土耳其早产儿静脉穿刺时母亲温柔触碰对新生儿疼痛和母亲焦虑的影响。

IF 2.1 4区 医学 Q2 NURSING
Research in Nursing & Health Pub Date : 2025-08-01 Epub Date: 2025-05-20 DOI:10.1002/nur.22472
Derya Kılınç, Seda Çağlar
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引用次数: 0

摘要

新生儿疼痛会引起许多负面影响,如氧合减少、血流动力学恶化和颅内压升高。母亲在观察婴儿经历疼痛时可能会感到焦虑。本研究的目的是确定母亲温柔的触摸(GHT)对静脉穿刺期间婴儿的生理和疼痛反应的影响,母亲的相关焦虑水平,以及婴儿疼痛与母亲焦虑之间的相关性。在土耳其,对出院后24-48小时在新生儿随访诊所观察的80名健康早产儿(40名GHT和40名对照组)进行了一项随机对照研究。婴儿的胎龄为32-37周。采用新生儿疼痛量表(NIPS)评定婴儿疼痛,从临床监测仪获取血氧饱和度和心率(HR),用秒表测量哭闹时间(以分钟为单位),用状态-特质焦虑量表(stai - 1)评估母亲焦虑。GHT组婴儿的血氧饱和度较高,疼痛评分较低,哭闹时间较短,但心率峰值较高。他们的母亲焦虑得分较低。母亲焦虑与婴儿疼痛程度密切相关。母亲在静脉穿刺时使用的GHT方法被证明可以有效地减少婴儿疼痛,调节婴儿生理参数,减少母亲的焦虑。试验注册:NCT05727631。
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 Mother's Gentle Human Touch on Preterm Neonate's Pain and Maternal Anxiety During Venipuncture in Turkiye.

Pain in neonates causes many negative effects, such as decreased oxygenation, deterioration in hemodynamics, and increased intracranial pressure. Mothers may experience anxiety while observing the infant experiencing pain. The aim of this study was to determine the effect of gentle human touch (GHT), applied by mothers, on the infant's physiological and pain responses during venipuncture, the mother's associated anxiety levels, and the correlation between infant pain and maternal anxiety. A randomized controlled study was conducted with 80 healthy preterm infants (40 GHT and 40 control) being seen in the neonatal follow-up clinic 24-48 h post discharge from the hospital in Turkiye. Infants were 32-37 weeks gestational age. Infant pain was rated with the Neonatal Infant Pain Scale (NIPS), oxygen saturation and heart rate (HR) were taken from clinic monitors, length of crying was measured in minutes with a stop watch, and maternal anxiety was assessed with the State-Trait Anxiety Inventory (STAI-I). Infants in the GHT group had higher oxygen saturation values, lower pain scores, and shorter crying duration, but higher peak heart rates. Their mothers had lower anxiety scores. Maternal anxiety was strongly correlated with infant pain levels. The GHT method applied by mothers during venipuncture was shown to be effective in reducing infant pain, regulating infant physiological parameters, and reducing maternal anxiety. Trial Registration: NCT05727631.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
73
审稿时长
6-12 weeks
期刊介绍: Research in Nursing & Health ( RINAH ) is a peer-reviewed general research journal devoted to publication of a wide range of research that will inform the practice of nursing and other health disciplines. The editors invite reports of research describing problems and testing interventions related to health phenomena, health care and self-care, clinical organization and administration; and the testing of research findings in practice. Research protocols are considered if funded in a peer-reviewed process by an agency external to the authors’ home institution and if the work is in progress. Papers on research methods and techniques are appropriate if they go beyond what is already generally available in the literature and include description of successful use of the method. Theory papers are accepted if each proposition is supported by research evidence. Systematic reviews of the literature are reviewed if PRISMA guidelines are followed. Letters to the editor commenting on published articles are welcome.
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