دانلود مقاله ISI انگلیسی شماره 39453
عنوان فارسی مقاله

آیا تغذیه با شیر مادر درد حاد رویه ای در نوزادان نارس در بخش مراقبت های ویژه نوزادان را کاهش می دهد؟ کارازمایی بالینی تصادفی

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
39453 2011 7 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Does breastfeeding reduce acute procedural pain in preterm infants in the neonatal intensive care unit? A randomized clinical trial
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : PAIN, Volume 152, Issue 11, November 2011, Pages 2575–2581

کلمات کلیدی
زودرس - نوزادان - درد - تغذیه با شیر مادر - مادران
پیش نمایش مقاله
پیش نمایش مقاله آیا تغذیه با شیر مادر درد حاد رویه ای در نوزادان نارس در بخش مراقبت های ویژه نوزادان را کاهش می دهد؟ کارازمایی بالینی تصادفی

چکیده انگلیسی

Managing acute procedural pain effectively in preterm infants in the neonatal intensive care unit remains a significant problem. The objectives of this study were to evaluate the efficacy of breastfeeding for reducing pain and to determine if breastfeeding skills were altered after this treatment. Fifty-seven infants born at 30–36 weeks gestational age were randomized to be breastfed (BF) or to be given a soother during blood collection. Changes in the Behavioral Indicators of Infant Pain (BIIP) and in mean heart rate (HR) across 3 phases of blood collection were measured. In the BF group, the Premature Infant Breastfeeding Behaviors (PIBBS) scale was scored before and 24 hours after blood collection. Longitudinal regression analysis was used to compare changes in Lance/squeeze and Recovery phases of blood collection between groups, with gestational age at birth, baseline BIIP scores, and mean HR included as covariates. Differences in PIBBS scores were assessed using a paired t-test. Relationships between PIBBS scores, BIIP scores, and HR were evaluated with Pearson correlations. No differences between treatment groups were found: BIIP (P = 0.44, confidence interval [CI] −1.60–0.69); HR (P = 0.73, CI −7.0–10.0). Infants in the BF group showed improved PIBBS scores after the treatment (P < 0.01, CI −2.7 to −0.2). Lower BIIP scores during the Lance/squeeze were associated significantly with more mature sucking patterns (r = −0.39, P < 0.05). Breastfeeding during blood collection did not reduce pain indices or interfere with the acquisition of breastfeeding skills. Exploratory analyses indicate there may be benefit for infants with mature breastfeeding abilities.

خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.