不同力道的嬰兒按摩對早產兒生理指標、體重、餵食量之影響

The Effect of Different Pressure Baby Massage for Physical Parameters, Body Weight, Feeding Amount in Preterm Infants

林淑芳(Shu-Fang Lin) ； 卓妙如(Miao-Ju Chwo) ； 鄒宗山(Tsung-Shan Tsou) ； 李絳桃(Jian-Tao Lee)

《長庚護理》 24卷1期 (2013/03) Pp. 1-11

https://doi.org/10.6386/CGN.201303_24(1).0001

摘要

Background: A lot of literature shows that baby massage in preterm infants can improve their maturity of nervous function, weight gain and create a good sleep/awake state. However there is no evidence-based reference to support the pressure of baby massage. Purpose: To explore the effectiveness of performing different pressure of baby massage in the physical parameters (including body temperature, heart rate, respiratory rate, and saturation), body weight, feeding amount, and behavior state of preterm infants. Methods: The study was performed at the neonatal Intensive Care Unit and New Born Center nurseries of the children's hospital in north Taiwan. For this prospective, experimental research design, sixty preterm infants were randomly assigned to either the control or the experimental group A or B. Experimental group A received moderate pressure massage (slight skin color change from pink to white or slight indentations in skin for all infants). Experimental B received light pressure massage (skin color no change and no indentations in skin for all infants). Results: The results showed the significant differences between the control and the experimental groups on the body temperature, respiratory rate, body weight, and feeding amount of preterm infants (p ＜ .05). The premature infants with moderate pressure of baby massage had more stable physical parameters. Conclusions: This study demonstrates that baby massage is a safe nursing intervention for the preterm infants. This study can be applied to clinical preterm infant care.

關鍵字

嬰兒按摩 ； 早產兒 ； 生理指標 ； 支持性發展照護

並列摘要

Background: A lot of literature shows that baby massage in preterm infants can improve their maturity of nervous function, weight gain and create a good sleep/awake state. However there is no evidence-based reference to support the pressure of baby massage. Purpose: To explore the effectiveness of performing different pressure of baby massage in the physical parameters (including body temperature, heart rate, respiratory rate, and saturation), body weight, feeding amount, and behavior state of preterm infants. Methods: The study was performed at the neonatal Intensive Care Unit and New Born Center nurseries of the children's hospital in north Taiwan. For this prospective, experimental research design, sixty preterm infants were randomly assigned to either the control or the experimental group A or B. Experimental group A received moderate pressure massage (slight skin color change from pink to white or slight indentations in skin for all infants). Experimental B received light pressure massage (skin color no change and no indentations in skin for all infants). Results: The results showed the significant differences between the control and the experimental groups on the body temperature, respiratory rate, body weight, and feeding amount of preterm infants (p ＜ .05). The premature infants with moderate pressure of baby massage had more stable physical parameters. Conclusions: This study demonstrates that baby massage is a safe nursing intervention for the preterm infants. This study can be applied to clinical preterm infant care.

並列關鍵字

baby massage ； preterm infant ； physical parameters ； development supportive care