Neonatal Intensive Care Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Campus docent Sant Joan de Déu, Barcelona University, Barcelona, Spain.
Nurs Open. 2023 Oct;10(10):6896-6902. doi: 10.1002/nop2.1943. Epub 2023 Jul 17.
Despite the consequences of neonatal distress and agitation, preterm infants undergo stress owing to weighing procedures. The objective of this study was to enable very low birth weight infants to maintain adequate self-regulation during weighing.
This prospective crossover study utilizes a within-subjects design, where intervention days were compared to control days.
Infants were exposed to both swaddled and unswaddled weighing in an intensive care nursery setting. Nineteen very low birth weight infants were weighed on two consecutive days. Variables of heart rate, respiratory rate and ALPS-Neo score were recorded.
Stress score decreased significantly from 1.65 (pre-weight) to 0.23 (weight measurement) in swaddled-intervention periods; conversely, it increased significantly from 1.26 (pre-weight) to 4.97 (weight measurement) in control periods. During weight measurement, heart and respiratory rate were significantly lower for swaddled-intervention days when compared to control days. Given the significant impact of swaddled weighing in reducing stress, this method can be used as an appropriate weighing procedure in intensive care. This research has no patient or public contribution.
尽管新生儿窘迫和躁动会带来后果，但早产儿仍会因称重而承受压力。本研究旨在使极低出生体重儿在称重过程中能够进行充分的自我调节。
这是一项前瞻性交叉研究，采用自身对照设计，比较干预日和对照日。
在重症监护病房环境中，对婴儿进行包裹和不包裹的称重。19 名极低出生体重儿连续两天称重。记录心率、呼吸率和 ALPS-Neo 评分等变量。
在包裹干预期间，应激评分从 1.65（预称重）显著下降至 0.23（称重测量）；相反，在对照期间，它从 1.26（预称重）显著增加至 4.97（称重测量）。在称重测量期间，与对照日相比，包裹干预日的心率和呼吸率明显更低。鉴于包裹称重在减轻压力方面的显著影响，这种方法可以作为重症监护中的一种适当称重程序。本研究没有患者或公众参与。
