母乳温度对早产婴儿舒适度和生理参数的影响:一项随机交叉研究
Seda Çağlar1, Nihan Korkmaz2, Merve Azak1
1Florence Nightingale Faculty of Nursing, Department of Pediatric Nursing, Istanbul University-Cerrahpasa, Istanbul, Türkiye.
概括
将母乳加热到37°C显著改善了早产婴儿的舒适度,而不会影响生理稳定性. 这表明体温是新生儿重症监护室 (NICU) 养的最佳温度.
科学领域:
- 新生儿护理 新生儿护理
- 儿童营养学 儿童营养学
- 婴儿生理学 婴儿生理学
背景情况:
- 母乳温度严重影响新生儿重症监护室 (NICU) 中早产婴儿的舒适性和稳定性.
- 最佳的升温方法对于安全有效的婴儿养方案至关重要.
研究的目的:
- 为了比较母乳加热到32-34°C,37°C,通过 bain-marie方法对早产婴儿舒适度和生理参数的影响.
- 确定理想的母乳温度,以提高早产婴儿的舒适度.
主要方法:
- 一项随机交叉研究,涉及24名早产婴儿在NICU.
- 使用早产婴儿舒适度表评估婴儿舒适度,以及在养前后评估生理参数 (心率,氧和,体温).
- 使用非参数测试进行统计分析 (克鲁斯卡尔-瓦利斯和弗里德曼).
主要成果:
- 婴儿母乳加热至37°C并通过 bain-marie 方法养的婴儿,与养奶加热至32-34°C (p < 0.001) 的婴儿相比,在养后的舒适度得分显著提高 (p < 0.001).
- 不同的变暖组之间没有观察到心率,氧和或体温的显著差异.
- 平均妊娠年龄为30.48周,平均出生体重为1353.25克.
结论:
- 将母乳加热到体温 (37°C) 提高了婴儿的舒适度,而不会影响生理稳定性.
- 在新生儿重症监护室,将母乳加热到37°C的协议标准化,可以改善早产婴儿的护理实践.
- 进一步的研究可能会探索与不同升温温度相关的长期结果.
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