Clinical effect of maternal voice stimulation in alleviating procedural pain in hospitalized neonates / 中国当代儿科杂志

OBJECTIVE@#To study the clinical effect of maternal voice stimulation in alleviating procedural pain in neonates during heel blood collection.@*METHODS@#A total of 72 neonates who were admitted to the neonate intensive care unit were randomly divided into an intervention group (n=35) and a control group (n=37). Heel blood collection was performed by the routine method in the control group. The intervention group listened to their mothers' voice from 1 minute before heel blood collection to the end of the procedure. Pain score, incidence of crying, and vital signs were recorded before and after heel blood collection.@*RESULTS@#Compared with the control group, the heart rate was significantly reduced, the blood oxygen saturation significantly increased, the incidence of crying and the pain score were significantly reduced in the intervention group during the procedure of heel blood collection (P<0.05).@*CONCLUSIONS@#Maternal voice stimulation helps to reduce procedural pain and maintain stable vital signs in neonates.

Effect of placement of peripherally inserted central catheter via the upper versus lower extremity veins: a Meta analysis / 中国当代儿科杂志

OBJECTIVE@#To investigate the effect of placement of peripherally inserted central catheter (PICC) via the upper versus lower extremity veins in neonates through a Meta analysis.@*METHODS@#CNKI, Wanfang Data, VIP Data, CBMdisc, PubMed, Web of Knowledge, Embase, Medline, Cochrane Library and Google Scholar were searched for control studies on the effect of PICC placement via the upper versus lower extremity veins in neonates. RevMan 5.3 was used to perform a Meta analysis of the studies which met the inclusion criteria.@*RESULTS@#A total of 18 studies were included, among which there were 8 randomized controlled trials and 10 cohort studies, with 4 890 subjects in total. Compared with those undergoing PICC placement via the upper extremity veins, the neonates undergoing PICC placement via the lower extremity veins had significantly lower incidence rates of complications (RR=0.83, 95%CI: 0.75-0.92, P<0.05), catheter-related infections (RR=0.77, 95%CI: 0.60-0.99, P<0.05), catheter malposition (RR=0.28, 95%CI: 0.18-0.42, P<0.05), extravasation of the infusate (RR=0.52, 95%CI: 0.40-0.70, P<0.05), and unplanned extubation (RR=0.82, 95%CI: 0.69-0.98, P<0.05). They also had a significantly higher first-attempt success rate of puncture (RR=1.17, 95%CI: 1.05-1.30, P<0.05) and a significantly shorter PICC indwelling time (MD=-0.93, 95%CI: -1.26-0.60, P<0.05).@*CONCLUSIONS@#The above evidence shows that PICC placement via the lower extremity veins has a better effect than PICC placement via the upper extremity veins in neonates.

Incidence of accident proneness and its influencing factors in rural children / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To investigate the incidence of accident proneness and its influencing factors in rural children.</p><p><b>METHODS</b>By random cluster sampling, 1 560 children were enrolled from one rural area in Hunan Province, China, and were surveyed with self-designed general and injury questionnaires. Unconditional multivariate logistic regression analysis was used to explore the major risk factors for accident-prone children.</p><p><b>RESULTS</b>One hundred and forty-seven accident-prone children were screened out and the incidence of accident proneness was 9.42%. Univariate analysis showed that gender (P<0.01), academic record (P<0.01), left-behind status (P<0.05), family type (P<0.05), family economic status (P<0.01), guardian's gender (P<0.05), guardian's marital status (P<0.05), guardian's occupation (P<0.05), and family educational mode (P<0.05) were influencing factors for accident proneness in rural children. Multivariate logistic regression analysis further revealed that low grade (OR=3.683, 95%CI: 1.028-4.283) and very low grade (OR=2.099, 95% CI: 1.587-8.546) in academic record, poverty in family economic status (OR=2.353, 95% CI: 1.222-4.533), and indulgence or indifference (OR=1.914, 95% CI: 1.029-3.559) and fickleness (OR=4.153, 95% CI: 1.847-9.338) in guardian's educational mode were risk factors for accident proneness in rural children, while female gender (OR=0.539, 95% CI: 0.369-0.788) was a protective factor.</p><p><b>CONCLUSIONS</b>Low academic record, poor family economy, and incorrect family education mode (indulgence or indifference and fickleness) would increase the incidence of accident proneness in rural children, but girls have less accident proneness than boys.</p>

Transtheoretical model intervention for reducing communicative anxiety in obese children / 中华实用儿科临床杂志

Objective To explore the transtheoretical model(TTM) intervention effect on reducing communicative anxiety in obese children to improve their psychological status.Methods A quasi-experimental research was conducted in a randomly selected boarding school of Changsha.Seventy-three obese students with an average age of (9.60 ± 1.22) among Grade 3 to Grade 6 were included.After being enrolled in the intervention,all participants received the first assessment,including the stage-change scale and the communicative anxiety scale for children(including 2 parts:denial scary,social withdraw and annoyance).According to the baseline data,different intervention measures based on TTM were applied to different students.Follow-up assessments were collected respectively after 1-month and 6-month intervention,respectively.Repeated measurement data analysis of variance and follow-up Bonferroni test was conducted to assess intervention effect.Results Repeated measurement data ANOVA showed that after intervention,both scores of denial scary and social withdraw and annoyance significantly reduced(P ＜0.001),while body mass index had no significant difference (P ＞ 0.05).Follow-up Bonferroni test showed after 1 month intervention,social anxiety scores had no significant difference (P ＞ 0.05),while 6-month after the scores were significant different compared with pre-intervention and 1-month intervention(all P ＜0.05).Conclusions TTM intervention may effectively decrease communicative anxiety of obese children.Whether it can make BMI reduced significantly needs more research.