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
The Physiological Responses of Preterm Infants to Clustered Care with Three and Five Procedures: A Randomized Crossover Clinical Trial
L Valizadeh1 , M Avazeh 2, N Babaei3 , MB Hosseini4 , M Asghari Jafarabadi5
1- Associate professor, Nursing & Midwifery faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Postgraduate student of Nursing, Nursing & Midwifery faculty, Tabriz University of Medical Sciences, Tabriz, Iran. Tel; 00984134796770 Email: Mnn656194@yahoo.com
3- MS of Nursing, Meshkin Higher Institute of Health, Ardabil University of Medical Sciences, Ardabil, Iran.
4- Associate professor, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
5- Assistant Professor, Road Traffic Injury Prevention Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract:   (7131 Views)

Abstract

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.

Keywords: Premature infant, Physiological, Caring, Clustering
Full-Text [PDF 696 kb]   (2354 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/07/11 | Accepted: 2015/10/10 | Published: 2015/10/10
References
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.
2. Johansson S. Very preterm birth: Etiological aspects and short and long term outcomes: Institutionen för medicinsk epidemiologi och biostatistik/Department of Medical Epidemiology and Biostatistics; 2008.
3. 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]
4. Mörelius E. Stress in infants and parents: studies of salivary cortisol, behaviour and psychometric measures: Linköping University. Faculty of Health Science, Linköping, Sweden. 2006.
5. 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]
6. 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] [PMID]
7. 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] [PMID]
8. 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] [PMID] [PMCID]
9. 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] [PMID]
10. Kenner C, McGrath J. Developmental care of newborns & infants: A guide for health professionals: Mosby Incorporated; 2004.
11. 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] [PMID] [PMCID]
12. Solimano A, Littleford J. Acute care of at-risk newborns. Vancover: ACoRN Editorial board; 2006.
13. Asghari Jafarabadi M, Mohammadi S. [Statistical series: summarizing and displaying data]. Journal of Diabetes and Lipid Disorders. 2013;12(2):83-100.
14. 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.
15. Asghari Jafarabadi M, Soltani A, Mohammadi S. [Statistical series: tests for comparing of means]. Iran J Diabetes Lipid Disord. 2013;12:265-91.
16. 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] [PMID]
Add your comments about this article : Your username or Email:
CAPTCHA
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb