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[母亲声音刺激对减轻住院新生儿程序性疼痛的临床效果]

[Clinical effect of maternal voice stimulation in alleviating procedural pain in hospitalized neonates].

作者信息

Chen Yu-Shuang, Tan Yan-Juan, Zhou Le-Shan

机构信息

Central South University, Changsha 410013, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2019 Jan;21(1):58-63. doi: 10.7499/j.issn.1008-8830.2019.01.011.

DOI:10.7499/j.issn.1008-8830.2019.01.011
PMID:30675865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7390185/
Abstract

OBJECTIVE

To study the clinical effect of maternal voice stimulation in alleviating procedural pain in neonates during heel blood collection.

METHODS

A total of 72 neonates who were admitted to the neonate intensive care unit were randomly divided into an intervention group (n=35) and a control group (n=37). Heel blood collection was performed by the routine method in the control group. The intervention group listened to their mothers' voice from 1 minute before heel blood collection to the end of the procedure. Pain score, incidence of crying, and vital signs were recorded before and after heel blood collection.

RESULTS

Compared with the control group, the heart rate was significantly reduced, the blood oxygen saturation significantly increased, the incidence of crying and the pain score were significantly reduced in the intervention group during the procedure of heel blood collection (P<0.05).

CONCLUSIONS

Maternal voice stimulation helps to reduce procedural pain and maintain stable vital signs in neonates.

摘要

目的

探讨母亲声音刺激对减轻新生儿足跟采血过程中程序性疼痛的临床效果。

方法

将72例入住新生儿重症监护病房的新生儿随机分为干预组(n=35)和对照组(n=37)。对照组采用常规方法进行足跟采血。干预组在足跟采血前1分钟至采血结束期间聆听母亲的声音。记录足跟采血前后的疼痛评分、啼哭发生率和生命体征。

结果

与对照组相比,干预组在足跟采血过程中心率显著降低,血氧饱和度显著升高,啼哭发生率和疼痛评分显著降低(P<0.05)。

结论

母亲声音刺激有助于减轻新生儿程序性疼痛并维持生命体征稳定。

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本文引用的文献

1
Do mothers sound good? A systematic review of the effects of maternal voice exposure on preterm infants' development.母亲的声音听起来不错?对母亲声音暴露对早产儿发育影响的系统评价。
Neurosci Biobehav Rev. 2018 May;88:42-50. doi: 10.1016/j.neubiorev.2018.03.009. Epub 2018 Mar 10.
2
Randomised study showed that recorded maternal voices reduced pain in preterm infants undergoing heel lance procedures in a neonatal intensive care unit.随机研究表明,在新生儿重症监护病房接受足跟采血的早产儿中,录制的母亲声音可以减轻疼痛。
Acta Paediatr. 2017 Oct;106(10):1564-1568. doi: 10.1111/apa.13944. Epub 2017 Jul 5.
3
The effectiveness of familiar auditory stimulus on hospitalized neonates' physiologic responses to procedural pain.熟悉的听觉刺激对住院新生儿程序性疼痛生理反应的有效性。
Int J Nurs Pract. 2017 Jun;23(3). doi: 10.1111/ijn.12527. Epub 2017 Mar 20.
4
Prevention and Management of Procedural Pain in the Neonate: An Update.新生儿程序性疼痛的预防与管理:最新进展
Pediatrics. 2016 Feb;137(2):e20154271. doi: 10.1542/peds.2015-4271. Epub 2016 Jan 25.
5
Epidemiology of painful procedures performed in neonates: A systematic review of observational studies.新生儿实施疼痛性操作的流行病学:观察性研究的系统评价
Eur J Pain. 2016 Apr;20(4):489-98. doi: 10.1002/ejp.757. Epub 2015 Jul 29.
6
The Effect of Mother's Voice on Arterial Blood Sampling Induced Pain in Neonates Hospitalized in Neonate Intensive Care Unit.母亲的声音对新生儿重症监护病房住院新生儿动脉采血所致疼痛的影响。
Glob J Health Sci. 2015 Apr 19;7(6):198-204. doi: 10.5539/gjhs.v7n6p198.
7
Live music reduces stress levels in very low-birthweight infants.现场音乐可降低极低体重儿的应激水平。
Acta Paediatr. 2015 Apr;104(4):360-7. doi: 10.1111/apa.12913. Epub 2015 Feb 7.
8
Maternal sounds elicit lower heart rate in preterm newborns in the first month of life.母亲的声音会使早产新生儿在出生后的第一个月心率降低。
Early Hum Dev. 2014 Oct;90(10):679-83. doi: 10.1016/j.earlhumdev.2014.07.016. Epub 2014 Sep 9.
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Neonatal nurses' perceptions of pain management: survey of the United States and China.新生儿护士对疼痛管理的认知:美国与中国的调查
Pain Manag Nurs. 2014 Dec;15(4):834-44. doi: 10.1016/j.pmn.2013.10.002. Epub 2014 Feb 6.
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The premature infant pain profile-revised (PIPP-R): initial validation and feasibility.早产儿疼痛状况评定量表修订版(PIPP-R):初步验证与可行性。
Clin J Pain. 2014 Mar;30(3):238-43. doi: 10.1097/AJP.0b013e3182906aed.