抚触联合耳道护理在新生儿听力筛查中的应用效果分析

摘要/Abstract

摘要： 目的研究抚触联合耳道护理在新生儿听力筛查中对筛查结果准确率的影响。方法选择2022年8月—2023年4月潍坊市妇幼保健院出生的新生儿112例作为研究对象,依据随机数表法将其分为对照组与观察组,每组各56例。对照组新生儿听力筛查前进行常规耳道护理,观察组新生儿在对照组基础上联合听力筛查前的抚触护理。比较两组新生儿听力检测首筛、复筛结果,新生儿在检测过程中的状态优良率,新生儿在检测中由情绪躁动到稳定的时间以及新生儿疼痛评估量表（NIPS）分值。结果抚触联合耳道护理的观察组新生儿听力检测首筛通过率与复筛通过率,以及检测过程中状态优良率均高于单一耳道护理的对照组,差异有统计学意义（P<0.05）;观察组新生儿情绪稳定时间与NIPS分值均低于对照组,差异有统计学意义（P<0.05）。结论抚触联合耳道护理可有效按抚新生儿听力筛查时的情绪状态,降低新生儿听力筛查结果假阳性率,提高听力筛查准确性。

关键词: 新生儿, 听力筛查, 耳道护理, 抚触护理

Abstract: Objective To investigate the effect of touch nursing combined with ear canal care in newborn hearing screening on the accuracy of screening results. Methods A total of 112 newborns born in Weifang Maternal and Child Health Hospital from August 2022 to April 2023 were randomly divided into 56 cases in the control group and 56 cases in the observation group. The control group was given routine ear canal care, and the observation group was combined with touch care on the basis of the control group. The results of the first screening and re-screening of newborns' hearing test, the excellent rate of newborns' status during the test, the time from emotional agitation to stabilization during the test, and the scores of Newborn Infant Pain Scale (NIPS) were compared between the two groups. Results The first and second screening pass rates, as well as the good condition rate during the testing process of the newborns in the observation group with touch combined with ear canal care were higher than those in the control group with single ear canal care, and the difference was statistically significant (P<0.05), and the time of emotional stabilization and the NIPS scores of the newborns in the observation group were lower than those in the control group (P<0.05). Conclusion Touch nursing combined with ear canal care can effectively appease the emotional state of newborns during hearing screening, reduce the false-positive rate of newborn hearing screening results, and improve the accuracy of hearing screening.

Key words: newborns, hearing screening, ear canal care, touch nursing

中图分类号:

R473.76

董秀莲, 窦晓宁. 抚触联合耳道护理在新生儿听力筛查中的应用效果分析[J]. 中华养生保健, 2024, 42(13): 115-119.

DONG Xiu-lian, DOU Xiao-ning. Analysis of the Application Effect of Touch Nursing Combined with Ear Canal Care in Newborn Hearing Screening[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(13): 115-119.

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