Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
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DOI：
10.1016/j.pedneo.2013.11.008
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发表时间：
2014-08-01
影响因子：
2.1
通讯作者：
Armanian, Amirmohammad
中科院分区：
文献类型：
--
作者：
Badiee, Zohreh;Nassiri, Zohreh;Armanian, Amirmohammad
背景：本试验的目的是确定早产儿同床是否在足跟采血期间具有镇痛作用。方法：将 100 名孕 26 周至 34 周之间出生的早产双胞胎（50 组）接受足跟血采样，随机分为两组：同床组（在同一培养箱中接受护理）和标准护理组（在不同培养箱中接受护理）。使用早产儿疼痛评分来评估疼痛。在足跟采血后测量哭泣的持续时间，并在足跟采血前后测量唾液皮质醇。结果：标准护理组中的婴儿在足跟采血期间比同床组中的婴儿哭泣的时间更长（42.6 +/- 19.8 秒 vs. 36.4 +/- 21.7 秒，p = 0.03）。标准护理组中足跟采血后早产儿的平均疼痛评分显着较高（9.8 +/- 2.6 vs. 8.06 +/- 2.8，p = 0.002）。标准护理组中足跟采血后的平均唾液皮质醇也显着较高（24.3 +/- 7.4 nmol/L vs. 20.8 +/- 7.4 nmol/L，p = 0.02）。使用共同寝具没有发现明显的不良影响。结论：共同寝具对于双胞胎早产儿在足跟采血期间是一种安慰措施，可以在没有任何明显不良影响的情况下进行。版权所有 (C) 2014，台湾儿科学会。由爱思唯尔台湾有限公司出版。版权所有。
Background: The purpose of this trial was to determine whether cobedding of preterm twins has analgesic effects during heel lancing or not.Methods: One hundred premature twins (50 sets) born between 26 weeks' and 34 weeks' gestation undergoing heel blood sampling were randomly assigned into two groups: the cobedding group (receiving care in the same incubator) and the standard care group (receiving care in separate incubators). Pain was assessed using the premature infant pain profile score. Duration of crying was measured after heel blood sampling, and salivary cortisol was measured prior to and after heel blood sampling.Results: Infants in the standard care group cried for a longer time during heel lancing than those in the cobedding group (42.6 +/- 19.8 seconds vs. 36.4 +/- 21.7 seconds, p = 0.03). The mean premature infant pain profile score after heel lancing was significantly higher in the standard care group (9.8 +/- 2.6 vs. 8.06 +/- 2.8, p = 0.002). The mean salivary cortisol after heel lancing was also significantly higher in the standard care group (24.3 +/- 7.4 nmol/L vs. 20.8 +/- 7.4 nmol/L, p = 0.02). No significant adverse effects were seen with cobedding.Conclusion: Cobedding is a comforting measure for twin premature infants during heel lancing, which can be performed without any significant adverse effects. Copyright (C) 2014, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC. All rights reserved.