| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 90 === In the neonatal intensive care unit, suction is a very
common nursing implementation in preterm infant’s care.
In spite of eliminating airway secretion and avoiding airway
obstruction, it can cause serious negative responses to preterm infants. For physiologic circadian rhythm of preterm infants and uninterrupted routine works, it is important to decrease complication and enhance the quality of care. The gentle human touch is a developmental care to preterm infants, it not only increases the stability of physiological parameter and reduces the distress, but also improves the interaction between infants and nurses. It has already been confirmed that gentle human touch is beneficial to preterm infants . This study was designed to explore the effects of gentle touch on the clinical improvement of mechanically ventilated preterm infants when they are receiving suction procedure.
A crossover study design was adopted to this research. Thirty preterm infants from neonatal intensive care unit in two medical centers and one regional hospital were selected to participate this study. The participants were repeated measured when receiving suction, and divided as two phases which were the controlled phase and the experimental phase. Four minutes before suction, HP monitor was used to monitor the preterm infants and collect data of heart rate and oxygen saturation level. Thirty minutes after suction, the same physical indicators were recorded every minute to analyze the clinical effect of gentle human touch. Collected data were analyzed by descriptive and inferential statistic methods.
The results indicated that the preterm infants who received gentle human touch had less physical fluctuation after suction and took less time to restore physical distress after suction (P <.05), and the heart rate back to the baseline data faster than that did not receive gentle human touch (P <.05). Furthermore, this study found that the factors influencing the effect were the attributes of birth body weight and the severity of the disease.
To sum up, gentle human touch could alleviate physical fluctuation of preterm infants when they are receiving suction. Touch is based on interaction of human, which not only can deliver the warmth and safety, but also be the performance of caring. Therefore, it is hoped that giving appropriate gentle human touch will keep high quality of nursing care and assist preterm infant’s growth and development.
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