摘要
目的:探讨体位支持、非营养性吸吮(NNS)配合轻柔抚触对新生儿股静脉穿刺采血疼痛的影响。方法:选取2021年6月-2022年6月本院需行股静脉穿刺采血的186例新生儿,随机数字表法分为观察组(93例,行体位支持、NNS配合轻柔抚触方法)和对照组(93例,行常规体位和安抚方法)。比较两组操作前后心率、呼吸频率,采血后1min、5min新生儿疼痛评分量表(NIPS)评分,首次穿刺成功率及采血操作时间,以及不良事件发生情况。结果:观察组新生儿静脉穿刺采血后心率(122.37±15.30次/min)、呼吸频率(44.53±5.57次/min)低于对照组(143.31±17.91次/min、56.29±7.04次/min),静脉穿刺采集后1min、5min的NIPS评分(4.29±0.89分、1.67±0.25分)均低于对照组(5.53±1.13分、3.09±0.71分),静脉穿刺采集首次成功率(95.7%)高于对照组(85.0%),采血时间(1.13±0.17 min)短于对照组(1.32±0.22 min),采血后不良事件发生率(12.9%)低于对照组(28.0%)(均P<0.05)。结论:体位支持、NNS配合轻柔抚触应用于新生儿静脉穿刺采血,可减轻新生儿疼痛程度,提高首次采血成功率,缩短采血时间。
Objective:To explore the effects of the postural support,non-nutritive sucking(NNS)and gentle touching for neonates on their pain during venipuncture for the collection of blood.Methods:186 neonates who needed femoral venipuncture for the collection of blood in the hospital were enrolled and were divided into observation group(93 cases with the postural support,NNS and gentle touching)and the control group(93 cases with routine position and touching)according to random number table method between June 2021 and June 2022.The heart rate and the respiratory rate before and after venipuncture,the scores of the neonatal infant pain scale(NIPS)at 1 and at 5min after venipuncture,the success rate of the first venipuncture,the blood collection time and the adverse reactions occurrence of the neonates were compared between the two groups.Results:The heart rate(122.37±15.30 times/min)and the respiratory rate(44.53±5.57 times/min)of the neonates in the observation group were significantly lower than those(143.31±17.91 times/min and 56.29±7.04 times/min)of the neonates in the control group.The NIPS scores of the neonates in the observation group at lmin and at 5min after venipuncture(4.29±0.89 points and 1.67±0.25 points)were significantly lower than those(5.53±1.13 points and 3.09±0.71 points)of the neonates in the control group.The first success rate of blood collection by venipuncture(95.7%)of the neonates in the observation group was significantly higher than that of the neonates in the control group(85.0%).The time of the blood collection(1.13±0.17 min)of the neonates in the observation group was significantly shorter than that(1.32±0.22 min)of the neonates in the control group,and the incidence of adverse reactions after venipuncture(12.9%)of the neonates in the observation group was significantly lower than that(28.0%)of the neonates in the control group(all P<0.05).Conclusion:The application of the postural support,NNS and gentle touching during the blood collection by venipuncture of the neonates can relieve their pain degree,increase their first success rate of blood collection by venipuncture and shorten their blood collection time.
作者
秦伟
吴龙艳
QIN Wei;WU Longyan(Children's Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu Province,210008)
出处
《中国计划生育学杂志》
2024年第6期1356-1359,共4页
Chinese Journal of Family Planning
关键词
新生儿
股静脉穿刺采血
体位支持
非营养性吸吮
轻柔抚触
疼痛
采血成功率
Neonate
Blood collection by femoral venipuncture
Postural support
Non-nutritive sucking
Gentle touching
Pain
Success rate of blood collection by venipuncture
