1.Effect of Kangaroo care on diminishing neonatal pain during heel lancing
Xuefen LI ; Min LIU ; Liuchun BAO ; Jie JIANG ; Li ZHAO
Modern Clinical Nursing 2013;(6):1-4,5
Objective To investigate the effect of Kangaroo care(KC)on diminishing neonatal pain during heel lancing. Methods Sixty neonates were divided randomly into two equal groups:intervention group and control group,which 30 cases in each group.In the intervention group,neonates were treated with KC(neonates were put in direct and continuous skin-to-skin contact with his/her mom)from 20 mins before heel lancing to 1 mins after the end of the lancing.In the control group,neonates were treated with regular care.The differences in heart rate,blood oxygen saturation,facial pain expression,crying duration and DAN(Douleur Aigue Nouveaune)scores between two groups were compared at 7 time points from 10s before the heel lancing to 10s after the lancing. Results The results of repeated measu te at 7 time points after heel lancing.There were significant interaction effect between time and main effect(P<0.01),which showed that the heart rate of two groups were not equal at different time points.Compared with the time effects(P<0.01)which showed that two groups of neonatal heart rate of the two groups would accelerate with time extension. There were significant differences(all P<0.05)in heart rate at 7 time points between two groups and smaller heart rate varied range in intervention group.The results of repeated measures analysis for neonatal blood oxygen saturation at 7 time points after heel lancing. There were significant interaction effect between time and main effects(P<0.01),which showed that the blood oxygen saturation of two groups were not equal at different time points.Compared with the time effect(P<0.01),which showed that two groups of neonatal blood oxygen saturation would reduce with time extension.There were significant differences(all P<0.05)in blood oxygen saturation of two groups at 30s,40s and 50s after heel lancing and smaller blood oxygen saturation varied range in intervention group.The crying duration and DAN scores in intervention group were significantly reduced compared with the controls(all P<0.05).Conclusions
Heel lancing could lead to moderate to severe pain of neonates.KC could effectively diminish the neonatal pain degree caused by heel lancing.
2.Comprehensive pain intervention relieves newborns' acute pain stimulus
Liuchun BAO ; Jianping ZHANG ; Xuefen LI ; Panhua JIANG
Modern Clinical Nursing 2016;15(11):42-45
Objective To study the effect of comprehensive pain intervention on newborns' acute pain stimulus on heel's blood collection.Methods One hundred neonates were equally randomized into control group and treatment group.In the former,blood collection was done from heel without any intervention and in the latter the comprehensive intervention was done five minutes before blood collection from heel and 5 minutes after that.The two groups were compared in terms of heart rate,blood oxygen saturation,acute pain stimulus,crying time during collection and time for facial expressions 30 seconds before collection and 30 seconds after that.Results The score on pains and crying time during collection and time of pain face in the intervention group were significantly lower or shorter than those in the control group and the time for crying and painful facial expressions was both significantly shorter than those in the control group (P<0.001).There was insignificant different in blood oxygen saturation (P>0.05) and significant in the heart rate (P<.0.01) 30 seconds before and after collection.Conclusion The comprehensive intervention by radiation warming,nipple or 10% glucose sucking,caressing and curled-up position can relieve effectively the pains from neonatal invasive operation.
3.Effect of emotional care based on intrinsic motivation theory on treatment desire of ovarian cyst surgery patients
Liuchun BAO ; Xin ZHAO ; Limin DONG ; Yan YANG ; Jingwei ZHAO ; Xiaofei SONG
Modern Clinical Nursing 2017;16(12):21-25
Objective To explore the influence of emotional care based on the intrinsic motivation theory in the treatment of patients with ovarian cyst.Methods From September 2014 to October 2016,106 patients with ovarian cysts admitted to our hospital were selected and randomly divided into control group and study group with 53 in each group.The control group and the study group received routine nursing and emotional care based on intrinsic motivation theory,respectively.The two groups were evaluated before and after the intervention using the stages of change readiness and treatment eagerness scale (SOCRATES).Result After intervention,the scores of cognitive sub-scale,hesitation sub-scale and act sub-scales of the study group were higher than those of the control group, with significant difference (P<0.05).Conclusion Emotional nursing based on intrinsic motivation theory is effective for the improved treatment of patients with ovarian cyst surgery,worth further promotion in clinic.