寧握護理在新生兒之應用

The Use of Containment in the Care of Compromised Newborns

寧握護理是發展支持性照護之一，研究指出寧握護理可增加嬰兒的安全感、促進寧靜及自我控制、提昇生理穩定、促進能量保存、減少生理行為壓力並對壓力有較佳的忍受力等功能。臨床護理活動中常有類似的動作，只是過去未將其科學化與標準化。本文期使護理人員對寧握護理有更完整的認識，應用在新生兒照護上以增進嬰兒和照顧者間的互動，進而達到改善護理品質的目的。

The aim of this paper is to help nurses understand developmentally supportive containment when caring for compromised newborns. Some research shows that supportive containment improves an immature or premature newborn's sense of security and helps the fragile newborn calm down, gain self-control, save energy, and alleviate and tolerate stress. Some nursing interventions used in supportive containment are familiar since nurses use them in other situations; however, supportive containment strategies are not standardized and are not applied scientifically. Findings will help nurses implement plans to determine the level of containment based on responses and needs of immature and premature newborns, promote positive appropriate interactions between these vulnerable newborns and nurses, and provide developmentally appropriate care.