Becker P T, Grunwald P C, Moorman J, Stuhr S
School of Nursing, University of Wisconsin-Madison.
Nurs Res. 1993 Jul-Aug;42(4):214-20.
The purpose of this study was to determine whether modifying care to reduce stressors in the neonatal intensive care unit and support infant development affected physiological, motor, and behavioral state organization. Twenty-one infants weighing less than 1501 g were studied prior to a nursing staff-training program (control) and 24 infants were studied posttraining (study). Nurses were taught to lower environmental stress, reduce procedural stress, and facilitate motor and sleep-wake organization. Oxygen saturation, motor activity, posture, and sleep-wake states were measured biweekly during routine care. Study infants showed higher oxygen saturation levels, fewer disorganized and jerky movements, more flexor movements, more flexed posture, and more alert-wakefulness than controls. Results suggest that this approach to care may have potential to improve behavioral organization during the preterm period.
本研究的目的是确定改变护理方式以减少新生儿重症监护病房中的应激源并支持婴儿发育是否会影响生理、运动和行为状态组织。在护理人员培训项目之前，对21名体重不足1501克的婴儿进行了研究（对照组），在培训之后对24名婴儿进行了研究（研究组）。护士们被教导要降低环境应激、减少操作应激，并促进运动和睡眠-觉醒组织。在常规护理期间，每两周测量一次血氧饱和度、运动活动、姿势和睡眠-觉醒状态。与对照组相比，研究组婴儿的血氧饱和度水平更高，无组织和急促的动作更少，屈肌运动更多，姿势更屈曲，警觉-觉醒状态更多。结果表明，这种护理方法可能有潜力改善早产期间的行为组织。
