Valizadeh Leila, Avazeh Marziyeh, Bagher Hosseini Mohammad, Asghari Jafarabad Mohammad
Department of Nursing, Nursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Pediatrics, Medicine Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
J Caring Sci. 2014 Feb 27;3(1):1-10. doi: 10.5681/jcs.2014.001. eCollection 2014 Mar.
Preterm infants are under different procedures as a part of their care in the Neonatal Intensive Care Unit (NICU). Reduction of their stress and to provide rest opportunity for them is very important. In this regard, clustering of routine care is recommended. The aim of this study was to compare of physiological responses in preterm infants to clustered care with three and four noninvasive procedures (Respectively 7 & 10 point stressor).
A randomized crossover clinical trial performed in NICU of Al-Zahra teaching hospital, Tabriz, Iran in 2013. Thirty one preterm infants were studied at 32 weeks gestational age. The tool for data collection was a researcher-made data gathering sheet that personal information and measurement of primary outcomes (heart rate, respiratory rate and blood oxygen saturation) were recorded. The analysis of data was done with use of mixed model method at 0.05 significant level.
Mean of oxygen saturation in before, during and after of clustered care with three procedures were respectively 97.52, 97.32, 97.84 and four procedures 97.29, 97.16, 97.35, heart rate of three procedures 146.26, 149.90, 149.97 and four procedures 146.45, 150.39, 151.13, respiratory rate of three procedures 51.68, 48.87, 47.71 and four procedures 51.71, 50.26, 52.35 that all of them were at normal range. Significant differences were not found between mean of physiological responses in two interventions.
There was no significant difference between clustered care with four and three procedures. Both of them could be recommended for preterm infants in 32 weeks.
早产儿在新生儿重症监护病房（NICU）接受不同的护理操作。减轻他们的压力并为其提供休息机会非常重要。在这方面，建议将常规护理集中进行。本研究的目的是比较早产儿对三项和四项非侵入性操作（分别为7分和10分应激源）的集中护理的生理反应。
2013年在伊朗大不里士的阿尔扎赫拉教学医院的NICU进行了一项随机交叉临床试验。研究了31名孕32周的早产儿。数据收集工具是研究人员制作的数据收集表，记录个人信息和主要结局指标（心率、呼吸频率和血氧饱和度）的测量值。使用混合模型方法在0.05的显著水平上进行数据分析。
三项操作集中护理前、护理期间和护理后的血氧饱和度平均值分别为97.52、97.32、97.84，四项操作的分别为97.29、97.16、97.35；三项操作的心率分别为146.26、149.90、149.97，四项操作的分别为146.45、150.39、151.13；三项操作的呼吸频率分别为51.68、48.87、47.71，四项操作的分别为51.71、50.26、52.35，所有这些均在正常范围内。两种干预措施的生理反应平均值之间未发现显著差异。
四项操作和三项操作的集中护理之间没有显著差异。两者均可推荐用于32周的早产儿。
