Effect of Repositioning Frequency Neonates Receiving Phototherapy

Not Applicable

Completed

• Conditions: Newborn Jaundice; Bilirubinemia
• Interventions: Behavioral: Supine position group; Behavioral: Hourly position change group; Behavioral: Control Group (2-hour position change)

• Registration Number: NCT05692648
• Lead Sponsor: Selcuk University

Brief Summary

Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.

Design and methods: This was a single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial conducted in a neonatal intensive care unit. Participants were randomly assigned to one of three groups: Supine position group (n = 20), hourly position change group (n = 20), and control group (n = 20). The bilirubin level and comfort levels of the neonates were evaluated.

Detailed Description

Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.

Study Timeline

• Study Start: 2020-02-01
• Primary Completion: 2020-08-30
• Study Completion: 2020-09-30
• Study First Submitted: 2022-12-31
• Status Verified: 2023-01
• Study First Submitted QC: 2023-01-19
• Last Update Submitted: 2023-01-19
• Study First Posted: 2023-01-20
• Last Update Posted: 2023-01-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• gestational age between 35-42 weeks
• birth weight of 2000 g or more
• indication for phototherapy
• no previous phototherapy,
• no medical diagnosis other than prenatal hyperbilirubinemia
• stable health status
• no clinical signs of dehydration
• transition to oral feeding, no sucking problems
• being at least 2 days old on the day of phototherapy

Exclusion Criteria

• a sudden change in stability during phototherapy and
• phototherapy duration of less than 24 hours

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Supine position group	Supine position group	These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position.
Hourly position change group:	Hourly position change group	Infants in this group were repositioned "every hour" based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours.
Control Group (2-hour position change)	Control Group (2-hour position change)	Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation.

Primary Outcome Measures

Name	Time	Method
comfort level questionnaire	up to 24 hours	comfort level change
Change in bilirubin level	Baseline and 24 hours after phototherapy	bilirubin level change

Trial Locations

Locations (1)

Selcuk University; 🇹🇷 Konya, Selcuklu/Konya, Turkey