Infant Development, Premature
Conditions
Keywords
Premature, Pain, Stress, Comfort
Brief summary
This study was planned to evaluate the effectiveness of two positions that may have an effect on pain, stress, comfort and physiological parameters in premature infants.
Detailed description
Providing adequate therapeutic positioning in preterms can minimize postural abnormalities and asymmetries associated with prematurity and NICU stay, as well as support the development of spontaneous and functional motor abilities of infants. Studies show that positioning directly affects cardiovascular, respiratory and sleep-wake states. When the literature is examined; Although the vital signs, pain levels and comfort levels of babies in the NICU have been examined in many applications, the number of studies comparing the hammock position and Kangaroo care in preterms is very limited. Therefore, this study will try to determine the effect of hammock position and kangaroo care on the pain, stress, comfort and physiological parameters of the infants. It is thought that the study will provide new data to the literature and lead to many researches.
Interventions
OTHERHammock intervention
It is a hammock made of 100% cotton fabric that prevents heat loss and has an internal apparatus to support the position, which can be adapted to the incubator by the researchers.
OTHERKangaroo care intervention
In the clinic, the baby will receive kangaroo care with his mother in a quiet room with reduced lighting.
Sponsors
Selcuk University
Nigde Omer Halisdemir University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Single blinding (Participant)
Intervention model description
Randomized controlled, single-blind parallel design experimental study.In the study, premature infants will be divided into three groups by randomization. Each group will be referred to as A, B or C for convenience. The type of intervention will be determined by drawing lots for A, B and C. For example, A= Hammock Position, B= Kangaroo Care c=Control Group. When applying the hammock position to a group; The other group will receive kangaroo care, while the other group will receive standard care. For randomization, blocks of 3 created for 42 infants and this process done by an independent statistician.
Eligibility
Sex/Gender
ALL
Age
32 Weeks to 36 Weeks
Healthy volunteers
Yes
Inclusion criteria
* Infants having at least 2 days of inpatient treatment from, * Infants 32-36+6. being born during the gestational week, * Infants not receiving a medical diagnosis other than prematurity (serious respiratory, cardiological, endocrine and metabolic problems, hearing problems, hypoglycemia and sepsis), * Apgar score above 6 at the 5th minute Infants will included.
Exclusion criteria
* Infants having at least 2 days of inpatient treatment from, * Infants 32-36+6. being born during the gestational week, * Infants not receiving a medical diagnosis other than prematurity (serious respiratory, cardiological, endocrine and metabolic problems, hearing problems, hypoglycemia and sepsis), * Apgar score above 6 at the 5th minute Infants will included.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determining the descriptive characteristics of babies | 1 hour | 1- Infant Introductory Form: The form includes introductory information about the baby (Postnatal day, gestational age, birth weight (g), weight on the day of the intervention, type of birth, gender, postnatal age, physiological weight loss, feeding style, 1st and 5th minute Apgar score, maternal age. It consists of questions containing). |
| Hammock position and Kangaroo care increase comfort level in preterm infants | 1 hour | 2- The COMFORT-behavior scale (COMFORTneo): It is a Likert-type scale developed to be used in evaluating the sedation and comfort needs, pain and distress of newborns monitored in intensive care. The scale was revised for newborns. High scores indicate that the baby is not comfortable and needs interventions to provide comfort. |
| Hammock position and Kangaroo care decrease pain and stress level in preterm infants | 1 hour | 3- ALPS-Neo Newborn Pain and Stress Assessment Scale: The scale was developed in 2014 to evaluate pain and stress in premature and term newborns. Measurement is made through observation. As the score obtained increases, stress and pain increase. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hammock position and Kangaroo care support physiological stability in premature infants. | 1 hour | 1- Physiological Parameter Tracking Chart The follow-up chart prepared by the researcher is a form in which physiological parameters such as heart rate (min), oxygen saturation (%SpO2), body temperature (°C), respiratory rate (min) are recorded. Measurements will be taken 3 times in total: before, during and after the hammock position and kangaroo care application. A monitor device used in clinical routine will be used to measure physiological parameters. |
Countries
Turkey (Türkiye)
Outcome results
None listed