Volume 28, Issue 96 (October 2015)                   IJN 2015, 28(96): 30-39 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Valizadeh L, Avazeh M, Babaei N, Hosseini M, Asghari Jafarabadi M. The Physiological Responses of Preterm Infants to Clustered Care with Three and Five Procedures: A Randomized Crossover Clinical Trial. IJN. 2015; 28 (96) :30-39
URL: http://ijn.iums.ac.ir/article-1-2209-en.html
Postgraduate student of Nursing, Nursing & Midwifery faculty, Tabriz University of Medical Sciences, Tabriz, Iran. Tel; 00984134796770 Email: Mnn656194@yahoo.com
Abstract:   (1572 Views)


Background & Aims: The life of preterm infants admitted to a Neonatal Intensive Care Unit (NICU) is stressful from the moment of birth. In order to reduce the stress imposed on these infants clustered care is recommended. The aim of present study was to compare the physiological responses of preterm infants to clustered care with three and five noninvasive procedures.

Material & Methods: This study was a randomized crossover clinical trial. Thirty one preterm infants were studied at 32 weeks age by clustered care with three and five procedures. Primary outcomes such as heart rate, respiratory rate and blood oxygen saturation were assessed. Data analysis conducted with a mixed model method at 0.05 significant level.

Results: The findings showed that the mean of oxygen saturation on before, during and after clustered care with three procedures were respectively 97.52, 97.32, 97.84 and in clustered care with five procedures were 97.68, 97.94, 97.65. Heart rate of three procedures were 146.26, 149.90, 149.97 and five procedures were 150.61, 154.77, 154.65. Respiratory rate of three procedures were respectively 51.68, 48.87, 47.71 and five procedures were 49.10, 48.61, 49.48. All of these physiological responses were at normal range. Significant differences were not found between physiological responses of two groups (P>0.05).

Conclusion: Clustered care with three procedures is as same as clustered care with five procedures and both of them could be recommended for stable premature infants in 32 weeks.

Full-Text [PDF 696 kb]   (548 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/07/11 | Accepted: 2015/10/10 | Published: 2015/10/10

1. Pourarian S, Vafafar A, Zareh Z. [The incidence of prematurity in the Hospital of Shiraz university of medical sciences and health services, 1999]. Razi Journal of Medical Sciences. 2002;9(28):19-25. Persian
2. Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller A-B, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. The Lancet. 2012;379(9832):2162-72. [DOI:10.1016/S0140-6736(12)60820-4]
3. Rick SL. Developmental care on newborn intensive care units: Nurses\' experiences and neurodevelopmental, behavioural, and parenting outcomes. A critical review of the literature. J Neonatal Nurs. 2006;12(2):56-61. [DOI:10.1016/j.jnn.2006.01.004]
4. Holsti L, Weinberg J, Whitfield MF, Grunau RE. Relationships between adrenocorticotropic hormone and cortisol are altered during clustered nursing care in preterm infants born at extremely low gestational age. Early Hum Dev. 2007;83(5):341-8. [DOI:10.1016/j.earlhumdev.2006.08.005]
5. Holsti L, Grunau RE, Oberlander TF, Whitfield MF. Prior pain induces heightened motor responses during clustered care in preterm infants in the NICU. Early Hum Dev. 2005;81(3):293-302. [DOI:10.1016/j.earlhumdev.2004.08.002]
6. Holsti L, Grunau RE, Whifield MF, Oberlander TF, Lindh V. Behavioral responses to pain are heightened after clustered care in preterm infants born between 30 and 32 weeks gestational age. Clin J Pain. 2006;22(9):757–64. [DOI:10.1097/01.ajp.0000210921.10912.47]
7. Newnham CA, Inder T, Milgrom J. Measuring preterm cumulative stressors within the NICU: the Neonatal Infant Stressor Scale. Early Hum Dev. 2009;85(9):549-55. [DOI:10.1016/j.earlhumdev.2009.05.002]
8. Kenner C, McGrath J. Developmental care of newborns & infants: A guide for health professionals: Mosby Incorporated; 2004.
9. Holsti L, Grunau RE, Oberlander TF, Whitfield MF, Weinberg J. Body movements: an important additional factor in discriminating pain from stress in preterm infants. Clin J Pain. 2005;21(6):491–8. [DOI:10.1097/01.ajp.0000146163.30776.44]
10. Solimano A, Littleford J. Acute care of at-risk newborns. Vancover: ACoRN Editorial board; 2006. Asghari Jafarabadi M, Mohammadi S. [Statistical series: summarizing and displaying data]. Journal of Diabetes and Lipid Disorders. 2013;12(2):83-100. Persian Asghari Jafarabadi M, Mohammadi S. [Statistical series: introduction to statistical inference (Point estimation, confidence interval and hypothesis testing)]. Journal of Diabetes and Lipid Disorders. 2013;12(3):173-92. Persian Asghari Jafarabadi M, Soltani A, Mohammadi S. [Statistical series: tests for comparing of means]. Iran J Diabetes Lipid Disord. 2013;12:265-91. Persian
11. Peters KL. Infant handling in the NICU: does developmental care make a difference? An evaluative review of the literature. J Perinat Neonatal Nurs. 1999;13(3):83-109. [DOI:10.1097/00005237-199912000-00008]

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb