Development of nursing care for the susceptibility of extremely low birth weight infants after the treatment of endotracheal aspiration

极低出生体重儿气管内抽吸治疗后易感性的护理进展

• 批准号: 14370822
• 负责人: KONDOH Yoshie
• 金额: $ 2.94万
• 依托单位: Keio University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14370822/
• 关键词: newborn infant; extremely low birth weight infant; randomized controlled trial; endotracheal suction; neonatal nursing; positioning; neonatal intensive care unit; developmental care; 吸引; 腹臥位; ストレスサイン; 睡眠覚醒状態; 行動観察; 無作為比較臨床試験

This study aimed to clarify the effect of "flexed prone posture with boundaries" on infants after the treatment of endotracheal aspiration through observation of behavioral condition and comparison with the effects of a routine care. The cases comprised nine extremely low birth weight infants, whose average intrauterine age had been 26.3 weeks (from 25 weeks and 1 day to 28 weeks and 1 day) and average body weight at birth had been 811.8 g (from 648 g to 1,104 g). The infants, whose parents had agreed to their participation in this study, were randomly allocated into two groups of interposition (n = 4) and control (n = 5) by an envelope method. Each case in the two groups was observed and analyzed at every 2 minutes, from before the aspiration to 30 minutes after the aspiration, based on the following three indices : functioning of the autonomic system that was estimated by the measurement of heart rate and oxygen saturation, the stress sign that was collectively estimated from the par … More ameters of motoric system obtained by the observation of behavior, and the dormant condition that was estimated according to the Thoman classification. The validity of the behavioral parameters, the reliability of the measurement, and the comparability of the interposition had been ensured before the collection of the data. Furthermore, an application form of ethical review concerned with this study had been accepted by both the ethical review board and the clinical trial judging committee.The results revealed that there was no difference between the counts of stress sign from "flexed prone posture with boundaries" and those from routine care. However, the counts of stress sign at 1 min after the interposition were less than the reference, and the low counts, such as 1-1.5, were maintained subsequently.The estimation of transitional stress sign and behavioral condition of a larger number of cases than those included in this study should be performed, since it is affected by the severity and the maturation of the cases. Less

本研究旨在通过观察行为状况并与常规护理的效果进行比较，阐明“有边界的屈曲俯卧位”对婴幼儿气管内吸痰治疗后的影响。这些病例包括9名极低出生体重儿，其平均胎龄为26.3周（从25周零1天至28周零1天），出生时平均体重为811.8克（从648克至1 104克）。采用信封法将父母同意参加本研究的婴儿随机分为干预组（n = 4）和对照组（n = 5）。从吸痰前至吸痰后30 min，每2 min观察分析一次，观察指标包括：自主神经功能（心率、血氧饱和度）、应激反应（压力反应）、呼吸机功能（呼吸机功能）、呼吸 ...更多信息 通过观察行为获得的运动系统参数，以及根据Dupian分类估计的休眠状态。行为参数的有效性，测量的可靠性，以及干预的可比性已在收集数据之前得到保证。此外，伦理审查委员会和临床试验评审委员会均接受了与本研究相关的伦理审查申请表，结果显示，“有边界的屈俯卧位”与常规护理的压力体征计数无差异。但介入后1 min的应激征计数低于参考值，且随后维持在1 ~ 1.5的低计数水平，应进行比本研究所纳入病例更多病例的过渡性应激征和行为状况的评估，因为这受病例的严重程度和成熟度的影响。少

项目成果

近藤好枝, 堀内成子: "デベロップメンタルケアと環境、NICUでの処置に伴うストレスを軽減する看護ケア-気管内吸引に対する極低出生体重児の反応-"周産期医学. 33(7). 836-840 (2003)

Yoshie Kondo，Seiko Horiuchi：“发育护理和环境，减少与 NICU 手术相关的压力的护理 - 极低出生体重婴儿对气管内抽吸的反应 -” 836-840 (2003)。

Shigeko Horiuchi, Masako Momoi, Mayumi Noguchi, Yoshie Kondoh, Hiromi Eto, Yoko Noda, Satoko Nakagomi, Yaeko Kataoka: "Doctoral education about maternity & infant nursing and midwifery from 1993 to 2002 in St.Luke's College of Nursing Tokyo, Japan."The Ea

堀内繁子、桃井雅子、野口真由美、近藤芳惠、江藤博美、野田洋子、中込里子、片冈八重子：“关于母性的博士教育

Yoshie Kondoh: "Effects of flexed posture with boundaries following endotracheal suction in very low birth weight infants"The Japan Journal of Nursing Scholarship. (発表予定). (2004)

Yoshie Kondoh：“气管内抽吸后的弯曲姿势对极低出生体重婴儿的影响”日本护理奖学金杂志（2004 年）。

Yoshie Kondoh, Shigeko Horiuchi, Keiko Tsuji: "Responses and defensive capacity to endotracheal suction in extremely immature infants"Japan Academy of Nursing Science Fifth International Nursing Research Conference, August 29-31,2004.Fukushima.. 5. (2004)

Yoshie Kondoh、Shigeko Horiuchi、Keiko Tsuji：“极不成熟婴儿对气管内抽吸的反应和防御能力”日本护理学会第五届国际护理研究会议，2004 年 8 月 29-31 日。福岛.. 5. (2004)

Yoshie Kondoh, Shigeko Horiuchi, Keiko Tsuji.: "Responses and defensive capacity to endotracheal suction in extremely immature infants"Japan Academy of Nursing Science Fifth International Nursing Research Conference. vol.5. (2004)

Yoshie Kondoh、Shigeko Horiuchi、Keiko Tsuji.：“极不成熟婴儿对气管内抽吸的反应和防御能力”日本护理科学院第五届国际护理研究会议。