School of Nursing, National Defense Medical Center, 161 Sec. 6 Mingchuan E. RD, Neihu 114, Taipei, Taiwan, ROC.
Res Nurs Health. 2012 Dec;35(6):634-46. doi: 10.1002/nur.21499. Epub 2012 Jul 2.
This prospective, descriptive study used a repeated-measures design to explore preterm infants' biobehavioral responses to 24-hour neonatal caregiving and positioning, and the factors associated with changes in their biobehavioral responses. Thirty preterm infants (gestational age 27.6-36.1 weeks) were observed for 3 days to record biobehavioral responses. Infants' disorganized behaviors increased as caregiving intrusiveness and supine positioning increased. Social interactions did not lead to increases in infants' disorganized behaviors, but to increased regulatory behaviors. Non-nutritive sucking (NNS), and prone positioning reduced occurrences of infant disorganized behaviors. Routine caregiving increased instability of oxygen saturation, but lateral and prone positioning improved physiological stability. Clinicians can appropriately provide NNS, positioning, and social interactions to promote biobehavioral stability.
本前瞻性描述性研究采用重复测量设计，旨在探讨早产儿对 24 小时新生儿护理和体位的生物行为反应，以及与生物行为反应变化相关的因素。对 30 名早产儿（胎龄 27.6-36.1 周）进行了 3 天的观察，以记录生物行为反应。随着护理侵入性和仰卧位的增加，婴儿的混乱行为增加。社会互动并没有导致婴儿混乱行为的增加，而是导致调节行为的增加。非营养性吸吮（NNS）和俯卧位减少了婴儿混乱行为的发生。常规护理增加了氧饱和度的不稳定性，但侧卧和俯卧位改善了生理稳定性。临床医生可以适当提供 NNS、体位和社会互动，以促进生物行为的稳定性。
