College of Nursing, The Dankook University of Korea, Chungnam 3116, Korea.
College of Nursing, The Catholic University of Korea, Seoul 06591, Korea.
Int J Environ Res Public Health. 2021 Mar 3;18(5):2467. doi: 10.3390/ijerph18052467.
In this study, we observed physiological reactions of premature infants during sponge bathing in the neonatal intensive care unit (NICU). The infants' body temperature, heart rate, and oxygen saturation were monitored to examine hypothermia risks during bathing. The participants of the study were 32 premature infants who were hospitalized right after their birth in the V hospital in Korea between December 2012 and August 2013. The informed consents of the study were received from the infants' parents. The infants were randomly assigned into two-day and four-day bath cycle groups and their physiological reactions were monitored before bathing as well as 5 and 10 min after bathing. The collected data were analyzed using the SPSS statistical package through -test. A significant drop in body temperature was noted in both groups; that is, 4-day bathing cycle and 2-day bathing cycle ( < 0.001). However, there were no significant changes in heart rate or transcutaneous oxygen levels. There was no significant change between groups at each measurement point. In order to minimize the physiological instability that may be caused during bathing, the care providers should try to complete bathing within the shortest possible time and to make bathing a pleasant and useful stimulus for infants.
在这项研究中，我们观察了新生儿重症监护病房（NICU）中早产儿在海绵浴时的生理反应。监测了婴儿的体温、心率和血氧饱和度，以检查洗澡过程中的低体温风险。研究参与者是 2012 年 12 月至 2013 年 8 月期间在韩国 V 医院出生后立即住院的 32 名早产儿。本研究已获得婴儿父母的知情同意。将婴儿随机分为两天和四天洗澡周期组，并在洗澡前以及洗澡后 5 分钟和 10 分钟监测他们的生理反应。使用 SPSS 统计软件包通过 t 检验对收集的数据进行分析。两组体温均明显下降；即 4 天洗澡周期和 2 天洗澡周期（<0.001）。然而，心率或经皮氧水平没有显著变化。在每个测量点，组间均无显著差异。为了最大限度地减少洗澡过程中可能引起的生理不稳定，护理人员应尽量在最短的时间内完成洗澡，并使洗澡成为婴儿愉快和有用的刺激。
