A Preliminary Study of the Associations among Preterm Infant Behaviors

初探早産兒行爲的關聯性

廖珍娟(Jen-Jiuan Liaw)；喻永生(Yeong-Seng Yuh)；張玲華(Ling-Hua Chang)

洗澡 ； 相關性 ； 早産兒行爲 ； 照顧者 ； 新生兒加護中心 ； bath ； association ； preterm infant behaviors ； caregivers ； Neonatal Intensive Care Unit (NICU)

The Journal of Nursing Research

13卷1期（2005 / 03 / 01）

1 - 10

英文

本研究之目的是要探討是否不同的早産兒行爲之發生有某些相關性存在？這是一個探索性的研究設計，樣本是二十位早産兒共有一百二十次洗澡被拍攝錄製以便觀察早産兒的行爲。早産兒行爲主要是用本研究所發展的早産兒行爲編碼架構，來測量每次洗澡各種不同行爲的發生頻率，再以皮爾森關係係數加以分析這些行爲間的相關性。這個行爲測量工具觀察者間的一致信度範圍約是.82至.99。早産兒的壓力性行爲之間有顯著的正相關存在。然而壓力性行爲與穩定性行爲（如：吸吮）之間則有顯著性的負相關存在，壓力性行爲發生與早産兒張開眼睛、躁動及哭鬧的狀態有關。認識這些相關性有助於增進新生兒加護中心護理人員辨識早産兒行爲的能力。在與早産兒互動時，能比較敏銳主動地去察覺早産兒行爲的信號，及預防或減緩對早産兒生命的早期威脅，而適度地調整護理照顧活動來支持早産兒的成長與發展。

The purpose of this study was to examine whether relationships exist among various preterm infant behaviors. The study used an exploratory method design. Twenty infants were bathed and a total of 120 baths were video recorded and observed to measure preterm infant behaviors based on the frequency that behaviors occurred. The frequency was measured by using the preterm infant behavioral coding scheme developed for the study. Pearson Correlation Coefficients were used to analyze the behavioral data and examine whether the relationships among these behaviors were significant. The interrater reliability of the behavioral variables ranged from .82 to .99. There were highly positive correlations between the stress behaviors. There was, however, negative correlation between the stress behaviors and the stable behavior (sucking). The occurrences of the stress behaviors were associated with the state of ”eyes open” and ”fuss or crying”. Knowing the associations may enhance NICU nurses' abilities to identify preterm infant behaviors. While interacting with preterm infants, nurses can sensitively and actively sense preterm infant signals, prevent or ameliorate the early threats to an infant's life, and adjust care to support the infant's growth and development.

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1. Yuh, Yeong-Seng,Yin, Ti,Yang, Lu-Ke,Liaw, Jen-Jiuan(2006).Effects of Tub Bathing Procedures on Preterm Infants' Behavior.The Journalof Nursing Research,14(4),297-305.