CAJ | 학술논문

目的：调查早产儿住院期间经历致痛性操作的现状，为早产儿的疼痛管理提供理论依据。方法采用方便抽样的方法，选取2014年8—10月深圳市某三级医院新生儿重症监护室收治的111例早产儿为研究对象，调查早产儿住院期间经历致痛性操作的项目、数量及疼痛水平。疼痛评分采用早产儿疼痛评分量表( PIPP)进行评分。结果111例早产儿住院期间共经8258次致痛性操作，平均每例早产儿经历(74.4±18.22)次，每人每天经历(3.72±1.53)次。出生体质量<1500 g的早产儿平均每人经历153次，出生体质量≥1500 g的早产儿平均每人经历46次；早产儿经历最多的疼痛刺激是揭除3M透明敷贴，疼痛评分排在前3位的为外周动脉穿刺、采足底血、皮下注射。结论早产儿，特别是<1500 g的极/超低出生体质量儿在住院期间常需接受大量侵入性、致痛性操作。有必要加强医护人员疼痛管理能力的培训，从而减少疼痛刺激对早产儿造成的不良影响。
목적：조사조산인주원기간경력치통성조작적현상，위조산인적동통관리제공이론의거。방법채용방편추양적방법，선취2014년8—10월심수시모삼급의원신생인중증감호실수치적111례조산인위연구대상，조사조산인주원기간경력치통성조작적항목、수량급동통수평。동통평분채용조산인동통평분량표( PIPP)진행평분。결과111례조산인주원기간공경8258차치통성조작，평균매례조산인경력(74.4±18.22)차，매인매천경력(3.72±1.53)차。출생체질량<1500 g적조산인평균매인경력153차，출생체질량≥1500 g적조산인평균매인경력46차；조산인경력최다적동통자격시게제3M투명부첩，동통평분배재전3위적위외주동맥천자、채족저혈、피하주사。결론조산인，특별시<1500 g적겁/초저출생체질량인재주원기간상수접수대량침입성、치통성조작。유필요가강의호인원동통관리능력적배훈，종이감소동통자격대조산인조성적불량영향。
Objective To investigate the premature infants′ pain operation during their hospitalization and thus provide evidence for the necessity of premature infants pain management. Methods Using the method of convenient sampling, we prospectively collected data of all painful procedures performed on 111 premature infants who recruited from admission to discharge in a Neonatal Intensive Care Unit in Shenzhen. The pain of premature infant was evaluated by premature infant pain profile ( PIPP ) . Results During hospitalization, 111 premature infants were exposed to 8 258 painful operations, with each preterm having (74. 4 ± 18. 22) times and averagely (3. 72 ± 1. 53) times each day. Below 1 500 g birth weight infants and equal and beyond 1 500 g birth weight infants were exposed to a median of 153 and 46 painful procedures, respectively. Among those painful procedures, 3M Transparent Dressing removal was the most frequently pain operation performed on preterm neonates, and peripheral arterial puncture, plantar blood sampling, and subcutaneous injection were top three reasons caused most pain. Conclusions Premature infants, particularly very/extremely low birth weight infants ( VLBWI/ELBWI ) , are exposed to numerous invasive painful procedures. It is necessary to train health-care workers to enhance their pain management ability, thereby to reduce the adverse effects of pain stimuli to the premature infants.