Study On Comparing The Effect Of Different Nursing Intervention Methods To Alleviate Pain Of Pronatis Caused By Radial Artery Blood Sampling

Objective To explore the different effect on premature infants' pain caused by radial artery blood collection when giving three different means of intervention,nonnutritive sucking,oral 25% glucose,oral 25% glucose and joint use of nonnutritive sucking.Provide optimal way of non-pharmaceutical interventions to relieve pain in premature infants.Methods 120 premature cases in NICU of Qingdao women and children hospital from2013.12 to 2015.4 were randomly divided into 4 groups: nonnutritive sucking(NNS)group,oral 25% glucosewater(GS)group,oral 25% glucose(GS)+ non nutritional sucking(NNS)group and the control group,30 cases in each group.Record and compare the changes of heart rate,breathing rate and percutaneous oxygen saturation in different groups before and after blood collection.Record the start and duration of crying time,the start and duration time of pain in the face after blood collection.Evaluate the changes of premature infants' pain in four groups through neonates pain rating scale(PIPP)and neonatal facial coding system rating scale(NFCS).Assess the efficacy of the interventions and their differences.Results 1.In the process of blood collection and puncture after 1 minute,heart rate and breathing rate became significantly faster,percutaneous oxygen saturation became lower in all groups.The change scales of heart rate,breathing rate change and percutaneous oxygen saturation in GS group,NNS group,GS + NNS group after the interventions are lower than the control group,the difference was statistically significant(P < 0.05).2.In the process and after of blood collection,NFCS and PIPP scores are lower in GS group,NNS group,GS + NNS group than in the control group(P < 0.05),two comparison shows: GS + NNS pain relief effect is better than that of GS and NNS group(P < 0.05).3.The difference of Crying start time was statistically significant in four groups(P <0.05).Crying started later in NNS + GS group,GS group and NNS group compared with control group(P < 0.05).Crying started later in NNS + GS group,GS group compared with the NNS group(P < 0.05).The difference of crying duration time was statistically significant in four groups(P < 0.05).Crying duration time were shorter in NNS + GS group,GS group,NNS group compared with the control group(P < 0.05),NNS + GS group was shorter than GS group,GS group was shorter than NNS group,the difference was statistically significant(P < 0.05).4.Pain face appearing time was statistically significant difference in four groups(P <0.05).NNS + GS group,GS group,NNS group appeared relatively late compared to control group.NNS + GS group,GS group appeared later compared with the NNS group NNS + GS group appear relatively late compared with the GS group,the difference was statistically significant(P < 0.05).Duration of pain face was statistically significant difference in four groups(P < 0.05),NNS + GS group,GS group,NNS group were lower than the control group,the NNS + GS group is lower than the GS group and NNS,GS group is lower than the NNS group,the difference was statistically significant(P < 0.05).Conclusion 1.Premature heart rate and respiratory frequency increase fast,percutaneous oxygen saturation is reduced,when blood is collected by radial artery.The intervention can better alleviate the change of heart rate and breathing rate,make the skin maintain at a high level of blood oxygen saturation in GS + NNS group compared with GS group,NNS group,control group.2.GS,NNS and GS + NNS can significantly reduce NFCS score and PIPP score when radial artery blood is collected,which all have good analgesic effect;But the two types of intervention combined relieve pain faster and better than used alone in premature infants.