母乳气味对气管内吸引过程中新生儿疼痛和应激水平的影响

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-25 DOI:10.1089/bfm.2023.0325
Büşra Deniz, Arzu Sarıalioğlu
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引用次数: 0

摘要

研究目的本研究旨在确定母乳气味对新生儿在气管内吸引过程中的疼痛和应激水平的影响。研究方法研究采用随机对照实验设计,于 2022 年 3 月至 2023 年 12 月期间在土耳其东部医院的新生儿重症监护室进行。研究对象包括在土耳其东部一家医院的新生儿重症监护室接受机械通气治疗的第 37 至 41 孕周的新生儿。所有在数据收集阶段符合纳入标准的新生儿均被纳入研究。共有 88 名新生儿完成了这项研究(干预组和对照组各 44 名)。研究使用了新生儿入门信息表、ALPS-Neo 新生儿疼痛和压力评估量表以及随访表来收集研究数据。研究以新生儿母亲的母乳气味作为干预组。与新生儿母亲取得联系以获取母乳,并在手术当天从母亲处获得相关信息。取一毫升母乳滴入无菌海绵中,在气管内吸痰前 5 分钟至吸痰后 5 分钟期间,将海绵放在离婴儿鼻子 10 厘米远的地方。对照组进行常规气管内吸引。研究遵循伦理原则。研究结果我们发现,在气管内吸引过程中和之后,干预组的疼痛和压力平均得分均低于对照组(P < 0.05)。结论我们发现,母乳气味减轻了新生儿在气管内吸引过程中的疼痛、压力水平和哭闹持续时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Breast Milk Odor on the Pain and Stress Levels of the Newborn During the Endotracheal Suction Procedure.

Objective: The study aimed to determine the effect of the breast milk odor on the pain and stress levels of the newborn during the endotracheal suction procedure. Method: The study was conducted in the randomized-controlled experimental design at the neonatal intensive care unit of the hospital in eastern Turkey between March 2022 and December 2023. The study population included newborns at the 37th to 41st gestational weeks who were receiving mechanical ventilation treatment in the neonatal intensive care unit of a hospital in eastern Turkey. All newborns who met the inclusion criteria during the data collection phase were included in the study. The study was completed with 88 newborns (44 in the intervention group and 44 in the control group). The Newborn Introductory Information Form, ALPS-Neo Newborn Pain and Stress Assessment Scale, and follow-up form were used to collect the study data. The breast milk odor of the mothers of the newborns was used as the intervention group in the study. The mothers of the newborns were contacted to obtain breast milk, and the information was obtained from the mother on the day of the procedure. One milliliter of breast milk was taken and dropped into a sterile sponge, and it was held 10 cm away from the baby's nose from 5 minutes before to 5 minutes after endotracheal suction. A routine endotracheal suction process was performed in the control group. Ethical principles were followed in the study. Results: We found that the intervention group's pain and stress score averages were lower than the control group during and after the endotracheal suction procedure (p < 0.05). Conclusion: We found that the breast milk odor reduced the pain, stress levels, and crying duration of newborns during the endotracheal suction process.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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