Nursing School of Central South University, Changsha, Hunan, PR China.
Nursing School of Central South University, Changsha, Hunan, PR China.
J Pediatr Nurs. 2022 May-Jun;64:e154-e158. doi: 10.1016/j.pedn.2021.11.028. Epub 2021 Dec 23.
The present research aims to study the effects of swaddled and traditional tub bathing on premature infants to identify better ways to bathe.
Eligible premature infants (n = 60) were randomly assigned to either swaddled bathing or traditional tub bathing group. Stress scores and physiological indicators were measured 10 min before, immediately after, and 10 min after bathing. Crying times were also recorded for both groups. Data were reported as mean and standard deviation (SD) or frequency (percentage). For analyzing the data, the Student t-test and Chi-square test were employed.
Swaddled bathing has less effect on the respiratory rate, heart rate, and oxygen saturation (p < 0.05). Both bathing methods led to a decrease in the temperature of infants. Still, the temperature of infants 10 min after bathing, in the swaddled bathing group was rose higher than the traditional tub bathing (t = 2.813, p < 0.05). The stress score of the swaddled bathing group, immediately after and ten minutes after bathing was lower than the traditional tub bathing group. The crying time of the swaddled bathing group was 32 ± 24.740(s) lower than the traditional tub bathing group 94.43 ± 41.625(s).
The advantages of swaddled bathing over traditional tub bathing were validated for feasibility in China's preterm infants. Swaddled bathing is recommended method for bathing technique in the neonatal intensive care unit.
Swaddled bathing is beneficial for the development of premature infants, as it results in less noxious stimuli and stress on the developing premature neonates.
本研究旨在研究包裹式和传统浴盆式沐浴对早产儿的影响，以找到更好的沐浴方式。
将符合条件的早产儿（n=60）随机分配到包裹式沐浴组或传统浴盆式沐浴组。在沐浴前 10 分钟、沐浴后即刻和沐浴后 10 分钟测量应激评分和生理指标。还记录了两组的哭泣时间。数据以均值和标准差（SD）或频率（百分比）报告。采用 Student t 检验和卡方检验分析数据。
包裹式沐浴对呼吸频率、心率和血氧饱和度的影响较小（p<0.05）。两种沐浴方式都导致婴儿体温下降。然而，包裹式沐浴组婴儿沐浴后 10 分钟的体温升高高于传统浴盆式沐浴组（t=2.813，p<0.05）。包裹式沐浴组婴儿沐浴后即刻和 10 分钟后的应激评分低于传统浴盆式沐浴组。包裹式沐浴组婴儿的哭泣时间比传统浴盆式沐浴组低 32±24.740（s），而传统浴盆式沐浴组为 94.43±41.625（s）。
包裹式沐浴在中国早产儿中是可行的，优于传统浴盆式沐浴。推荐在新生儿重症监护病房采用包裹式沐浴作为沐浴技术。
包裹式沐浴对早产儿的发育有益，因为它对发育中的早产儿产生的不良刺激和应激较小。
