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

本研究旨在通过观察患儿的行为状况，并与常规护理的效果进行比较，以明确“带边界屈曲俯卧位”对气管内吸入治疗后婴儿的影响。这些病例包括9名极低出生体重儿，他们的平均宫内年龄为26.3周(从25周零1天到28周零1天)，出生时的平均体重为811.8克(从648g到1104g)。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)。两组患者均在抽吸前至抽吸后30分钟内每隔2分钟观察分析一次，观察指标包括：心率和血氧饱和度评估的自主神经系统功能，PAR…综合评估的应激信号通过观察行为获得更多的运动系统参数，并根据Thoman分类估计休眠状态。在收集数据之前，确保了行为参数的有效性、测量的可靠性和干预的可比性。此外，伦理审查委员会和临床试验评审委员会都接受了与本研究有关的伦理审查申请表。结果显示，“有边界的弯曲俯卧位”与常规护理的压力体征计数没有差异。然而，干预后1min的应激征计数低于参考值，并在随后维持较低的计数，如1-1.5。由于受病例的严重程度和成熟度的影响，应对比本研究更多的病例进行过渡性应激体征和行为状况的评估。较少

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