PreTerm Neonate, Pulmonary Complications
Conditions
Keywords
Acupressure, Preterm Infants, Pulmonary Infiltration, Suction Frequency
Brief summary
In 2020, 11.6% of newborns are delivered prematurely in Taiwan. Excessive sputum is a common symptom of respiratory complications in premature infants. Effective methods for reducing sputum secretion in premature infants need to be urgently explored.
Interventions
BEHAVIORALmassage acupoints
The massage acupoints involved Zusanli (ST36), Fenglong (ST40), Zhongfu (LU1), Tanzhong (CV17), and Feishu (BL13). Each acupoint was massaged for 2 minutes, totaling 10 minutes per session. The routine care included chest physiotherapy and sputum suction as needed every 3 hours (PRN, Q3H).
BEHAVIORALRoutine care
The routine care included chest physiotherapy and sputum suction as needed every 3 hours (PRN, Q3H).
Sponsors
Changhua Christian Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
32 Weeks to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Newborn ≤32 weeks of gestational age * X-ray reporting pulmonary infiltration requiring suctioning * Treated with O2 nasal cannula or High-flow nasal cannula
Exclusion criteria
* Congenital pulmonary structural abnormalities * Muscular weakness * Heart disease, excluding Patent Ductus Arteriosus(PDA) and Atrial Septal Defect (ASD) * Abnormal bleeding conditions * Chest tube placement * Compromised skin integrity at the acupressure sites
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of sputum suction | The study outcomes were evaluated before and day 5, day 10, day 12 after the intervention. | Suctioning frequency per day was obtained from nursing records throughout the intervention period and for the subsequent two days. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physiological indicatores | These outcomes were recorded 2 days before the intervention, days 1-5 of the intervention, days 6-10 of the intervention, and 2 days after the intervention. | Physiological indicators include heart rate、 respiratory rate、 oxygen saturation. Physiological indicators per day was obtained from nursing records throughout the intervention period and for the subsequent two days on physiological chart record sheets. 1. Heart Rate Description: Daily heart rate obtained from nursing records. Unit of measure: beats per minute (bpm). Measured instruments: Philips MX450 ECG Monitor. 2. Respiratory Rate Description: Daily respiratory rate obtained from nursing records. Unit of measure: breaths per minute. Measured instruments: Philips MX450 ECG Monitor. 3. Oxygen Saturation (SpO₂) Description: Daily oxygen saturation obtained from nursing records. Unit of measure: percentage (%). Measured instruments: Philips MX450 ECG Monitor. |
Countries
Taiwan
Outcome results
None listed