掌抓反射刺激对新生儿沐浴时生理参数和哭闹时间的影响:一项随机对照试验。

IF 1.9 4区 医学 Q2 NURSING Biological research for nursing Pub Date : 2023-01-01 DOI:10.1177/10998004221113765
Türkan Kadiroğlu, Elif S Koç
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引用次数: 0

摘要

目的:探讨新生儿沐浴时掌抓反射刺激对新生儿生理参数和哭闹时间的影响。设计、环境和参与者:本研究设计为平行随机临床试验。在土耳其新生儿重症监护病房(N = 82),父母完全理解研究程序。得到了父母的书面和口头同意。不符合浴缸沐浴条件的新生儿被排除在研究之外。对照组按浴盆洗浴标准进行洗浴。实验组在洗澡时给予掌抓反射刺激。检查的变量包括体温、呼吸频率、脉搏、血氧饱和度和哭泣时间。在所有分析中,p 0.05被认为具有统计学意义。结果:实验组患者心率比对照组慢5.2次/分(χ2 = 12.272;p 0.001)。实验组呼吸频率每分钟比对照组低1.3次(χ2 = 43.219;p 0.001)。实验组血氧饱和度(%)比对照组高0.4个百分点(χ2 = 5.793;p 0.016)。对照组在洗澡时哭泣时间较高(p < 0.001)。结论:新生儿沐浴时掌抓反射有助于维持生理参数的稳定,缩短婴儿哭闹时间。掌抓反射刺激被推荐用于可能引起压力的干预。
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Effect of Palmar Grasp Reflex Stimulation on Physiological Parameters and Crying Time During Neonatal Bath: A Randomized Controlled Trial.

Objective: This study aimed to determine the effect of palmar grasp reflex stimulation during a neonatal bath on the physiological parameters and crying time of the newborn.

Design, setting, and participants: This study was designed as a parallel randomized clinical trial. Parents fully understood the study procedure at the Neonatal Intensive Care Unit in Turkey (N = 82). Both written and verbal consent was obtained from the parents. Newborns who were ineligible for tub bathing were excluded from the study. The babies in the control group were given baths according to the tub bathing standards. Babies in the experimental group were given palmar grasp reflex stimulation during the baths. The variables examined included body temperature, respiratory rate, pulse, oxygen saturation levels, and crying time. In all analyses, p < 0.05 was accepted as statistically significant.

Results: The heart rate of the experimental group was 5.2 beats per minute slower than the control group (χ2 = 12.272; p < 0.001). The respiratory rate of the experimental group was 1.3 lower per minute compared to the control group (χ2 = 43.219; p < 0.001). In addition, the oxygen saturation level (%) of the experimental group was 0.4 higher than the control group (χ2 = 5.793; p < 0.016). Crying time was higher in the control group during bathing (p < 0.001).

Conclusion: The results showed that the palmar grasp reflex in newborn bathing helps to maintain the stability of physiological parameters and shortens the crying time of babies. Palmar grasp reflex stimulation is recommended in interventions that may cause stress.

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来源期刊
CiteScore
5.10
自引率
4.00%
发文量
58
审稿时长
>12 weeks
期刊介绍: Biological Research For Nursing (BRN) is a peer-reviewed quarterly journal that helps nurse researchers, educators, and practitioners integrate information from many basic disciplines; biology, physiology, chemistry, health policy, business, engineering, education, communication and the social sciences into nursing research, theory and clinical practice. This journal is a member of the Committee on Publication Ethics (COPE)
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