早产儿在气管内吸痰时采用雅克森法和轻柔人体抚触法对疼痛、舒适度和生理参数的影响。

IF 4.9 2区 医学 Q1 NURSING Intensive and Critical Care Nursing Pub Date : 2024-11-19 DOI:10.1016/j.iccn.2024.103898
Seda Çağlar , Şadiye Dur , Nagehan Ustabaş Yıldız , İpek Güney Varal
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引用次数: 0

摘要

背景:新生儿重症监护室中的早产儿会经历各种疼痛过程,因此采用了不同的非药物止痛技术来减轻疼痛:本研究旨在确定在气管内吸痰过程中,雅克森法和轻柔人体抚触法(GHT)对早产儿疼痛、舒适度和生理参数反应的影响:随机对照交叉试验:本研究于 2022 年 7 月至 2023 年 6 月期间在新生儿重症监护室进行:根据纳入标准,30 名婴儿被纳入本研究。这些样本随机接受了雅克森和 GHT 抽吸以及常规护理的顺序。采用新生儿疼痛、激动和镇静量表(N-PASS)和COMFORTneo收集数据:结果:在气管内吸痰过程中和吸痰后,接受 GHT 和 Yakson 触摸的早产儿的疼痛和舒适度评分在统计学上明显低于接受常规护理的早产儿(P 结论:GHT 和 Yakson 触摸的早产儿的疼痛和舒适度评分在统计学上明显低于接受常规护理的早产儿:在早产儿气管内吸痰期间应用雅克森和 GHT 对减轻疼痛和舒适感以及调节生理参数非常有效。
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The effect of the Yakson and Gentle Human Touch methods applied to preterm infants during endotracheal aspiration on pain, comfort, and physiological parameters

Background

Preterm infants in the neonatal intensive care unit are exposed to various painful procedures; thus, different non-pharmacological pain control techniques are used to alleviate pain.

Objectives

The aim of this study is to determine the effect of Yakson and Gentle Human Touch (GHT) methods during endotracheal suctioning on pain, comfort, and physiological parameters response in preterm infants.

Design

A randomised controlled crossover trial.

Setting

This study was conducted in the neonatal intensive care unit between July 2022 and June 2023.

Methods

Thirty infants were included in this study based on inclusion criteria. The samples randomly received a sequence of suctioning with Yakson and GHT and routine care. Neonatal Pain Agitation and Sedation Scale (N-PASS) and COMFORTneo were used to collect the data.

Results

The pain and comfort scores of preterm infants who received GHT and Yakson touch during and after endotracheal suctioning were statistically significantly lower than the infants in the routine care (p < 0.001). It was determined that the difference was in favour of the Yakson group (p < 0.001). The infants who received GHT and Yakson application had lower heart rates and higher oxygen saturation levels after the application compared to the control group (p < 0.001).

Conclusion

The application of Yakson and GHT during endotracheal aspiration in preterm infants has been found to be effective in pain and comfort management, as well as in the regulation of physiological parameters.
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来源期刊
CiteScore
6.30
自引率
15.10%
发文量
144
审稿时长
57 days
期刊介绍: The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.
期刊最新文献
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