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听觉刺激对机械通气患儿吸痰过程中疼痛及生理参数的影响:一项随机对照试验。

The effect of auditory stimuli on the pain and physiological parameters of children on mechanical ventilation during aspiration procedure: A randomized controlled trial.

机构信息

Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye.

Department of Pediatric Nursing, Faculty of Health Sciences, University of Duzce, Duzce, Türkiye.

出版信息

J Spec Pediatr Nurs. 2023 Oct;28(4):e12416. doi: 10.1111/jspn.12416. Epub 2023 Sep 14.

Abstract

PURPOSE

The study was conducted to determine the effect of mother's voice and music sound on pain and physiological parameters during aspiration procedure in children with mechanical ventilation support in the pediatric intensive care unit.

DESIGN AND METHODS

This study was a randomized controlled type experimental study. According to the power analysis result of the sample of the study, 84 children who were treated in the pediatric intensive care unit of two university hospitals in Istanbul were formed. Introductory Information Form, Ramsey Sedation Scale, Physiological Parameter Form and Face, Legs, Activity, Cry, Consolability (FLACC) Pain Scale were used to collect data.

RESULTS

When the pain results of the children were evaluated, the mean FLACC Pain Scale value of the children in the control group was found to be significantly higher than children in the mother's voice and music voice group (p < 0.05). It was determined that the lowest FLACC Pain Scale value was in the mother's voice group (p < 0.05). When the physical parameter results were evaluated, it was determined that the physiological measurement values of the children in the experimental group were positively affected (p < 0.05), there was a significant difference between the control group (p < 0.05) and the most effective result was in the mother's voice group (p < 0.05).

PRACTICE IMPLICATIONS

Allowing children to listen mother's voice and music during aspiration procedure reduces pain of the children, positively affects their physical parameter values and enhances quality of nursing care. The results of this study create a scientific basis for nursing practices in the clinical settings and contribute to the clinical practices by shedding a light on future evidence-based studies.

摘要

目的

本研究旨在确定母亲的声音和音乐声对机械通气支持的儿科重症监护病房中接受吸痰的儿童的疼痛和生理参数的影响。

设计和方法

这是一项随机对照型实验研究。根据研究样本的功率分析结果,在伊斯坦布尔的两所大学医院的儿科重症监护病房共纳入 84 名患儿。采用入院信息表、拉姆齐镇静量表、生理参数表和面部、腿部、活动、哭泣、安抚(FLACC)疼痛量表来收集数据。

结果

评估患儿的疼痛结果时,发现对照组患儿的 FLACC 疼痛量表均值显著高于母亲的声音和音乐声音组(p<0.05)。母亲的声音组的 FLACC 疼痛量表值最低(p<0.05)。评估生理参数结果时,发现实验组患儿的生理测量值受到积极影响(p<0.05),与对照组有显著差异(p<0.05),效果最显著的是母亲的声音组(p<0.05)。

实践意义

允许儿童在吸痰过程中听母亲的声音和音乐可以减轻儿童的疼痛,对其生理参数值产生积极影响,并提高护理质量。本研究结果为临床护理实践提供了科学依据,并通过为未来的循证研究提供启示,为临床实践做出了贡献。

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