Facilitated tucking: a nonpharmacologic comfort measure for pain in preterm neonates.
Facilitated tucking: a nonpharmacologic comfort measure for pain in preterm neonates.
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DOI：
10.1111/j.1552-6909.1995.tb02456.x
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发表时间：
1995-02-01
期刊：
影响因子：
--
通讯作者：
Yates, B
中科院分区：
文献类型：
--
作者：
Corff, K E;Seideman, R;Yates, B
目的：为了确定“促进性掖被子”的有效性，一种非药物护理干预，作为一种舒适措施，在调节早产儿对轻微疼痛的生理和行为反应。设计：前瞻性，重复测量，随机序列和实验。设置：三级护理大学儿科医院的III级新生儿重症监护室。参与者：30名早产儿，妊娠25-35周。干预：心率、氧饱和度和睡眠状态分别在两个脚跟蹬踏前12分钟、蹬踏中和蹬踏后15分钟记录下来，一个脚跟蹬踏时有帮助，一个脚跟蹬踏时没有帮助。早产儿的心率和血红蛋白氧饱和度变化较小，哭闹和睡眠中断时间较短，与不使用时相比，使用易化内缩的脚后跟刺激时睡眠状态的波动更小。结果：新生儿表现出较低的平均心率6-10分钟后坚持（p < 0.04），平均哭闹时间缩短（p < 0.001），平均睡眠中断时间较短（p < 0.001），睡眠状态变化较少（p = 0.003）后脚跟坚持与促进tucking比没有。结论：易化盖被是减轻早产儿对轻微疼痛的心理和行为反应的有效舒适措施。
OBJECTIVE: To identify the effectiveness of "facilitated tucking," a nonpharmacologic nursing intervention, as a comfort measure in modulating preterm neonates' physiologic and behavioral responses to minor pain.DESIGN: Prospective, repeated measure, random sequencing, and experimental.SETTING: Level III neonatal intensive-care unit of a tertiary care university pediatric hospital.PARTICIPANTS: Thirty preterm neonates, 25-35 weeks gestation.INTERVENTIONS: Heart rate, oxygen saturation, and sleep state were recorded 12 minutes before, during, and 15 minutes after two heelsticks, one with and one without facilitated tucking.HYPOTHESIS: Premature neonates will have less variation in heart rate and hemoglobin oxygen saturation, shorter crying and sleep disruption times, and less fluctuation in sleep states in response to the painful stimulus of a heelstick with facilitated tucking than without.RESULTS: Neonates demonstrated a lower mean heart rate 6-10 minutes post-stick (p < 0.04), shorter mean crying time (p < 0.001), shorter mean sleep disruption time (p < 0.001), and fewer sleep-state changes (p = 0.003) after heelstick with facilitated tucking than without.CONCLUSION: Facilitated tucking is an effective comfort measure in attenuating premature neonates' psychologic and behavioral responses to minor pain.