The Turkısh Republıc of Demiroglu Bilim University, Faculty of Health Scıences, İstanbul, Turkey.
Istanbul University-Cerrahpasa, Florence Nightingale Faculty of Nursing, Department of Child Health and Diseases Nursing, İstanbul, Turkey.
J Pediatr Nurs. 2019 Nov-Dec;49:e81-e89. doi: 10.1016/j.pedn.2019.08.013. Epub 2019 Sep 5.
The purpose of this study was to evaluate the effects of infant positioning on pain, heart rate, oxygen saturation and crying time during examination.
DESIGN & METHODS: The randomized controlled experimental study was carried out on 70 preterm infants. ROP position + pacifier was used in the experimental group (n = 35) while only the pacifier was used in the control group. Heart rates, oxygen saturation, crying duration and pain score (Premature Infant Pain Profile-PIPP) were evaluated before, during and after the screening.
The preterm infants in the experimental group recorded lower pain scores at the beginning of the screening (p = 0.01), at the end of the screening (p = 0.01) and after screening (p = 0.01) than those in the control group. The heart rate was higher in the control group during screening (p = 0.010) and after screening (p = 0.008) than in the preterm infants in the experimental group. Oxygen saturation was not significantly different between the groups before, during or after screening. Crying duration was lower in the experimental group than in the control group (p = 0.010).
Positioning of the infant to support behavioral organization was found to be effective in reducing pain and shortening crying time during eye examination, and had favorable effects on physiological variables with ROP position during eye examinations.
ROP position is a practical and effective non-pharmacological method during eye examinations by neonatal nurses.
本研究旨在评估婴儿体位对检查过程中疼痛、心率、血氧饱和度和哭泣时间的影响。
这是一项随机对照实验研究，共纳入 70 例早产儿。实验组使用 ROP 体位+奶嘴（n=35），对照组仅使用奶嘴。在筛查前、筛查中及筛查后评估心率、血氧饱和度、哭泣持续时间和疼痛评分（PIPP）。
实验组早产儿在筛查开始时（p=0.01）、筛查结束时（p=0.01）和筛查后（p=0.01）的疼痛评分均低于对照组。对照组在筛查期间（p=0.010）和筛查后（p=0.008）的心率高于实验组。两组在筛查前、筛查中和筛查后血氧饱和度无显著差异。实验组哭泣持续时间短于对照组（p=0.010）。
支持行为组织的婴儿体位在减少眼部检查时的疼痛和缩短哭泣时间方面是有效的，并对 ROP 体位下眼部检查的生理变量有积极影响。
ROP 体位是新生儿护士进行眼部检查的一种实用且有效的非药物方法。
