Hammock Position and Kangaroo Care

Not Applicable

Recruiting

• Conditions: Infant Development; Premature
• Interventions: Other: Hammock intervention; Other: Kangaroo care intervention

• Registration Number: NCT06436404
• Lead Sponsor: Nigde Omer Halisdemir University

Brief Summary

This study was planned to evaluate the effectiveness of two positions that may have an effect on pain, stress, comfort and physiological parameters in premature infants.

Detailed Description

Providing adequate therapeutic positioning in preterms can minimize postural abnormalities and asymmetries associated with prematurity and NICU stay, as well as support the development of spontaneous and functional motor abilities of infants. Studies show that positioning directly affects cardiovascular, respiratory and sleep-wake states. When the literature is examined; Although the vital signs, pain levels and comfort levels of babies in the NICU have been examined in many applications, the number of studies comparing the hammock position and Kangaroo care in preterms is very limited. Therefore, this study will try to determine the effect of hammock position and kangaroo care on the pain, stress, comfort and physiological parameters of the infants. It is thought that the study will provide new data to the literature and lead to many researches.

Study Timeline

• Study First Submitted: 2024-05-08
• Study First Submitted QC: 2024-05-30
• Study First Posted: 2024-05-31
• Study Start: 2024-11-10
• Status Verified: 2024-12
• Last Update Submitted: 2024-12-09
• Last Update Posted: 2024-12-10
• Primary Completion: 2025-01-20
• Study Completion: 2025-02-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• Infants having at least 2 days of inpatient treatment from,
• Infants 32-36+6. being born during the gestational week,
• Infants not receiving a medical diagnosis other than prematurity (serious respiratory, cardiological, endocrine and metabolic problems, hearing problems, hypoglycemia and sepsis),
• Apgar score above 6 at the 5th minute Infants will included.

Exclusion Criteria

• Infants having at least 2 days of inpatient treatment from,
• Infants 32-36+6. being born during the gestational week,
• Infants not receiving a medical diagnosis other than prematurity (serious respiratory, cardiological, endocrine and metabolic problems, hearing problems, hypoglycemia and sepsis),
• Apgar score above 6 at the 5th minute Infants will included.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hammock position group	Hammock intervention	A hammock inside the incubator, developed by researchers to prevent heat loss and support posture, will be used.
Kangaroo care group	Kangaroo care intervention	Kangaroo care will be applied to these preterm infants.

Primary Outcome Measures

Name	Time	Method
Determining the descriptive characteristics of babies	1 hour	1- Infant Introductory Form: The form includes introductory information about the baby (Postnatal day, gestational age, birth weight (g), weight on the day of the intervention, type of birth, gender, postnatal age, physiological weight loss, feeding style, 1st and 5th minute Apgar score, maternal age. It consists of questions containing).
Hammock position and Kangaroo care increase comfort level in preterm infants	1 hour	2- The COMFORT-behavior scale (COMFORTneo): It is a Likert-type scale developed to be used in evaluating the sedation and comfort needs, pain and distress of newborns monitored in intensive care. The scale was revised for newborns. High scores indicate that the baby is not comfortable and needs interventions to provide comfort.
Hammock position and Kangaroo care decrease pain and stress level in preterm infants	1 hour	3- ALPS-Neo "Newborn Pain and Stress Assessment Scale": The scale was developed in 2014 to evaluate pain and stress in premature and term newborns. Measurement is made through observation. As the score obtained increases, stress and pain increase.

Secondary Outcome Measures

Name	Time	Method
Hammock position and Kangaroo care support physiological stability in premature infants.	1 hour	1- Physiological Parameter Tracking Chart The follow-up chart prepared by the researcher is a form in which physiological parameters such as heart rate (min), oxygen saturation (%SpO2), body temperature (°C), respiratory rate (min) are recorded. Measurements will be taken 3 times in total: before, during and after the hammock position and kangaroo care application. A monitor device used in clinical routine will be used to measure physiological parameters.

Trial Locations

Locations (1)

Niğde Ömer Halisdemir University; 🇹🇷 Niğde, Center, Turkey