袋鼠式护理对减轻早产儿足跟采血疼痛的效果：一项交叉试验。
Effect of Kangaroo mother care in reducing pain due to heel prick among preterm neonates: a crossover trial.
作者信息
Chidambaram Ambika Gnanam, Manjula S, Adhisivam B, Bhat B Vishnu
机构信息
Neonatal Division, Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry , India.
出版信息
J Matern Fetal Neonatal Med. 2014 Mar;27(5):488-90. doi: 10.3109/14767058.2013.818974. Epub 2013 Jul 18.
BACKGROUND
Preterm neonates undergo several painful procedures in NICU including heel prick for blood sugar monitoring. Nonpharmacological interventions have been tried to decrease this procedural pain. There are only few studies on Kangaroo mother care (KMC) in reducing pain among preterm neonates.
METHOD
This crossover trial was conducted at a tertiary care teaching hospital in south India. Premature Infant Pain Profile (PIPP) related to heel prick was assessed in 50 preterm neonates undergoing KMC and compared with 50 preterm babies without KMC.
RESULTS
PIPP scores at 15 minutes and 30 minutes after heel prick were significantly less in KMC group compared to control group. Mean PIPP difference between baseline and 30 minutes after heel prick was also significantly low in KMC group compared to control group.
CONCLUSION
KMC is effective in reducing pain due to heel prick among preterm babies.
背景
早产儿在新生儿重症监护病房（NICU）会接受多种痛苦的操作，包括足跟采血以监测血糖。人们尝试了非药物干预措施来减轻这种操作带来的疼痛。关于袋鼠式护理（KMC）对减轻早产儿疼痛的研究较少。
方法
这项交叉试验在印度南部的一家三级护理教学医院进行。对50名接受袋鼠式护理的早产儿和50名未接受袋鼠式护理的早产儿进行足跟采血相关的早产儿疼痛量表（PIPP）评估。
结果
与对照组相比，袋鼠式护理组在足跟采血后15分钟和30分钟时的PIPP评分显著更低。与对照组相比，袋鼠式护理组足跟采血后基线与30分钟时的PIPP平均差异也显著更低。
结论
袋鼠式护理对减轻早产儿足跟采血引起的疼痛有效。
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