中线襁褓和传统襁褓姿势对新生儿身体和自主神经体征的影响

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引用次数: 0

摘要

传统的襁褓方法是手臂和腿伸直,紧紧包裹,臀部内收,印度尼西亚的新生儿大多采用传统方法襁褓。当襁褓操作得当时,婴儿觉醒较少,睡眠时间较长,神经肌肉发育较好,生理应激较少,运动组织较好,自我调节能力较好。不当的襁褓会导致对新生儿有害的情况,如小岛屿发展中国家和DDH,这会导致压力。新生儿早期暴露于压力会导致行为和神经生物学障碍方面的残留症状。本研究旨在确定与传统襁褓相比,中线体位对身体和自主神经应激体征的影响。研究人群包括194名新生儿。观察和记录中线和传统襁褓,并记录出生时,10分钟和2小时的身体和自主神经体征。本研究发现,两组婴儿出生后10分钟和2小时的哭声、出生时的心率和呼吸频率有统计学差异(p< 0.05), 10分钟和2小时的血氧饱和度有统计学差异(p< 0.05)。0 05)。此外,中线襁褓的心率和呼吸率平均下降幅度较大,血氧饱和度升高。因此,本研究可以推断中线体位襁褓比传统体位具有更小的压力效应。在印尼其他地方进行同样的研究将是昂贵的。未来的研究可能会提出更大的样本,从而得出更准确的结果。关键词:襁褓,中线体位,传统体位,身体体征,自主体征。https://doi.org/10.55463/issn.1674-2974.50.8.10
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Midline Swaddling and Traditional Swaddling Position and Their Influence on Physical and Autonomic Sign on Newborn Babies
The traditional method of swaddling is done with the arms and legs straightened and wrapped tightly with the hips in an adduction position, and newborns are mostly swaddled by traditional methods in Indonesia. When swaddling is properly performed, infants show less awakening and longer sleep, better neuromuscular development, less physiological stress, better motor organization, and better self-regulation abilities. Improper swaddling can result in conditions that are detrimental to newborns, such as SIDS and DDH, which cause stress. Early exposure of neonates to stress results in residual symptoms in behavior and neurobiological disorders. This study aimed to determine the effect of mid-line position compared with traditional swaddling regarding physical and autonomic stress signs. The study population comprised 194 newborns. The mid-line and traditionally swaddled were observed and recorded, and physical and autonomic signs at birth, 10 minutes and 2 hours were documented. This study found that there was a statistically significant difference between the groups in terms of cries at 10 minute and 2 hours and so with the heart rate and respiration rate at birth (p<0,05), and a significant difference in oxygen saturation at 10 minutes and 2 hours (p < 0,05). Additionally, mid-line swaddling had a larger average decrease in heart rate and respiration rate, and increase in the oxygen saturation. Therefore, this study can deduce that midline position swaddling has a less stressful effect than the traditional position. The same research elsewhere in Indonesia will be costly. Future research would suggest a larger sample that may suggest a more accurate outcome. Keywords: swaddling, midline position, traditional position, physical sign, autonomic sign. https://doi.org/10.55463/issn.1674-2974.50.8.10
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