Effects of White Noise and Holding on Pain Perception in Newborns
Effects of White Noise and Holding on Pain Perception in Newborns
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DOI：
10.1016/j.pmn.2014.01.002
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发表时间：
2014-12-01
影响因子：
1.7
通讯作者：
Turker, Funda
中科院分区：
文献类型：
--
作者：
Karakoc, Ayse;Turker, Funda
对新生儿进行了这项实验研究，以比较各种无创伤护理程序在婴儿对疼痛的哭泣反应期间的效果。本研究包括从2010年4月至2010年6月期间入住卡纳卡莱州立医院产科的健康婴儿中选择的120名新生儿。患者被分为三个身体同质组。第1组的婴儿被抱在母亲的膝盖上，第2组的婴儿被抱在母亲的膝盖上，听白色噪音，第3组的婴儿躺在婴儿床上，听白色噪音，同时经历一个痛苦的过程。数据收集包括新生儿疼痛量表（用于评估足跟穿刺抽血期间对疼痛的行为反应）和研究人员开发的新生儿信息表。在侵入性操作期间记录的心率和呼吸率变化在三组中具有统计学意义（p <0.05）。在婴儿床中听白色噪音的婴儿哭闹时间最短，行为反应最低。然后，这组婴儿被母亲抱着听白色噪音。由母亲抱着但不听白色噪音的婴儿的行为反应最高。根据结果，白色噪音是一种有效的非药物方法，可以控制疼痛，减少哭泣时间，并对生命体征产生积极影响。因此，建议在新生儿接受痛苦的手术时，对他们使用白色噪音。(C)美国疼痛管理护理学会（American Society for Pain Management Nursing）
This experimental study on newborns was conducted to compare the effects of various atraumatic care procedures during an infant's crying response to pain.Included in this study were 120 newborns chosen from among healthy infants admitted to the Obstetrics Department of Canakkale State Hospital between April 2010 and June 2010. The patients were divided into three physically homogeneous groups. Infants in group 1 were held on the mothers' laps, infants in group 2 were held on the mother's laps and listened to white noise, and infants in group 3 lay in their cribs and listened to white noise while undergoing a painful procedure. Data collection included the Neonatal Infant Pain Scale, which was used to evaluate the behavioral responses to pain during a heel prick blood draw and a newborn information sheet developed by the researcher.Changes in cardiac and respiratory rates recorded during the invasive procedure were statistically significant among the three groups (p < .05). The shortest crying period and the lowest behavioral reactions were among those infants lying in their cribs and listening to white noise. This group was then followed by the infants who listened to white noise while being held by their mothers. The highest behavioral reaction was reported by those infants who were held by their mothers but did not listen to white noise.According to the results, white noise is an effective nonpharmacologic method to control pain, reduce crying time, and positively effect vital signs. Therefore, it is recommended that the use of white noise be practiced on newborns when they undergo painful procedures. (C) 2014 by the American Society for Pain Management Nursing