Department of Pediatrics, NICU, Drammen Hospital, Norway; Vestre Viken Hospital Trust, Norway.
Department of Pediatrics, NICU, Drammen Hospital, Norway; Vestre Viken Hospital Trust, Norway.
Early Hum Dev. 2014 Apr;90(4):169-72. doi: 10.1016/j.earlhumdev.2014.01.011. Epub 2014 Feb 16.
Skin-to-skin contact reduces pain response in preterm infants subjected to minor painful procedures, such as heel lance. Diaper change is a procedure performed several times daily in hospitalized preterm infants. Routine care giving tasks such as diaper change may be stressful for the infant.
The purpose of this study was to investigate whether diaper change induces stress and if skin-to-skin contact could reduce such stress, measured by changes in skin conductance.
This was a randomized crossover pilot study in 19 preterm infants with gestational age between 28 and 34 weeks. The diaper change procedure was done twice in each infant, once during skin-to-skin contact, and once in incubator or bed with the mother present.
During diaper change heart rate (HR), peripheral oxygen saturation (SpO2), and changes in skin conductance (SC) peaks per sec, using the Skin Conductance Algesimeter (SCA), were registered.
The mean SC peaks/sec increased/decreased significantly under/after change of diapers which thereby underpins that this is a stressful procedure for the preterm infant. Skin-to-skin contact (SSC) entails significantly lower stress levels (p<0.05) compared to diaper changed in an incubator/bed measured by the SCA.
Diaper change is a stressful procedure for preterm infants and may be ameliorated by skin-to-skin contact.
皮肤接触可减少接受轻微疼痛程序（如足跟采血）的早产儿的疼痛反应。换尿布是住院早产儿每天进行多次的程序。常规护理任务，如换尿布，可能会对婴儿造成压力。
本研究旨在探讨换尿布是否会引起压力，如果皮肤接触可以通过皮肤电导的变化来减轻这种压力。
这是一项针对 19 名胎龄 28 至 34 周早产儿的随机交叉先导研究。在每个婴儿中进行两次尿布更换程序，一次是在皮肤接触时，一次是在有母亲在场的孵化器或床上进行。
在换尿布过程中，使用皮肤电导痛觉计（SCA）记录心率（HR）、外周血氧饱和度（SpO2）和皮肤电导（SC）每秒峰值的变化。
在换尿布时，SC 每秒峰值增加/减少，这表明这对早产儿来说是一个有压力的程序。与在孵化器/床上换尿布相比，皮肤接触（SSC）显著降低了压力水平（p<0.05），这是通过 SCA 测量的。
换尿布对早产儿来说是一个有压力的程序，皮肤接触可以减轻这种压力。
