정상 신생아의 출생 후 흡인에 따른 산소포화도, 활력징후 및 구토
A Study on Oxygen Saturation, Vital Signs, and Vomiting by Routine Suctioning to Healthy Newborns at Nursery
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본 연구는 출생 후 분만실에서 벌브시린지를 사용하여 구인두흡인 시행 후, 신생아실에 입원한 건강한 신생아를 대상으로흡인 유무와 종류에 따른 대상자의 산소포화도, 심박동수, 호흡수의 변화를 비교하고 구토의 유무와 횟수를 관찰하여 신생아실에서 행해지는 상례적인 흡인이 신생아에게 미치는 영향을 알아보기 위해 시도되었다. 본 연구의 결과로 건강한 신생아에게 흡인을 적용할 경우 흡인종류와 상관없이 산소포화도를 감소시키며 심박동수와 호흡수를 증가시킴을 알 수 있었고, 흡인을 하지 않아도 산소포화도나 활력징후가 안정됨을 확인할 수 있었다. 따라서 건강한 신생아들에게 흡인으로 인한 부작용을 최소화하기 위해 신생아실에서의 상례적인 흡인은 피하고 꼭 필요한 신생아에게 선택적인 흡인술의 사용이 필요하다고 사료된다. 그러나 본 연구의 대상자는 일개 병원의 건강한 신생아를 대상으로 대상자가 국한되었으므로 연구결과를 확대 해석하여 일반화하기에는 무리가있겠다.
Abstract
Purpose: This study aimed to confirm the effect of routine suctioning at a nursery for healthy newborns who have undergone immediate oronasopharyngeal bulb suctioning after birth in a delivery room through the observation of their oxygen saturation level, heart rate, respiration rate, the vomiting sign, and the number of instances of vomiting. Methods: Data were collected for 62 days from March 15 to May 15, 2009 at the nursery of a hospital located in Seoul. One hundred forty newborns were assigned to one of three groups: a no suction group, an oropharyngeal suction group, or a orogastric suction group. Collected data were analyzed with the SPSS WIN 15.0 program using ANOVA, cross tabulations and an independent 2-sample t-test. Results: Routine suctioning to healthy newborns resulted in decreasing oxygen saturation levels and increasing the heart and respiration rate regardless of the kind of suctioning. Stabilization of the oxygen saturation level and vital signs was also observed without suctioning. Conclusion: To prevent healthy newborns from the side effect of suctioning, selective suctioning is recommended.
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