Infant, Newborn
Conditions
Interventions
The participating newborn will be submitted to the intervention procedure only once.A sample of 27 newborns is estimated. After 8 hours of care, the newborn will be positioned in the hammock or nest (
Sponsors
Universidade Federal de Santa Catarina
Universidade Federal de Santa Catarina
Eligibility
Age
72 Hours to 37 Weeks
Inclusion criteria
Inclusion criteria: Weight of less than 2,000g; Gestational age less than 37 weeks; More than 72 hours of life; Clinical stability.
Exclusion criteria
Exclusion criteria: Neonates with neurological and/or syndromic impairments; Newborns using oxygen therapy; Newborns with injuries or fractures of bones; Neonates submitted to painful invasive procedures less than 1 hour after the study intervention; Newborn “failed” in the ear test; Neonates using medications that may change some of the independent variables; Children awaiting surgery or transfer to another Hospital.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The use of the hammock improves the ability to reach and maintain behavioral states. Behavioral states will be evaluated using the Modified Brazelton Scale (EBM) and will be collected in six moments classified as follows: (Moment 0) 5 minutes before the newborn is positioned in the hammock, (Moment 1) with 30 minutes of positioning, (Moment 2) with 1 hour of positioning, (Moment 3) in the last minute before removing the newborn from the hammock, (Moment 4) after 5 minutes after the newborn was removed from the hammock, and (Moment 5 ) 30 minutes after the newborn was removed from the net. The Modified Brazelton Scale (EBM) (aims to show through the identification of behavior, what the newborn wants to say, analyzing motor activity in relation to stimuli. The EBM assesses six behavioral states: deep sleep, sleep mild, drowsy, awake, fully awake, and intense crying.Newborn assessment is performed by direct observation, which will classify the behavior into one of six states. | — |
Secondary
| Measure | Time frame |
|---|---|
| The use of respiratory rate (RR) and atmospheric saturation of atmosphere (SpO2). The HR and Spo2 variables will be chosen through the GE Healthcare brand B40/B20 Patient Monitor. And the FR will be for one minute, counting the thoracic delayed minutes. These will be collected in six moments classified as follows: (Moment 0) 5 minutes before the newborn is in the hammock, (Moment 1) with 30 minutes of positioning, (Moment 2) with 1 hour of positioning, (Moment 3) in the last minute before removing the newborn from the hammock, (Moment 4) after 5 minutes the newborn was removed from the hammock, and (Moment 5) after 30 minutes the newborn was removed from the hammock.;The use of the hammock promotes stability or reduction in pain scores. Pain will be assessed using the Neonatal Infant Pain Scale (NIPS). Following the six moments of data collection of physiological variables. NIPS assesses five behavioral and one physiological indicators. It is characterized as a multidimensional scale that assesses acute pain in newborns from 28 to 38 weeks of GA. Among the behavioral indicators are: facial expression, crying, movements of the upper limbs, movements of the lower limbs and alertness. And the breathing pattern represents the physiological indicator. With the exception of the crying item, which had a score of 0, 1 and 2, all other items have a score of 0 (no) or 1 (yes). The maximum score of the sum of the scores is 7 points, being considered pain when the score is greater than 3. | — |
Countries
Brazil
Contacts
Public ContactDébora Almeida
Universidade Federal de Santa Catarina
Outcome results
None listed