Obeidat Hala M, Shuriquie Mona A
Maternal and Child Health Nursing Department (Dr Obeidat) and Community Health Nursing Department (Dr Shuriquie), Princess Muna College of Nursing, Mutah University, Amman, Jordan.
J Perinat Neonatal Nurs. 2015 Jul-Sep;29(3):248-54. doi: 10.1097/JPN.0000000000000121.
This randomized clinical trial was conducted to determine the efficacy of breast-feeding with maternal holding as compared with maternal holding without breast-feeding in relieving painful responses during heel lance blood drawing in full-term neonates. A convenience sample of 128 full-term newborn infants, in their fourth to sixth days of life, undergoing heel lance blood drawing for screening of hypothyroidism were included in the study. The neonates were randomly assigned into 2 equivalent groups. During heel lance blood drawing for infants, they either breast-fed with maternal holding (group I) or were held in their mother's lap without breast-feeding (group II). The painful responses were assessed simultaneously by 2 neonatal nurses blinded to the purpose of the study. Outcome measures for painful responses of the full-term neonates were evaluated with the Premature Infant Pain Profile scale. Independent t test showed significant differences in Premature Infant Pain Profile scale scores among the 2 groups (t = -8.447, P = .000). Pain scores were significantly lower among infants who were breast-fed in addition to maternal holding. Evidence from this study indicates that the combination of breast-feeding with maternal holding reduces painful responses of full-term infants during heel lance blood drawing.
本随机临床试验旨在确定母乳喂养并由母亲怀抱与仅由母亲怀抱但不进行母乳喂养相比，在缓解足月儿足跟采血时的疼痛反应方面的疗效。研究纳入了128名出生后第4至6天、因筛查甲状腺功能减退而接受足跟采血的足月儿，作为便利样本。这些新生儿被随机分为2个同等的组。在为婴儿进行足跟采血时，一组由母亲怀抱并进行母乳喂养（第一组），另一组则被抱在母亲腿上但不进行母乳喂养（第二组）。由2名对研究目的不知情的新生儿护士同时评估疼痛反应。采用早产儿疼痛量表评估足月儿疼痛反应的结果指标。独立t检验显示两组间早产儿疼痛量表评分存在显著差异（t = -8.447，P = .000）。除由母亲怀抱外还进行母乳喂养的婴儿疼痛评分显著更低。本研究的证据表明，母乳喂养与母亲怀抱相结合可降低足月儿足跟采血时的疼痛反应。
