Study On Intervention Effect Of Intensive Care On Repeated Operative Pain In Premature Infants

Objectives1.To develop bundle of care and establish effective intervention programs to reduce recurrent operational pain in premature infants.2.Another purpose is to explore the intervention effect of intensive care on repetitive procedure-related pain in premature infants and whether the effect is durable by comparing the difference in the score of repetitive procedure-related pain,crying time,weight and other indicators of the premature infants in the intervention group and the control group.Methods A total of 58 32-36-week premature infants admitted to NICU from March 2018 to November 2018 were selected as study subjects.The 52 premature infants were divided into an intervention group(n = 28)and a control group(n = 30)by simple random grouping and random number table.The control group received routine care.For the experimental group,Transitions music was played from 5 min before to 5 min after all painful procedures;in addition,the newborns were dropwise fed with 25% glucose solution with sterile syringe at a dose of 0.5 ml/kg2 min before painful procedures.Upon the puncture of venous indwelling needles due to therapeutic needs at A.M.on the 1st,6th-8th and 13th-15 th days upon admission,2 clinical nurses trained on neonatal procedure-related pain expertise and assessment skills and experienced in pain assessment videotaped and evaluated the children patients.The weight was measured after the procedures.SPSS 23.0 was used for the statistical analysis of the data of the 52 children patients(25 in the intervention group and 27 in the control group)to evaluate the intervention effect of intensive care on the repetitive irritant pain in premature infants and its durability and impacts on the crying time and weight.Results1.In this study,52 premature infants experienced 3 painful operations requiring intervention on average every day.The highest frequency being heel blood collection,549 times in 15 days,with an average of 10.56±5.28 times per infant.The second was intravenous catheterization,461 times in 15 days,with an average of 8.87±3.00 times per infant.2.The difference in the PIPP-R score of repetitive procedure-related pain,facial expressions,heart rate indicators,crying time and weight of premature infants between the two groups had statistical significance,while the difference in the incidence of oxygen saturation index had no statistical significance.Conclusions1.Bundle of care can significantly reduce the pipp-r score of repeated pain-causing operation in premature infants,relieve neonatal pain and the effect is long-lasting.2.The heart rate increase of premature infants can be reduced by bundle of Care when pain occurs,and the amplitude of fluctuation will not increase with the increase of the number of painful operations.3.Bundle of care in pain can reduce the decrease of blood oxygen saturation in premature infants,and it will not increase with the increase of the number of painful operations.4.The duration of frowning,squeezing and deepening of nasolabial groove in preterm infants can be significantly shortened by bundle of care in pain,and the effect will not be weakened with the increase of the number of painful operations.5.During the pain-inducing operation,bundle of care had no significant effect on the weight growth of premature infants.