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Kangaroo Care (Skin-to-Skin) for Clustered Pain Procedures: Case Study

World Journal of Neuroscience 2016年第1期6卷 43-51页

作者： Raouth R. Kostandy susan m. ludington-hoe School of Nursing Cleveland State University Cleveland USA Bolton School of Nursing Case Western Reserve University Cleveland USA

Background: Pain m.nagem.nt for term.newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on m.ther) effectively reduces pain of single procedures, but its effect on pain from.clustered procedures is not known. Aim. The aim.was to test Kangaroo Care’s effect on pain in one term.infant who received clustered painful procedures while determ.ning feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term.newborn who received two heel sticks and one injection in one session in the m.ther’s postpartum.room. m.thod: Heart rate and oxygen saturation (recorded from.m.ssim. Pulse Oxim.ter every 30 seconds), crying tim. (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system.every 30 seconds) were m.asured before (5 m.nutes), during (10.5 m.nutes) and after (30 m.nutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse adm.nistered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation rem.ined unchanged, sleep predom.nated, and crying was m.nim.l throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from.clustered painful procedures and can be further tested.

关键词： Kangaroo Care Pain Clustered Procedures Healthy Term.Infant

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Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term.Newborns

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World Journal of Neuroscience 2017年第1期7卷 38-47页

作者： Raouth R. Kostandy susan m. ludington-hoe Cleveland State University School of Nursing Cleveland OH USA Bolton School of Nursing Case Western Reserve University Cleveland OH USA

As a part of their routine care, full term.newborns face m.ny painful procedures im.ediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recom.ended as a non-pharm.cological pain m.nagem.nt intervention in newborns. However, the use of SSC in labor and delivery room. as well as in postnatal units and nurseries is lim.ted due to the discom.ort that the nurses and phlebotom.sts them.elves experience during positioning the newborns and them.elves to com.lete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a random.zed clinical trial to m.nage newborns pain during clustered pain procedures. The procedure worked well and no com.laints of discom.ort were reported by the nurses during the study.

关键词： Full Tern Newborns Clustered Painful Procedures Skin-to-Skin Contact (SSC)

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