。  new window
19.Tynan, D. W.(1986)。Behavioral stability predicts morbidity and mortality in infants from a neonatal intensive care unit。Infant Behavior and Development,9,71-79。  new window
20.Sloan, N.、Camacho, L. W.、Rojas, E. P.、Stern, C.、Maternidad Isidro Ayora Study Team(1994)。Kangaroo mother method: Randomized controlled trial of an alternative method of care for stabilized low-birthweight infants。Lancet,344,782-785。  new window
21.Bosque, E. M.、Brady, J. P.、Affonso, D. D.、Wahlberg, V.(1995)。Physiologic measures of kangaroo versus incubator care in a tertiary-level nursery。Journal of Obstetric, Gynecologic, and Neonatal Nursing,24(3),219-226。  new window
22.Conlon, M.、Anderson, G. C.(1990)。Three methods of random assignment: Comparison of balance achieved on potentially confounding variables。Nursing Research,39,376-379。  new window
23.Ludington, S. M.(1990)。Energy conservation during skin-to-skin contact between premature infants and their mothers。Heart & Lung,19(5),445-451。  new window
24.Messmer, P. R.、Washburn, K.、Rodriguez, S.、Zahaleta, I.、Adams, J.、Abreu, S.、Wells-Genrry, J.(1997)。Effect of kangaroo care on sleep time for neonates。Pediatric Nursing,23(4),408-414。  new window
25.Ludington-Hoe, S. M.、Thompson, C.、Swinth, J.、Hadeed, A. J.、Anderson, G. C.(1994)。Kangaroo care: Research results, and practice implications and guidelines。Neonatal Network,13(1),19-27。  new window
26.Charpak, N.、Ruiz-Pelaez, J. G.、De Calume, Z. F.、Charpak, Y.(1997)。Kangaroo Mother Versus Traditional Care for Newborn Infants ≤2000 Grams: A Randomized, Controlled Trial。Pediatrics,100(4),682-688。  new window
27.Christensson, K.、Cabrera, T.、Christensson, E.、Uvnas-Moberg, K.、Winberg, J.(1995)。Separation Distress Call in the Human Neonate in the Absence of Maternal Body Contact。Acta Paediatrica,84,468-473。  new window
28.Ludington-Hoe, S. M.、Anderson, G. C.、Simpson, S.、Hollingsead, A.、Argote, L. A.、Medellin, G.、Rey, H.(1993)。Skin-to-skin contact beginning in the delivery room for Colombian mothers and their preterm infants。Journal of Human Lactation,9,241-242。  new window
學位論文
1.Shiau, S. H. H.(1997)。Randomized controlled trial of kangaroo care with fullterm infants: Effects on maternal anxiety, breastmilk maturation, breast engorgement and breastfeeding status(博士論文)。Case Western Reserve University,Cleveland, Ohio。  new window
單篇論文
1.Anderson, G. C.(1989)。Crying in transitional newborn infants: Physiology and developmental implications,Cleveland, Ohio:Case Western Reserve University, College of Nursing。  new window
2.Malecki, M. P.,Anderson, G. C.(1998)。Transitional newborn infants in self-regulatory parental care: Amount of crying 0-60 minutes postbirth。  new window
圖書論文
1.Lambesis, C. C.、Vidyasagar, D.、Anderson, G. C.(1979)。Effects of surrogate mothering on physiologic stabilization in transitional newborns。Newborn behavioral organization: Nursing research and implications。New York:Liss。  new window
2.Lind, J.、Stern, L.、Wegelius, C.(1964)。Human fetal and neonatal circulation。The human fetal and neonatal circulation。Springfield, IL:Thomas。  new window
3.Mestyan, J.(1978)。Energy metabolism and substrate utilization in the newborn。Temperature regulation and energy metabolism in the newborn。New York:Grune & Stratton。  new window
 
 
 
 
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