Effect of Repositioning Frequency on Bilirubin Level and Infant Comfort in Neonates Receiving Phototherapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- comfort level questionnaire
研究概览
简要总结
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.
详细描述
Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
盲法说明
single (participant, outcomes assessor)
入排标准
- 年龄范围
- 35 Weeks 至 42 Weeks（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •a sudden change in stability during phototherapy and
- •phototherapy duration of less than 24 hours
研究组 & 干预措施
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.
干预措施: Supine position group (Behavioral)
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.
干预措施: Hourly position change group (Behavioral)
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.
干预措施: Control Group (2-hour position change) (Behavioral)
结局指标
主要结局
comfort level questionnaire
时间窗: up to 24 hours
comfort level change
Change in bilirubin level
时间窗: Baseline and 24 hours after phototherapy
bilirubin level change
次要结局
未报告次要终点
研究者
Sevinc Akkoyun
lecturer (Phd)
Selcuk University