'Facilitated tucking by parents' in pain management of preterm infants -: a randomized crossover trial
'Facilitated tucking by parents' in pain management of preterm infants -: a randomized crossover trial
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DOI：
10.1016/j.earlhumdev.2005.09.012
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发表时间：
2006-04-01
影响因子：
2.5
通讯作者：
Lehtonen, Liisa
中科院分区：
文献类型：
--
作者：
Axelin, Anna;Salantera, Sanna;Lehtonen, Liisa
背景：需要一种安全有效的非药物治疗。早产儿疼痛处理方法。父母可以在疼痛管理中给予积极的参与，这可能有助于父母应对与婴儿疼痛情况相关的压力。目的：研究一种称为“父母便利收纳”的方法（父母以弯曲的姿势抱着婴儿）在早产儿气管内/咽吸过程中疼痛管理的有效性。此外，还研究了家长对该方法的看法。研究设计：随机交叉试验。研究对象：20名早产儿及其父母中的一方参与了这项研究。婴儿的胎龄为24至33周（中位28周），出生后年龄为6至37天（中位15天）。结局指标：主要结局为新生儿疼痛量表（NIPS）评分。记录心率和血氧饱和度。家长们完成了一份关于他们对手术的看法的调查问卷。结果：采用“家长辅助收口”的NIPS评分中位数为3分（2 ~ 6分），不采用吸痰的NIPS评分中位数为5分（2 ~ 7分）（p < 0.001）。在父母的帮助下，婴儿平静下来的速度更快（5秒比17秒，p = 0.024）。与对照护理相比，20名家长中有19名更喜欢在吸痰时方便地收纳。结论：父母辅助收纳是一种有效、安全的早产儿抽吸过程疼痛管理方法。这项研究表明，父母可以在早产儿的疼痛护理中发挥积极的作用。2005爱思唯尔爱尔兰有限公司版权所有。
Background: There is a need for a safe and effective non-pharmacological. pain management method for preterm infants. The parents could be given an active rote in the pain management which may help the parents to cope with the stress related to painful situations of the infant.Aims: To examine the effectiveness of a method called 'facilitated tucking by parents' (a parent holds the infant in a flexed position) in pain management during endotracheal/pharyngeal suctioning of preterm infants. In addition, the parental perception of the method was studied.Study design: A randomized crossover trial.Subjects: Twenty preterm infants with one of their parents participated in the study. Infants' gestational age ranged from 24 to 33 (median 28) weeks and postnatal age from 6 to 37 days (median 15 days).Outcome measures: The primary outcome was the Neonatal Infant Pain Scale (NIPS) score. Heart rate and oxygen saturation were recorded. Parents completed a questionnaire about their perception of the procedure.Results: The highest NIPS score was median 3 (range from 2 to 6) using 'facilitated tucking by parents' and median 5 (range from 2 to 7) without tucking during suctioning (p < 0.001). The infants calmed down more quickly after 'facilitated tucking by parents' (5 s vs. 17 s, p = 0.024). Nineteen out of twenty parents preferred facilitated tucking during suctioning compared to control care.Conclusions: Facilitated tucking by parents is an effective and safe pain management method during suctioning of preterm infants. This study shows that parents can be given an active rote in the pain care of their preterm infants. (c) 2005 Elsevier Ireland Ltd. All rights reserved.