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腹部绞痛按摩和袋鼠式护理对婴儿腹部绞痛疼痛、哭闹及睡眠时间的影响:一项随机对照试验。

Effects of colic massage and kangaroo care on infantile colic pain, crying and sleep duration: A randomized controlled trial.

作者信息

Ertem Gülşah Sunay, Özyazıcıoğlu Nurcan

机构信息

Balıkesir State Hospital, Balıkesir, Türkiye.

Department of Pediatric Nursing, Faculty of Health Sciences, Bursa Uludağ University, Bursa, Türkiye.

出版信息

J Pediatr Nurs. 2025 Sep-Oct;84:390-396. doi: 10.1016/j.pedn.2025.07.003. Epub 2025 Jul 10.

Abstract

OBJECTIVE

This study aimed to determine the effect of colic massage and kangaroo care on infantile colic symptoms, crying, and sleep duration.

DESIGN AND METHOD

This study is a randomized controlled experimental study with a pretest-posttest design. The study was conducted with infants diagnosed with infantile colic and their mothers. The infants and mothers in the study consisted of a massage group, a kangaroo care group, and a control group. The study data were collected with the "Mother-Baby Information Form", "Crying and Sleep Recording Form", and the "Infantile Colic Scale".

RESULTS

After the intervention, the median values of infantile colic difference score compared to pre-intervention were  - 14, -8, -1 in the massage, kangaroo care and control groups, respectively (p < 0.001).

CONCLUSION AND IMPLICATIONS FOR PRACTICE

Infantile colic symptoms declined the most in the massage group and the least in the control group. Crying duration decreased the least in the control group and sleep duration increased the most in the massage group. It can be said that colic massage and kangaroo care for infantile colic comfort and calm the infants. However, applying colic massage reduces colic symptoms more. The study is registered at clinicaltrials.govNCT06727760.

摘要

目的

本研究旨在确定腹部绞痛按摩和袋鼠式护理对婴儿腹绞痛症状、哭闹及睡眠时间的影响。

设计与方法

本研究是一项采用前测-后测设计的随机对照实验研究。该研究针对被诊断为婴儿腹绞痛的婴儿及其母亲开展。研究中的婴儿和母亲分为按摩组、袋鼠式护理组和对照组。研究数据通过“母婴信息表”“哭闹与睡眠记录表”以及“婴儿腹绞痛量表”收集。

结果

干预后,按摩组、袋鼠式护理组和对照组与干预前相比,婴儿腹绞痛差异得分的中位数分别为-14、-8、-1(p<0.001)。

结论及对实践的启示

按摩组婴儿腹绞痛症状下降最多,对照组下降最少。对照组哭闹时间减少最少,按摩组睡眠时间增加最多。可以说,腹部绞痛按摩和袋鼠式护理对婴儿腹绞痛有安抚作用,能使婴儿平静下来。然而,进行腹部绞痛按摩能更有效地减轻腹绞痛症状。本研究已在clinicaltrials.gov上注册,注册号为NCT06727760。

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