- 期刊
築巢護理措施對早產兒靜脈注射後之生理反應之效應
Nest Building and Physiological Response to Intravenous Injections in Premature Infants
摘要
早產兒經常暴露在疼痛的環境下，以生理徵象反應其疼痛的訊息。本研究為類實驗性研究，主要目的在探討施行靜脈注射後給予之巢穴式支托方式護理措施對早產兒生理狀態的影響。於2005年7月19日至2006年6月30日止，以立意取樣於中部某醫學大學附設醫院新生兒加護病房之早產兒，出生一個月內、體重小於2500g，收案時無使用呼吸器治療且無先天性疾病、神經系統異常或曾接受手術者，且48小時內未使用鎮痛劑及鎮靜劑者為對象，分為實驗組（有築巢措施，n=32）或對照組（無築巢措施，n=20)，兩組共收集52名。統計方法以人次、百分比、平均數、標準差呈現描述性資料，以T檢定、卡方檢定、重複量數單因子變異數分析進行檢定等。結果發現：早產兒靜脈注射後接受巢穴式支托之護理措施與未接受巢穴式支托之護理措施，其生理反應（心跳、呼吸頻率及血氧飽和濃度）二組並無差異。此研究結果雖然無法證實研究假設，但此研究過程未將施打靜脈時間列入考量因素，可能影響所得結果，未來應增加相關因素之探討並作為日後研究的參考。
並列摘要
Premature infants are routinely exposed to painful procedures during the hospitalization and express physiological signs recognized as indicators of pain. Using a quasi-experimental design, this study determines the effect of nest building on physiological responses to intravenous injections in premature infants between July 19, 2005 and June 30, 2006. The samples were selected from the neonatal intensive care unit of a university medical hospital. We included Infants 1-30 days old who weighed less than 2500 g. We excluded infants who on ventilator support, had congenital anomalies or neuron system defects, or had received any operative procedures. No sedation was used in study samples within 48 hours. Fifty-two infants were assigned to either a nest building group (n=32) or a no nest building group (n=20) during the study period. All data were analyzed by descriptive statistics, t test, Chi- square test and GLM test. There appeared to be no group differences in physiological responses (heart rate, respiration rate, oxygen saturation) during an intravenous injection. The results of this study did not demonstrate nest building to have any appreciable effect on an infant's physiological response to pain, though time of intravenous injection may have influenced results.
被引用紀錄
延伸閱讀
- 張淑鈴、陳惠敏、潘美日（2012）。寧握護理對早產兒接受餵食後生理指標之影響。高雄護理雜誌，29(3)，5-17。https://doi.org/10.6692/KJN-2012-29-3-2
- 黃湘鈞（2017）。以健康信念模式探討醫學中心新生兒病房護理人員施行早產兒疼痛控制措施之現況及其相關影響因素〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU201703387
- 張志豪（2020）。影響早產兒脫離經鼻連續正壓通氣因子:台灣單一醫學中心之回溯性研究〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0011-3001202009241200
- 何文佑、黃富源、高信安（1991）。具症狀性存開性動脈導管之早產兒以indomethacin藥物治療。Acta Paediatrica Sinica，32(2)，88-94。https://www.airitilibrary.com/Article/Detail?DocID=00016578-199104-32-2-88-94-a
- Chang, Y. J., Lin, C. P., Lin, Y. J., & Lin, C. H. (2007). Effects of Single-Hole and Cross-Cut Nipple Units on Feeding Efficiency and Physiological Parameters in Premature Infants. The Journal of Nursing Research, 15(3), 215-223. https://www.airitilibrary.com/Article/Detail?DocID=16823141-200709-15-3-215-223-a