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护理学报 ›› 2019, Vol. 26 ›› Issue (22): 6-10.doi: 10.16460/j.issn1008-9969.2019.22.006

• 研究生园地 • 上一篇    下一篇

母亲心音联合话音刺激对NICU早产儿心率及行为状态的影响

李倩1, 涂素华2, 李雨昕3, 谭琳3, 罗珊3, 陈丽3   

  1. 1.重庆医科大学附属儿童医院 新生儿诊治中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,重庆 400014;
    2.西南医科大学附属医院 妇产科,四川 泸州 646000;
    3.西南医科大学 护理学院,四川 泸州 646000
  • 收稿日期:2019-04-04 发布日期:2020-07-27
  • 通讯作者: 陈 丽（1965-）,女,四川泸州人,本科,教授,硕士研究生导师。E-mail：294344405@qq.com
  • 作者简介:李 倩（1990-）,女,四川西昌人,硕士研究生,护师。
  • 基金资助:
    泸州市科技计划创新苗子项目（2018-RCM-67）

Effects of Maternal Heart Sound Combined with Voice Stimulation on Heart Rate and Behavior Status of Premature Infants in NICU

LI Qian1, TU Su-hua2, LI Yu-xin3, TAN Lin3, LUO Shan3, CHEN Li3   

  1. 1. Neonatal Diagnosis and Treatment Center, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Healthand Disorders,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing 400014, China;
    2. Dept. of Obstetrics and Gynecology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China;
    3. School of Nursing, Southwest Medical University,Luzhou 646000, China
  • Received:2019-04-04 Published:2020-07-27

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摘要： 目的 探讨母亲心音联合话音刺激与音乐疗法2种听觉刺激方式对NICU早产儿心率及行为状态的影响。方法 选取符合纳入排除标准的早产儿90例,按随机化数字表分为对照组、2个干预组（音乐疗法组和母亲声音刺激组）,每组各30例。对照组行常规护理,音乐疗法组在常规护理的基础上播放音乐,母亲声音刺激组在常规护理的基础上播放母亲心音联合话音的声音刺激,2次/d,持续14 d。比较3组早产儿在干预前1 min,干预中（10 min、20 min）,干预后1 min的心率及行为状态情况。结果 （1）组间比较：干预前1 min 3组早产儿心率及行为状态评分差异无统计学意义（P>0.05）;干预中（10 min、20 min）和干预后1 min 2个干预组心率及行为状态评分均低于对照组（P<0.05）;干预中20 min及干预后1 min母亲声音刺激组心率及行为状态评分显著低于音乐疗法组（P<0.05）,但干预中10 min 2个干预组心率及行为状态评分差异无统计学意义（P>0.05）,干预后1 min 2个干预组间行为状态差异无统计学意义（P>0.05）;（2）组内比较：对照组干预前中后4个时间点间心率及行为状态评分差异无统计学意义（P>0.05）,2个干预组于干预中（10 min、20 min）及干预后1 min的心率及行为状态评分显著低于干预前1 min（P<0.05）,但母亲声音刺激组干预中20 min与干预后1 min间行为状态评分差异无统计学意义（P>0.05）。结论 母亲心音联合话音刺激与音乐疗法相比,能更有效的降低早产儿心率,稳定情绪,促进睡眠,达到最佳行为状态。

关键词: 早产儿, 母亲声音刺激, 音乐疗法, 心率, 行为状态

Abstract: Objective To investigate the effects of maternal heart sound combined with voice stimulation and music therapy on heart rate and behavior of premature infants in NICU. Methods Ninety premature infants who met the exclusion criteria were randomly divided into control group, group B (music therapy group) and group C (maternal voice stimulation group), with 30 cases in each group. Control group received routine nursing; group B played music on the basis of routine nursing, and group C played sound stimulation of mother's heart sound combined with voice on the basis of routine nursing. The intervention performed twice a day for 14 days. Heart rate and behavioral status of premature infants 1min before the intervention, during the intervention (10min,20min) and 1min after the intervention were compared among the three groups. Results (1)inter-group comparison showed there was no significant difference in heart rate and behavior status score of premature infants among the three groups 1min before the intervention (P>0.05) but during the intervention (10min, 20min) and 1min after the intervention, the scores of heart rate and behavior state of group B and group C were lower than those in control group (P<0.05). The heart rate and behavioral status score at 20min of the intervention and 1min after the intervention, in group C were significantly lower than those in group B (P<0.05), but there was no significant difference in heart rate and behavioral state score at 10min of the intervention between these two groups (P>0.05). There was no significant difference in behavioral status between these two groups 1 min after the intervention (P>0.05). (2)Intra-group comparison showed that there was no significant difference in heart rate and behavior status score in control group before and after the intervention (P>0.05); during the intervention (10min, 20min) and 1min after intervention, heart rate and behavioral status scores in group B and group C were significantly lower than those 1min before the intervention (P<0.05), but there was no significant difference in behavior status score of group C at 20min of the intervention and 1min after the intervention (P>0.05). Conclusion Compared with music therapy, maternal heart sound combined with voice stimulation can effectively reduce the heart rate of premature infants, stabilize mood, promote sleep, and achieve the best behavior state.

Key words: premature infant, maternal sound stimulation, music therapy, heart rate, behavioral state

中图分类号: 

  • R473.72
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