Preterm infant thermal responses to caregiving differ by incubator control mode.
Preterm infant thermal responses to caregiving differ by incubator control mode.
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DOI：
10.1038/sj.jp.7211002
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发表时间：
2003-12-01
期刊：
影响因子：
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通讯作者：
Thomas, Karen A
中科院分区：
文献类型：
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作者：
Thomas, Karen A
目的：探讨护理对早产儿及培养箱温度的影响，探讨护理对培养箱热反应的控制方式。研究设计：密集的受试者内设计包括连续记录40名住院早产儿的婴儿和保温箱温度，并在24小时内进行录像。使用方差分析- rm比较护理开始时的温度，以及护理补偿后5、10、15和20分钟的温度。结果：护理后，不同培养箱控制方式下婴儿和培养箱温度随时间的变化有显著差异。空气伺服控制的婴儿体温在照料后有下降的趋势，而皮肤伺服控制的婴儿体温保持相对稳定。在护理过程中，空气伺服控制的培养箱温度保持一致，皮肤伺服控制的培养箱温度升高。结论：护理的温度效应应相对于热中性的维持和无意的热刺激加以考虑。
OBJECTIVE: To determine the influence of caregiving on preterm infant and incubator temperature and to investigate incubator control mode in thermal responses to caregiving.STUDY DESIGN: The intensive within-subject design involved continuous recording of infant and incubator temperature and videotaping throughout a 24-hour period in 40 hospitalized preterm infants. Temperature at care onset was compared with care offset, and 5, 10, 15, and 20 minutes following care offset using ANOVA-RM.RESULTS: Following caregiving, infant and incubator temperature differed significantly over time by incubator control mode. In air servo-control, infant temperature tended to decrease after caregiving, while in skin servo-control infant temperature remained relatively stable. With caregiving, incubator temperature remained consistent in air servo-control and increased in skin servo-control.CONCLUSIONS: The temperature effects of caregiving should be considered relative to maintenance of thermoneutrality and unintentional thermal stimulation.