比較三種不同俯臥姿勢對早產兒生理指標的影響

The Comparison among Different Prone Positions in Physiological Parameters of Premature Infants

游雅蘭(Ya-Lan Yu) ； 蘇婉麗(Wan-Li Su) ； 劉惠玲(Hui-Ling Liu) ； 曾昭梅(Chau-Mei Tzeng)

《榮總護理》 26卷1期 (2009/03) Pp. 18-26

https://doi.org/10.6142/VGHN.26.1.18

摘要

本研究目的在比較早產兒左3/4俯臥、右3/4俯臥與俯臥姿勢，對早產兒生理指標（呼吸、心跳及血氧）的影響，作為建立早產兒翻身常規照護參考。研究樣本為南部某醫學中心，妊娠週數小於37週、無重大疾病、無放置氣管內管及裝置鼻式持續正壓呼吸器之早產兒，且經雙親同意並簽署同意書後收案，樣本共27位。採實驗研究法(Experimental design)之同時間一組(N=27)三種姿勢互換(Crossover)時間序列設計，每次收案3位早產兒，同時間比較三種姿勢作重複觀察紀錄，觀察期間床頭抬高15度，每次翻身前，先測量及紀錄每位早產兒心跳、呼吸及血氧，作為下一姿勢前之基準值，在生理監視器持續監測下，紀錄翻身後5分鐘、10分鐘、15分鐘、20分鐘，早產兒在不同俯臥姿勢下，其生理指標之參數。所得的測量值以描述性分析及重複測量之混合模式分析。研究結果發現，左、右3/4俯臥在心跳及血氧的變化與俯臥一樣穩定，惟呼吸在左、右3/4俯臥比俯臥更穩定，故本研究建議在早產兒翻身常規照護中，除俯臥外，可加入左、右3/4俯臥姿勢。

關鍵字

早產兒 ； 擺位 ； 3/4俯臥 ； 生理指標

並列摘要

The purpose of this study was to explore the differences in physiological parameters, including respiratory rate, heart rate and blood oxygen saturation, among three kinds of proneness (full, right 3/4 lateral, and left 3/4 lateral prone positions) for premature babies less than 37 weeks of gestational age. In this study, 27 premature babies were randomly assigned into three trials by cross over design. The physiological parameters were taken before and 5, 10, 15 and 20 minutes after the infants were positioned.
The result showed no significant difference in terms of heart rate and blood oxygen saturation, among three kinds of proneness for premature babies. However, either right or left 3/4 lateral prone positions showed a better effect on respiration than the full prone position for premature babies.
In conclusion, the right or left 3/4 lateral prone positions were recommended to be used in the protocol of caring for premature babies.

並列關鍵字

premature baby ； positioning ； 3/4 lateral prone ； physiological parameters