首页|母乳嗅觉刺激联合音乐干预对静脉穿刺新生儿镇痛及穿刺成功率的影响

母乳嗅觉刺激联合音乐干预对静脉穿刺新生儿镇痛及穿刺成功率的影响

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目的:探讨母乳嗅觉刺激联合音乐干预对静脉穿刺新生儿镇痛及穿刺成功率的影响.方法:选取2021年12月-2023年12月于本院行静脉穿刺的新生儿102例,分为观察组和对照组各51例,两组均给予常规静脉穿刺方法,观察组同时给予母乳嗅觉刺激联合音乐干预.比较两组新生儿疼痛评估量表(NIPS)评分、新生儿面部编码系统(NFCS)评分、新生儿哭闹开始时间和持续时间、一次穿刺成功率、心率(HR)、血氧饱和度(SpO2)和穿刺相关并发症.结果:观察组穿刺中、穿刺1 min和2 min后的NIPS评分(4.83±0.74分、2.35±0.67分、0.78±0.40分)、NFCS评分(5.02±1.14 分、3.18±0.75 分、1.04±0.33 分)、哭闹持续时间(54.3±7.2s)、HR(148.1±4.9 次/min、149.3±4.8 次/min、142.1±4.2次/min)、穿刺相关并发症发生率(5.9%)均低于对照组(5.32±0.88分、3.49±0.56分、1.43±0.47分、5.78±1.09 分、4.22±0.93 分、1.51±0.48 分、110.82±12.28 s、153.8±5.2 次/min、155.4±4.9 次/min、146.3±4.2 次/min、19.6%),新生儿哭闹开始时间(2.8±0.4 s)晚于对照组(2.1±0.2 s),一次穿刺成功率(96.1%)及穿刺中、穿刺1 min 和 2 min 后的 SpO2(95.8%±1.9%、95.2%±1.8%、95.0%±1.7%)均高于对照组(82.4%、94.5%±1.7%、94.0%±1.6%、93.6%±1.6%)(均P<0.05).结论:母乳嗅觉刺激联合音乐干预可有效减轻新生儿对静脉穿刺的疼痛感知,减少新生儿的哭闹时间,有利于提高一次穿刺成功率,降低穿刺相关并发症风险.
Effects of the breast milk olfactory stimulation combined with the music intervention for the neonates with venipuncture on their analgesia and puncture success rate
Objective:To investigate the effects of the breast milk olfactory stimulation combined with the music inter-vention for the neonates with venipuncture on their analgesia and puncture success rate.Methods:102 neonates who wanted venipuncture in hospital were selected and were divided into two groups from December 2021 to December 2023.51 neonates in the control group were given conventional venipuncture method,and 51 neonates in the observa-tion group were given the breast milk olfactory stimulation combined with the music intervention additionally.The scores of neonatal pain assessment scale(NIPS)and neonatal face coding system(NFCS),the onset and duration of crying,the success rate of once puncture,the values of heart rate and oxygen saturation(SpO2)and the puncture re-lated complications rate of the neonates were compared between the two groups.Results:The NIPS scores during puncture and at 1 min and 2 min after puncture(4.83±0.74 points,2.35±0.67 points and 0.78±0.40 points),the NFCS score(5.02±1.14 points,3.18±0.75 points and 1.04±0.33 points),the crying duration(54.3±7.2s),the HR value during puncture and at 1 min and 2 min after puncture(148.1±4.9 times/m,149.3±4.8 times/min and 142.1±4.2 times/min),and the incidence of puncture related complications(5.9%)of the neonates in the observation group were significantly lower than those(5.32±0.88 points,3.49±0.56 points,1.43±0.47 points,5.78±1.09 points,4.22±0.93 points,1.51±0.4 8 points,110.82±12.28 s,153.8±5.2 times/min,155.4±4.9 times/min,146.3±4.2 times/min,and 19.6%)of the neonates in the control group.The onset time(2.8±0.4 s)of the neonatal crying in the obser-vation group was significantly later than that(2.1±0.2 s)in the control group.The success rate of once puncture(96.1%),and the SpO2 value during puncture and at 1 min and 2 min after puncture(95.8±1.9%,95.2±1.8%and 95.0±1.7%)of the neonates in the observation group were significantly higher than those(82.4%,94.5±1.7%,94.0±1.6%and 93.6±1.6%)of the neonates in the control group(all P<0.05).Conclusion:The breast milk olfactory stimulation combined with the music intervention for the neonates with venipuncture can effectively reduce their pain perception,reduce their crying time,improve their success rate of once puncture and reduce their risk of puncture re-lated complications.

NeonateVenipunctureBreast milk olfactory stimulationMusic interventionPain degreePuncture success rate

申陈、左力、田雨飞、李道醒、张婧超、沈雪、孙妍

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首都医科大学附属北京友谊医院(100050)

新生儿 静脉穿刺 母乳嗅觉刺激 音乐干预 疼痛程度 穿刺成功率

2022年北京市中医药科技项目

JJ2022-06

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(7)