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襁褓浴联合音乐疗法及抚触护理对住院新生儿生理反应及生命体征的应用研究
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- Author:
- No author available
- Journal Title:
- Journal of Military Surgeon in in Southwest China
- Issue:
- 4
- DOI:
- 10.3969/j.issn.1672-7193.2021.04-06.050
- Key Word:
- 襁褓浴;音乐疗法;抚触护理;传统浴盆法;生理反应;生命体征
Abstract： 目的 本研究旨在比较襁褓浴与传统浴盆法联合音乐疗法及抚触护理对新生儿生理反应及生命体征的影响.方法 本研究采用随机对照研究,选取2019年1月至2020年1月于我科住院的正常足月新生儿,共计60人,按照随机数法随机分为A组和B组.A组采用襁褓浴联合音乐疗法及抚触护理的沐浴方法,B组采用传统浴盆法沐浴联合音乐疗法及抚触护理.按照新生儿恐惧不安的评估量表对两组受试者沐浴前后的生理反应进行评分,同时于沐浴前、沐浴后1 min、15 min和30 min测量两组受试者体温、脉搏、呼吸频率和血氧饱和度.结果 A组和B组基本情况(性别、胎龄、体重、Apgar评分)、沐浴前生理反应评分及生命指征(体温、脉搏、呼吸频率和血氧饱和度)均没有显著差异(P>0.05).而A组受试者沐浴后的生理反应评分显著小于B组受试者(P<0.05);同时沐浴后1 min、15 min A组受试者的心率和脉搏均小于B组受试者(P<0.05);沐浴后1 min、15 min A组受试者体温和血氧饱和度均大于B组受试者(P<0.05);而沐浴后30 min,两组受试者的体温、脉搏、呼吸频率和血氧饱和度之间无显著性变化(P>0.05).结论 襁褓浴联合音乐疗法及抚触护理可以减少患儿行为压力症状,包括哭闹、激动导致的挣扎行为等;同时对患儿体温、呼吸频率、心率、血氧饱和度等生命体征的维持要好于传统浴盆法的护理方法.
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