물주머니를 이용한 가온요법이 고위험신생아의 체온과 산소요구도, 호흡수, 혈당에 미치는 효과

The Effects of Warm Water-Filled Bag on Body Temperature, $FiO_2$, Respiration Rate, and Blood Sugar in High Risk Neonates

  • 김희영 (아산병원 신생아 중환자실 임상전문간호사) ;
  • 박호란 (가톨릭대학교 간호대학) ;
  • 문영임 (가톨릭대학교 간호대학) ;
  • 박진희 (가톨릭대학교 간호대학)
  • Kim Hee Young (Asan Medical Center, Department of Neonatal Intensive Care Unit) ;
  • Park Ho Ran (College of Nursing, The Catholic University of Korea) ;
  • Moon Young Im (College of Nursing, The Catholic University of Korea) ;
  • Park Jin Hee (College of Nursing, The Catholic University of Korea)
  • 발행 : 2005.10.01

초록

Purpose: To investigate the effects of a warm water-filled bag on body temperature, Oxygen demand, respiratory rate and blood sugar in high risk neonates. Method: The infants were assigned to two groups, 16 in the experimental and 20 in the control group. Infants in the experimental group was received $40{\~}42^{\circ}C$ warm water-filled bag therapy for 2 hours under radiant warmers. Infants in the control group were placed under the same kind of radiant warmers but without the warm water-filled bag. The following were measured every 30 minutes: rectal temperature, $O_2$ demand ($FiO_2$), and respiratory rate. Blood sugar was measured hourly. Result: Body temperatures increased significantly in the experimental group (P=0.0138), and there was a difference according to time (P=0.0001). Significant difference were found between the two groups fur $FiO_2$ (P=0.0180). There was no difference in respiratory rates between the two groups and rates according to time for the experimental group were also not significant (P=0.3569). No significant difference between two groups was found for blood sugar (P=0.2152), but there was a significant difference according to the times (P=0.0001). Conclusion: This results of this study indicate that a warm-filled bag is an effective means of resorting body temperature and reducing $O_2$ demand in high risk neonates.

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