不同干预方法对缓解新生儿足底采血疼痛效果.docVIP

不同干预方法对缓解新生儿足底采血疼痛的效果 　　[摘要]目的 探讨不同干预方法对缓解新生儿足底采血疼痛的临床效果。方法 选取2015年1月～2016年10月我院收治的91例需行足底采血的足月健康新生儿作为研究对象，根据采血中干预方法的差异分为两组，接受抚触护理干预的45例新生儿作为对照组，采用非营养吮吸护理干预的46例新生儿作为观察组。观察对比两组护理方法缓解疼痛的效果。结果 观察组新生儿采血前后心率、呼吸、平均血压以及血氧饱和度的下降幅度均明显小于对照组，差异有统计学意义（P0.05）；观察组新生儿的NICU评分[（3.5±0.6）分]明显低于对照组[（2.4±0.4）分]，差异有统计学意义（P0.05）；观察组新生儿的平均出血时间短于对照组，平均出血滴血直径大于对照组，差异有统计学意义（P0.05）。结论 非营养性吮吸护理干预对缓解新生儿足底采血疼痛的临床效果显著，值得临床推广。 　　[关键词]干预方法；新生儿；足底采血；疼痛 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2017）10（b）-0172-03 　　[Abstract]Objective To investigate the clinical effect of different interventions methods on relieving pain of neonatal plantar blood sampling.Methods From January 2015 to October 2016，91 cases of plantar blood in healthy term newborns treated in our hospital were selected as the research objects and were divided into two groups according to the differences in the intervention methods in blood sampling.Definition of received touch nursing intervention in 45 patients as the control group，the 46 cases of non nutritive sucking nursing intervention of patients as the observation group.The nursing method of pain relief effect of two group were compared.Results The decrease of heart rate，respiration，blood pressure and oxygen saturation of the observation group were significantly lower than those in the control group，and the differences were statistically significant （P0.05）.The NICU score of neonates in the observation group [（3.5±0.6）points] was significantly lower than the control group [（2.4±0.4）points]， and the difference was statistically significant （P0.05）.The average bleeding time of neonates in the observation group was shorter than that in the control group，the average bleeding was greater than the control group，and the differences were statistically significant （P0.05）.Conclusion Non nutritive sucking clinical effect of nursing intervention on pain relief of plantar blood newborns significantly，worthy of promotion. 　　[Key words]Intervention method；Newborn；Plantar blood samplin