无创伤口胃管插入方案对联合使用襁褓、辅助塞入、母乳和蔗糖的效果。

IF 1.9 4区 医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-07-29 DOI:10.1111/ijn.13293
Vildan Apaydin Cirik PhD, Ayse Sonay Turkmen PhD, RN, Esra Derin MSc RN, Nezahat Yilmaz MSc RN
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引用次数: 0

摘要

目的:该研究旨在制定在口胃管(OGT)插入过程中联合使用襁褓、促进性塞入、表达母乳和蔗糖给药方法的方案,并评估其有效性:随机对照试验于 2022 年 2 月 15 日至 2022 年 9 月 15 日在新生儿重症监护室进行,共有 175 名早产儿参加。孕周在32-34周的早产儿被随机分配到五组:常规护理组、襁褓+母乳喂养组、襁褓+蔗糖组、辅助盖被+母乳喂养组和辅助盖被+蔗糖组。数据收集采用了早产儿描述性信息表、生理测量表、COMFORTneo量表和早产儿疼痛档案(PIPP):结果:与常规护理法(pdistress pain = 0.031)和襁褓+母乳法(pdistress = 0.004; ppain = 0.015)相比,在降低早产儿在手术过程中的估计痛苦和 PIPP 疼痛水平方面,助推式掖被+母乳法更为有效。手术两分钟后,促进性收腹+挤出母乳法比常规护理更有效(p 结论:促进性收腹+挤出母乳法比常规护理更有效:促进性收腹+挤出母乳法能有效减轻宫颈外翻术过程中的疼痛和痛苦,并提供舒适感。临床试验编号:NCT05180058:NCT05180058。
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Effectiveness of an atraumatic orogastric tube insertion protocol for the combined use of swaddling, facilitated tucking, breast milk and sucrose

Aim

The study aims to develop a protocol for the combined use of swaddling, facilitated tucking, expressed breast milk and sucrose administration methods in the orogastric tube (OGT) insertion procedure and evaluate its effectiveness.

Methods

The randomized controlled trial was conducted in the Neonatal Intensive Care Unit between 15 February 2022 and 15 September 2022, with 175 preterms. Preterms at 32–34 gestational weeks were randomly allocated to five groups: routine care, swaddling + expressed breast milk, swaddling + sucrose, facilitated tucking + expressed breast milk and facilitated tucking + sucrose groups. The data were collected using the Preterm Descriptive Information Form, the Physiological Measurement Form, the COMFORTneo scale and the Premature Infant Pain Profile (PIPP).

Results

The facilitated tucking + expressed breast milk method was found to be more effective than the routine care (pdistress < 0.001; ppain = 0.031) and swaddling + expressed breast milk (pdistress = 0.004; ppain = 0.015) methods in reducing the estimated distress and PIPP pain level of preterms during the procedure. Two minutes after the procedure, the facilitated tucking + expressed breast milk method was more effective than the routine care (p < 0.001), swaddling + expressed breast milk (p = 0.011) and swaddling + sucrose (p = 0.002) methods in reducing the comfort level score.

Conclusions

The facilitated tucking + expressed breast milk method is effective in reducing pain and distress and providing comfort during the OGT procedure.

Clinical Trials ID: NCT05180058.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
审稿时长
3 months
期刊介绍: International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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