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    題名: Effects of Combined Use of Mother’s Breast Milk, Heartbeat Sounds, and Non‐Nutritive Sucking on Preterm Infants’ Behavioral Stress During Venipuncture: A Randomized Controlled Trial
    作者: Wu, Hsiang‐Ping;Yang, Luke;Lan, Hsiang‐Yun;Peng, Hsueh‐Fang;Chang, Yue‐Cune;Jeng, Mei‐Jy;Liaw, Jen-Jiuan
    關鍵詞: Management of procedural pain;preterm infants;sensory intervention;stress;venipuncture
    日期: 2020-06-20
    上傳時間: 2020-06-29 12:10:20 (UTC+8)
    出版者: Wiley
    摘要: Purpose: Even routine procedures can cause pain and stress, and can be
    harmful to the fast-growing brain of preterm infants. Mitigating pain and
    stress with sucrose and analgesics has side effects; thus, an alternate choice
    is the use of natural breast milk and infants’ sensory capabilities. Therefore,
    this study examined the effects of different integrations of sensory experiences—
    mother’s breast milk odor and taste (BM-OT), heartbeat sounds
    (HBs), and non-nutritive sucking (NNS)—on preterm infant’s behavioral
    stress during venipuncture.
    Design: This study was a prospective, randomized controlled trial.
    Methods: Infants born preterm (<37 weeks’ gestational age) were enrolled
    in the study through convenience sampling, and randomly assigned to the
    following conditions: (condition 1) routine care (n = 36); (condition 2) BMOT
    (n = 33); (condition 3) BM-OT + HBs (n = 33); or (condition 4) BM-OT
    + HBs + NNS (n = 36). Crying duration from puncture to recovery period
    was recorded using a voice recorder. Facial actions and body movements
    were measured using an infant behavioral coding scheme and transformed
    into frequencies during seven stages: baseline (stage 0), disinfecting (stage 1),
    venipuncture (stage 2), and the recovery period for 10 minutes (stages 3–6).
    Findings: Data were analyzed for 138 preterm infants. The corresponding
    median times to stop crying for conditions 1, 2, 3, and 4 were 137, 79, 81,
    and 39 s, respectively; the instantaneous occurrence rates of stopping crying
    for conditions 2, 3, and 4 were 1.469, 1.574, and 2.996 times greater than
    for condition 1, respectively. Infants receiving conditions 3 and 4 had significantly
    fewer occurrences of facial actions (stage 6 and stages 4–6, respectively)
    and body movements (stages 3–6 for both); however, there were no
    significant reductions in stress behaviors for condition 2 (BM-OT).
    Conclusions: The combination of BM-OT, HBs, and NNS could be provided
    to preterm infants as interventions to prevent and reduce behavioral stress,
    and facilitate pain recovery during venipuncture procedures.
    Clinical Relevance: Clinicians should be educated about how to recognize
    preterm infants’ behavioral stress, and to incorporate different sensory
    combinations of respective mothers’ BM, HBs, and NNS into painful procedures
    to help preterm infants recover from distress.
    關聯: Journal of Nursing Scholarship
    DOI: 10.1111/jnu.12571
    顯示於類別:[數學學系暨研究所] 期刊論文

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