全身按摩对新生儿静脉穿刺时疼痛评分的影响，并与口服葡萄糖和袋鼠护理进行比较：一项随机对照评估者盲法临床研究。
Effect of whole body massage on pain scores of neonates during venous puncture and comparison with oral dextrose and Kangaroo care, a randomized controlled evaluator-blind clinical study.
机构信息
Department of Pediatrics, Division of Neonatology, Çukurova University, Faculty of Medicine, Adana, Turkey.
Department of Pediatrics, Newborn Intensive Care Unit, Çukurova University, Faculty of Medicine, Adana, Turkey.
出版信息
J Perinatol. 2023 May;43(5):590-594. doi: 10.1038/s41372-022-01570-8. Epub 2022 Nov 30.
OBJECTIVE
Newborns in NICUs experience many painful procedures. The aim of the study was to evaluate the effect of whole body massage therapy on pain scores during venipuncture and to compare with oral 10% dextrose and Kangaroo care.
STUDY DESIGN
Newborns with gestational age ≥34 weeks were randomly enrolled to one of three groups: dextrose, massage and Kangaroo care and a blinded investigator scored the pain using NIPS before and during the procedure.
RESULTS
There were 25, 26 and 23 newborns in dextrose, massage and Kangaroo care groups, respectively. Pain scores were similar before and during venipuncture in groups (p > 0.05). 36.5% of newborns (27/74) had severe pain scores. Number of newborns with no pain (score 0-2), moderate pain (score 3-4) and severe pain (score 5-7) were similar in each group.
CONCLUSION
Massage, Kangaroo and oral 10% dextrose had similar effects on pain scores during venipuncture.
目的
新生儿重症监护病房（NICU）中的新生儿会经历许多有疼痛的操作。本研究旨在评估全身按摩疗法对静脉穿刺时疼痛评分的影响，并与口服 10%葡萄糖和袋鼠护理进行比较。
研究设计
将胎龄≥34 周的新生儿随机分为三组：葡萄糖组、按摩组和袋鼠护理组，由一名盲法研究者在操作前和操作过程中使用 NIPS 对疼痛进行评分。
结果
葡萄糖组、按摩组和袋鼠护理组分别有 25、26 和 23 名新生儿。三组在静脉穿刺前后的疼痛评分相似（p>0.05）。36.5%（27/74）的新生儿有严重的疼痛评分。每组新生儿中无疼痛（评分 0-2）、中度疼痛（评分 3-4）和重度疼痛（评分 5-7）的新生儿数量相似。
结论
按摩、袋鼠护理和口服 10%葡萄糖在静脉穿刺时对疼痛评分的影响相似。
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