Endotracheal suctioning in preterm infants using four-handed versus routine care.
Endotracheal suctioning in preterm infants using four-handed versus routine care.
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DOI：
10.1111/1552-6909.12004
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发表时间：
2013-01
期刊：
影响因子：
--
通讯作者：
Wiley PM
中科院分区：
文献类型：
--
作者：
Cone S;Pickler RH;Grap MJ;McGrath J;Wiley PM
目的评价四手护理对早产儿气管内吸引术与常规气管内吸引术(ETT)的生理和行为反应及康复的影响。以婴儿为自身对照的随机交叉设计。学术卫生中心的单人家庭新生儿重症监护室。10名接受常规呼吸机和直插式吸引术的婴儿，他们出生时胎龄小于37周，出生时小于1周。每个婴儿在一天内被观察两次。一项观察涉及常规ETT吸引术，另一项涉及四手护理。收集生理和行为反应数据。将基线心率(HR)或血氧饱和度(SpO2)数据与常规护理条件下吸痰期间和吸痰后的数据进行比较时，没有发现差异。在四手护理条件下，平均SpO2从观察前的95.49上升到观察饱和时的97.75(p=.001)。两组患者的唾液皮质醇水平在基线或吸痰后没有差异。两种情况下的行为状态没有显著差异。与接受四手护理的婴儿相比，接受常规护理的婴儿在吸奶后表现出更多的压力和防御行为(p=.001)，而接受四手护理的婴儿在吸吮过程中(p=.019)和吸吮后(p=.016)表现出更多的自我调节行为。吸痰后监测回调次数差异无统计学意义。吸吮过程中的四手护理与压力和防御行为的减少以及自我调节行为的增加有关。
To evaluate the effect of four-handed care on preterm infants’ physiologic and behavioral responses to and recovery from endotracheal suctioning versus routine endotracheal (ETT) suctioning. Randomized crossover design with infants as their own controls. Single-family-room newborn intensive care unit in an academic health center. Ten intubated infants on conventional ventilation with inline suctioning who were fewer than 37 weeks gestation at birth, and less than one week of age. Each infant was observed twice on a single day. One observation involved routine ETT suctioning and one involved four-handed care. Physiologic and behavioral response data were collected. No differences were noted when comparing baseline heart rate (HR) or oxygen saturation (SpO2) data to those obtained during and after suctioning while in the routine care condition. In the four-handed care condition, mean SpO2 increased from preobservation 95.49 to during observation saturation 97.75 (p = .001). Salivary cortisol levels did not differ between groups at baseline or postsuctioning. No significant difference in behavior state was observed between the two conditions. More stress and defense behaviors occurred postsuctioning when infants received routine care as opposed to four-handed care (p = .001) and more self-regulatory behaviors were exhibited by infants during (p = .019) and after suctioning (p = .016) when receiving four-handed care. No statistical difference was found in the number of monitor call-backs postsuctioning. Four-handed care during suctioning was associated with a decrease in stress and defense behaviors and an increase in self-regulatory behaviors.
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DOI：
10.1111/j.1552-6909.1995.tb02456.x
发表时间：
1995-02-01
期刊：
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
影响因子：
--
作者：
Corff, K E;Seideman, R;Yates, B
通讯作者：
Yates, B
影响因子：
2.5
作者：
Axelin, Anna;Salantera, Sanna;Lehtonen, Liisa
通讯作者：
Lehtonen, Liisa
影响因子：
4.6
作者：
KORNER, AF;KRAEMER, HC;THOM, VA
通讯作者：
THOM, VA
影响因子：
2.9
作者：
Kaiser, J. R.;Gauss, C. H.;Williams, D. K.
通讯作者：
Williams, D. K.
DOI：
10.1053/j.nainr.2006.03.006
发表时间：
2006-06-01
期刊：
NEWBORN AND INFANT NURSING REVIEWS
影响因子：
--
作者：
Clifton-Koeppel, Robin
通讯作者：
Clifton-Koeppel, Robin