新生儿乳房爬行行为序列表达的观察性研究

目的 了解新生儿乳房爬行行为序列表达情况,并探索其在临床实践中的应用.方法 采用观察性研究方法,观察、记录163例新生儿乳房爬行过程中各行为序列表达的完整度及开始时间.结果 新生儿持续皮肤接触108(101,112)min,其中16例接触时间60～90 min;啼哭、放松、觉醒、休息、睡眠得到完整表达,活动、爬行、熟悉、吸吮的表达存在部分缺失,活动中四肢大幅活动、抬头/转头、手-嘴、伸舌头、流口水、手-乳晕的表达分别占98.8％、92.0％、83.4％、98.2％、92.0％、96.9％,其余3个行为序列的表达分别占96.9％、92.6％、57.7％;新生儿进入各行为序列的时间为:啼哭0 min、放松3(2,4)min、觉醒4(8,12)min、活动8(4,12)min、休息21(16,38) min、爬行27(21,35)min、熟悉50(41,56)min、吸吮55(46,64)min、睡眠133(108,156)min.新生儿抬头/转头次数为6(4,9)次、尝试吸吮的次数为4(2,5)次.结论 新生儿均能不同程度地表达各行为序列,新生儿的啼哭、放松、觉醒、休息、睡眠等行为序列得到完整表达,部分新生儿未完整表达活动、爬行、熟悉、吸吮,说明新生儿通过乳房爬行可完成自主寻乳.

Expression of neonatal breast crawling behavior sequence:an observational study

Objective To understand the expression of neonatal breast crawling behavior sequence, and to explore its application in clinical practice. Methods The observational study method was utilized, and the completeness and time of expression of each behavior sequence during breast crawl in 163 neonates were observed and recorded. Results The duration of neonatal skin exposure was 108 (101,112) min, despite 60-90 min in 16 neonates. The behavioral sequences of crying, relaxing, awakening, resting, and sleeping were fully expressed, while the expression of movement, crawling, familiarity and sucking were partially missing, of which the expression rate of four limbs substantial movement, raising head or turning around, hand-mouth movement, sticking out tongue, drooling and hand-mammary areola movement was 98.8%, 92.0%, 83.4%, 98.2%, 92.0% and 96.9%, and which was 96.9%, 92.6% and 57.7% for the other three behavior sequences. The time when newborns entered each behavioral sequence was as follows:birth crying 0 min, relaxing 3(2,4) min, awakening 4(8,12) min, activity 8(4,12) min, resting 21(16,38) min, crawling 27(21,35) min, familiarizing 50(41,56) min, sucking 55(46,64) min, and sleeping 133(108,156) min. The newborns raised their heads or turned around 6 (4,9) times, and they tried sucking 4 (2,5) times. Conclusion All neonates could express various behavioral sequences to different degrees, their behavioral sequences of crying, relaxing, awakening, resting, and sleeping are fully expressed, while some newborns could not fully express movement, crawling, familiarity and sucking, representing the feasibility of autonomous breast searching through breast crawling.