辅助蜷曲体位对晚期早产新生儿足跟采血操作痛的影响：一项类实验研究。
完整摘要 · 中文译文
背景：早产儿经常经历诸如足跟采血之类的疼痛性操作，这可能对其生理稳定性和神经发育产生不利影响。裹抱支持等非药物干预措施可能有助于减轻操作性疼痛。本研究旨在评估裹抱支持对晚期早产儿足跟采血期间操作性疼痛的影响。 方法：这项准实验研究纳入了100名入住一家三级医院的晚期早产儿（胎龄34至<37周）。采用交替分配法将新生儿分为两组：常规足跟采血组（n=50）和裹抱支持组（n=50）。我们使用早产儿疼痛量表修订版（PIPP-R）评分在操作后30秒评估疼痛，同时监测心率和血氧饱和度。我们使用Mann-Whitney U检验和协方差分析（ANCOVA）对数据进行分析，效应量以偏eta平方（偏η²）报告用于ANCOVA分析。 结果：与常规护理组相比，裹抱支持组的疼痛评分显著更低（PIPP-R评分中位数分别为4.00 vs. 9.00，p < 0.001）。接受裹抱支持的新生儿在操作后心率上升幅度更小，血氧饱和度下降幅度也更小，表明其生理稳定性更好。 结论：在晚期早产儿足跟采血期间，裹抱支持与较低的操作性疼痛评分和更好的生理稳定性相关。它可能为操作性疼痛管理提供一种简单的非药物方法，尽管还需要进一步研究来确认其在其他临床场景中的适用性和长期效果。 这些发现需要在随机研究中得到证实。
完整摘要 · 英文原文
BACKGROUND: Preterm neonates frequently undergo painful procedures such as heel pricks, which can adversely affect physiological stability and neurodevelopment. Non-pharmacological interventions like facilitated tucking may help reduce procedural pain. This study aimed to evaluate the effect of facilitated tucking on procedural pain during heel prick in late preterm neonates. METHODS: This quasi-experimental study was carried out among 100 late preterm neonates (34 to < 37 weeks) admitted to a tertiary care hospital. Neonates were allocated into two groups: routine heel prick (n=50) and facilitated tucking (n=50) groups using alternate allocation. We assessed the pain using the Premature Infant Pain Profile-Revised (PIPP-R) score at 30 seconds post-procedure along with heart rate and oxygen saturation monitoring. We analyzed the data using the Mann-Whitney U test and analysis of covariance (ANCOVA), with effect sizes reported as partial eta squared (partial η²) for ANCOVA analyses. RESULTS: The facilitated tucking group demonstrated significantly lower pain scores compared to the routine care group (median PIPP-R score 4.00 vs. 9.00, p < 0.001). Neonates who underwent facilitated tucking showed a smaller rise in heart rate and less reduction in oxygen saturation following the procedure, indicating better physiological stability. CONCLUSION: Facilitated tucking was associated with lower procedural pain scores and better physiological stability during heel prick in late preterm neonates. It may offer a simple non-pharmacological approach to procedural pain management, although these findings need confirmation in randomized studies.