Liaw Jen-Jiuan, Yuh Yeong-Seng, Chang Ling-Hua
School of Nursing, National Defense Medical Center.
J Nurs Res. 2005 Mar;13(1):1-10.
The purpose of this study was to examine whether relationships exist among various preterm infant behaviors. The study used an exploratory method design. Twenty infants were bathed and a total of 120 baths were video recorded and observed to measure preterm infant behaviors based on the frequency that behaviors occurred. The frequency was measured by using the preterm infant behavioral coding scheme developed for the study. Pearson Correlation Coefficients were used to analyze the behavioral data and examine whether the relationships among these behaviors were significant. The interrater reliability of the behavioral variables ranged from .82 to .99. There were highly positive correlations between the stress behaviors. There was, however, negative correlation between the stress behaviors and the stable behavior (sucking). The occurrences of the stress behaviors were associated with the state of " eyes open " and "fuss or crying". Knowing the associations may enhance NICU nurses ' abilities to identify preterm infant behaviors. While interacting with preterm infants, nurses can sensitively and actively sense preterm infant signals, prevent or ameliorate the early threats to an infant ' s life, and adjust care to support the infant ' s growth and development.
本研究的目的是检验各种早产儿行为之间是否存在关联。该研究采用探索性方法设计。对20名婴儿进行洗澡，共录制了120次洗澡过程的视频并进行观察，以根据行为发生的频率来测量早产儿的行为。频率通过使用为该研究开发的早产儿行为编码方案进行测量。使用皮尔逊相关系数分析行为数据，并检验这些行为之间的关系是否显著。行为变量的评分者间信度在0.82至0.99之间。应激行为之间存在高度正相关。然而，应激行为与稳定行为（吸吮）之间存在负相关。应激行为的发生与“睁眼”和“烦躁或哭闹”状态有关。了解这些关联可能会提高新生儿重症监护病房护士识别早产儿行为的能力。在与早产儿互动时，护士可以敏感且积极地感知早产儿的信号，预防或减轻对婴儿生命的早期威胁，并调整护理措施以支持婴儿的生长发育。
