Sleep Quality
Conditions
Keywords
Bispectral Index, Comfort, Infant Swing, Newborn, Randomized Controlled Trial, Sleep-Wake Cycle
Brief summary
This study was planned to determine the effects of automatic baby swing application on the sleep-wake cycle, comfort behaviors and physiological parameters of babies in the neonatal intensive care unit.
Detailed description
Sleep patterns and behavioral comfort during the neonatal period are important indicators of neurological development and physiological stability. However, noise, light, and constant medical interventions and care practices in the NICU environment can negatively affect infants' sleep continuity and quality of rest. Therefore, non-pharmacological approaches that provide sensory support, such as rhythmic and gentle rocking, are thought to be effective in promoting infant relaxation and physiological balance. In this study, an automatic baby swing with adjustable speed and rhythm will be used as an intervention to support infant comfort and sleep organization. Clinically stable term and preterm newborns who meet the specified inclusion criteria will be included in the study. Participants will be randomly assigned to two groups: the intervention group (first automatic swing application, then measurement without the swing) and the control group (first measurement without the swing, then measurement in the automatic baby swing). The intervention will be implemented for 60 minutes after daytime care at 9:00 AM and 12:00 PM, and for 60 minutes after nighttime care at 9:00 PM and 12:00 AM. The infants' BIS values, comfort, and physiological parameters will be monitored throughout the entire process. The study will evaluate the infants' sleep-wake cycles, comfort behaviors (e.g., facial expressions, body movements, crying), and physiological parameters (e.g., heart rate, respiratory rate, oxygen saturation) as outcome variables. Data will be collected using standardized observation forms and monitoring devices. This study is expected to contribute to evidence-based nursing practice by demonstrating the effects of movement-based nonpharmacological interventions on newborn comfort, sleep quality, and physiological stability.
Interventions
OTHERCare: Automatic Baby Swing
The Automatic Baby Swing aims to calm the baby by mimicking their natural movements. In this study, the low-speed Rock-a-Bye mode will be used because it mimics natural parental movements, making it easier for babies to fall asleep. During the implementation phase: After the baby's general condition is checked, the treatment will begin according to the group to which they were randomly assigned. If the baby is assigned to the Automatic Baby Swing, their sleep, comfort, and physiological parameters will be measured First in the Automatic Baby Swing, Then in the Incubator for 60 minutes during the day and night. If the baby is assigned to the other group, their sleep, comfort, and physiological parameters will be measured First in the Incubator, Then in the Automatic Baby Swing for 60 minutes during the day and night.
Sponsors
Kirsehir Ahi Evran Universitesi
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
This study is a randomized, controlled, single-blind, two-period crossover trial conducted in a neonatal intensive care unit (NICU) in Central Anatolia, Türkiye. The study population consists of late preterm and term infants (35-42 weeks of gestation) who meet the inclusion criteria. Infants will be randomly assigned to two groups (Group A and Group B) using block randomization performed by an independent statistician. Each infant will experience both conditions - automatic swing (intervention) and standard crib (control) - in different periods according to the crossover design. The study follows the CONSORT 2010 guidelines for randomized crossover trials.
Eligibility
Sex/Gender
ALL
Age
35 Weeks to 42 Weeks
Healthy volunteers
Yes
Inclusion criteria
* gestational age between 35-42 weeks, * birth weight \>2000-4200 grams, * stable health status, * spontaneous breathing, * no sedation, * parental volunteering to participate in the study.
Exclusion criteria
* \- A 5-minute APGAR score below 4 at birth, * Requirement of resuscitation, * Presence of a congenital anomaly, * Requirement of interventional intervention in the head region, * Presence of central nervous system dysfunction, * Presence of postpartum medical complications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome 1: COMFORTneo Total Score | At 0, 30, and 60 minutes. | The COMFORTneo scale assesses seven behavioral and physiological parameters (muscle tone, alertness, facial tension, calmness/agitation, body movements, respiratory response, and crying). These parameters will be combined to produce a single total score (range 6-30). Only the total score will be reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary Outcome 5: Infant Blood Pressure | At 0, 30, and 60 minutes. | Non-invasive systolic and diastolic blood pressure measured in mmHg. |
| Secondary Outcome 1: Infant Body Temperature | At 0, 30, and 60 minutes. | Infant axillary body temperature measured in degrees Celsius (°C). |
| Secondary Outcome 2: Infant Heart Rate | At 0, 30, and 60 minutes. | Infant heart rate measured in beats per minute. |
| Secondary Outcome 3: Infant Respiratory Rate | At 0, 30, and 60 minutes. | Infant respiratory rate measured in breaths per minute. |
| Secondary Outcome 4: Infant Oxygen Saturation | At 0, 30, and 60 minutes. | Pulse oximetry oxygen saturation measured as %SpO₂. |
Contacts
Primary ContactEdanur Tar Bolacalı, PhD
Backup ContactSibel Kucukoglu, PhD
Outcome results
None listed