目的 比较襁褓沐浴和传统裸浴对首次沐浴的足月儿新生儿的影响,以探寻更适宜的新生儿沐浴方式。方法 纳入2021年5—7月中南大学湘雅三医院产科符合条件的足月新生儿60名,电脑随机分为裸浴组和襁褓组各30名。采用新生儿压力量表(NSS)在沐浴前、沐浴结束时和沐浴结束后10 min评估其压力程度并测量生理指标,包括体温、呼吸、心率和氧饱和度。记录并比较两组新生儿沐浴时长和沐浴过程中的哭闹时长。结果 沐浴结束时和结束后10 min襁褓组体温(t=2.21、5.11)和氧饱和度(t=4.59、5.00)均高于裸浴组(P＜0.05),呼吸(t=-3.17、-6.20)和心率(t=-7.92、-5.67)、压力得分(t=-5.91、-3.42)均低于裸浴组(P＜0.05)。裸浴组哭闹时长大于襁褓组,差异有统计学意义(t=-7.06,P<0.05)。结论 襁褓沐浴更能保持首次沐浴的足月新生儿生理指标的稳定性,也能降低其沐浴压力。襁褓沐浴可用于足月新生儿的首次沐浴,有利于其早期健康发展。
Abstract
Objective To compare the effects of swaddled bathing and traditional tub bathing on first-time bathing of newborns, in order to explore a more suitable way of individualized newborn bathing. Methods A total of 60 newborns admitted to the Obstetrics Department of the Third Xiangya Hospital of Central South University from May to July 2021, were enrolled in this study and were randomly assigned by computer to swaddled bathing group(n=30) and traditional tub bathing group(n=30). The Neonatal Stress Scale(NSS) was used to assess stress levels, and physiological parameters were measured, including body temperature, respiratory rate, heart rate and oxygen saturation before bathing, immediately after, and 10 minutes after bathing. The bathing time and crying time during bathing between the two groups were recorded and compared. Results For immediately after bathing, and 10 minutes after bathing, the body temperature(t=2.21,5.11) and oxygen saturation(t=4.59,5.00) of newborns in swaddled bathing group were higher than those in traditional tub bathing group(P<0.05), while the heart rate(t=-3.17,-6.20), respiratory rate(t=-7.92,-5.67) and the NSS score(t=-5.91,-3.42) of newborns in swaddled bathing group were significantly lower than those in traditional tub bathing(P<0.05). The crying time of newborns in traditional tub bathing group was significantly longer than that in swaddled group(t=-7.06, P<0.05). Conclusions The swaddled bathing does better in maintaining the stability of the physiological parameters of full-term newborns, and can also reduce bathing pressure.Therefore, swaddled bathing can be used in first-time bathing of full-term newborns,which is beneficial to their early healthy development.
关键词
足月新生儿 /
首次沐浴 /
皮肤护理 /
襁褓沐浴
Key words
newborns /
first-time bath /
skin care /
swaddled bathing
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基金
湖南省妇女理论与实践研究课题(19YB11)
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