头面部抚触干预在减少新生儿哭闹中的应用效果(1)
[摘要]目的 探討头面部抚触干预对减少新生儿哭闹的影响。方法 选取2019年2～6月在我院行剖宫产术娩出的200例足月新生儿作为研究对象，采用随机数字表法将新生儿分为A、B、C、D四组，每组各50例。A组新生儿采用足部抚触干预，B组新生儿采用胸部抚触干预，C组新生儿采用手部抚触干预，D组新生儿采用头面部抚触干预，每个部位抚摸8下，约10 s。比较四组新生儿抚触干预前后的心率、呼吸频率的改变及抚触总有效率。结果 抚触干预后，D组新生儿的心率及呼吸频率均低于本组干预前，差异有统计学意义(P<0.05)。抚触干预后，D组新生儿的心率及呼吸频率低于A、B、C组，差异有统计学意义(P<0.05)。抚触干预后，A、B、C组新生儿的心率及呼吸频率与本组干预前比较，差异无统计学意义(P>0.05)。D组新生儿抚触干预后的抚触总有效率高于A、B、C组，差异有统计学意义(P<0.05)。结论 对头面部进行抚触干预，能使新生儿快速有效减少哭闹，产生良好的生理反应，操作简便，值得推广应用。
[关键词]头面部;抚触干预;新生儿;哭闹
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2020)5(c)-0146-04
Application effect of head and face touch intervention on reducing neonatal crying
ZHONG Su-qiong CHEN Shao-xia MA Xue-zhi ZHANG Ying
Operating Room， Dafeng Hospital of Chaoyang District in Shantou City， Guangdong Province， Shantou 515154， China
[Abstract] Objective To explore the effect of head and face touch intervention on reducing neonatal crying. Methods A total of 200 full-term newborns delivered by cesarean section in our hospital from February to June 2019 were selected as the research objects， and they were divided into four groups of A， B， C and D group by random number table method， 50 cases in each group. Foot touch intervention was used in group A， chest touch intervention was used in group B， hand touch intervention was used in group C， and head and face touch intervention was used in group D. Each part was touched for 8 times， with about 10 s each time. The changes of heart rate and respiratory rate before and after intervention and the total effective rate were compared. Results After touching intervention， the heart rate and respiratory rate of neonates in group D were lower than those before the intervention， and the differences were statistically significant (P<0.05). After touching intervention， the heart rate and respiratory rate of neonates in group D were lower than those in groups A， B and C， with statistically significant differences (P<0.05). There were no statistically significant differences in the heart rate and respiratory rate of neonates in groups A， B and C after touching intervention compared with those before the intervention (P>0.05). After intervention， the total effective rate of neonatal touching in group D was higher than that in group A， B and C， and the differences were statistically significant (P<0.05). Conclusion Touch intervention on the head and face can quickly and effectively reduce crying for neonates， generate a good physiological response with easy operation， so it is worthy of promotion and application., http://www.100md.com(钟素琼 陈少霞 马雪智 张莹)
[关键词]头面部;抚触干预;新生儿;哭闹
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2020)5(c)-0146-04
Application effect of head and face touch intervention on reducing neonatal crying
ZHONG Su-qiong CHEN Shao-xia MA Xue-zhi ZHANG Ying
Operating Room， Dafeng Hospital of Chaoyang District in Shantou City， Guangdong Province， Shantou 515154， China
[Abstract] Objective To explore the effect of head and face touch intervention on reducing neonatal crying. Methods A total of 200 full-term newborns delivered by cesarean section in our hospital from February to June 2019 were selected as the research objects， and they were divided into four groups of A， B， C and D group by random number table method， 50 cases in each group. Foot touch intervention was used in group A， chest touch intervention was used in group B， hand touch intervention was used in group C， and head and face touch intervention was used in group D. Each part was touched for 8 times， with about 10 s each time. The changes of heart rate and respiratory rate before and after intervention and the total effective rate were compared. Results After touching intervention， the heart rate and respiratory rate of neonates in group D were lower than those before the intervention， and the differences were statistically significant (P<0.05). After touching intervention， the heart rate and respiratory rate of neonates in group D were lower than those in groups A， B and C， with statistically significant differences (P<0.05). There were no statistically significant differences in the heart rate and respiratory rate of neonates in groups A， B and C after touching intervention compared with those before the intervention (P>0.05). After intervention， the total effective rate of neonatal touching in group D was higher than that in group A， B and C， and the differences were statistically significant (P<0.05). Conclusion Touch intervention on the head and face can quickly and effectively reduce crying for neonates， generate a good physiological response with easy operation， so it is worthy of promotion and application., http://www.100md.com(钟素琼 陈少霞 马雪智 张莹)
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