Containment on physical response for those taken invasive treatment premature infant research

• Main Authors: Chin-Ming Chang, 張志明
• Other Authors: Juei-Chao Chen
• Format: Others
• Language: zh-TW
• Published: 2006
• Online Access: http://ndltd.ncl.edu.tw/handle/85493432608328274744

碩士 === 輔仁大學 === 應用統計學研究所 === 94 === The purpose of this research is to study Containment affect on those taken Invasive Treatment premature infant, the affects including baby weight, heart beat, frequency of taking breath, SpaO2. The experiment was taken premature infant of one local hospital in the north of Taiwan. The experimental cases were been set in two groups one was called Control group the other one called Experimental group. Control group has 15 people and follow the regular procedure of nursing, The experimental group has 16 people beside the regular nursing procedure taking, but also, taking Invasive Treatment like suction, heel stick,Percutaneous Central Venous Catheter(PCV),on-nasogastric tube etc. All data were analyzed using: Descriptive Statistics, Mean, 95% confidence interval, chi-square, t-tes, Wilcoxon signed-ranks test,repeated measures statistics analysis。 The research results indicate : 1.Body Weight：at beginning of data collect the body weight of premature infant of control group compare to experiment group was heavier around 239g in average, however, the experiment group at 5th day their weight show steady increase rate ,but the control group show steady increase rate after 8th day, more interesting data show on 18th day the experimental group their slew rate of average weight curve is higher than control group.2.Nursing activities count: The most often nursing activities taken is suction, coming next is heel stick, and then on-nasogastric tube installed, coming last is PCVC.3.Heart beat: (1) No matter what suction，heel stick，on-nasogastric tube installed or PCVC, they all will increase the heart beat pulse rate. Among that PCVC and heel stick are mostly affect, and then on-nasogastric tube installed and suction.(2) After taking suction treatment, the experimental group their heart beat pulse change rate is small than control group.(3) for the data of heel stick affect on heart beat the experimental group their average heart beat pulse get in stable at 9th minutes, but control group get in stable till 16th minutes, so that, with containment treatment experimental group they get stable more quickly. 4.Breath taking times : (1)On-nasogastric tube installed, heel stick, PCVC and suction relation to breath taking times, they all meet the statistically significant difference.(2) Invasive treatment taken like PCVC, heel stick and suction they all caused breath taking times slow down, but On-nasogastric tube installed will increase the rate of breath taking。(3) with containment experimental group after taking the heel stick their breath taking time figure are meet statistically significant. 5. SpaO2:(1)After taking invasive treatment ,the SpaO2 will drop obviously, their are ranking from suction, PCVC, heel stick then on-nasogastric tube.(2) during taking the suction no matter what control group or experimental group their blood oxygen rate will drop but control group is lower than experimental group, with bigger difference vs. time scale their difference was significant.(3) heel stick, experimental group its average blood oxygen value is higher than control group, with containment treatment heel stick experimental group, their heel oxygen come back to before punched level at 8th minutes ,but control group come back to original level after 16th minutes .(4)For PCVC with containment its blood oxygen does not much change in experimental group, But control group its blood oxygen drop down to 88％, After execute PCVC invasive treatment till 11th minutes its blood oxygen come back stable, indicate control group and experimental group cross reacted to meet statistically significant. In general to say, containment taken can help to reach stable physical reaction, especially on blood oxygen. In the mean time, containment provide a simple way, without doctor instruction, nurses can taking their own to execute the invasive treatment or nursing, not only devote nursing unique function but also provide nursing quality and keep physiology stable at the condition of premature infant at intensive care unique in unstable condition.