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The Effect of Massage on Stress in Premature Babies

Not Applicable
Completed
Conditions
Stress
Cortisol
Interventions
Other: Massage
Other: Swaddling
Registration Number
NCT05580874
Lead Sponsor
Izmir Katip Celebi University
Brief Summary

The practices of the neonatal intensive care unit that reduce the stress of premature babies and respond to behavioral cues have a positive effect on the development of newborns. The stress experienced by premature infants affects the baby's behavior and laboratory findings. Massage is an effective application in facilitating the adaptation of premature babies to extrauterine life and ensuring that they are least affected by adverse environmental conditions. Massage in premature babies has an important place in reducing stress and supporting psychological, mental and physiological development as a healthy tactile stimulus.

Detailed Description

This study was planned to examine the effects of massage on stress behaviors and salivary cortisol levels in premature infants. The research was planned on a randomized controlled experimental. In the research, the group to which massage will be procedure is the experimental group, and the group to which the swaddling procedure will be the control group will form.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Families being voluntary to participate in the study
  • Babies being born between 30 and 36 weeks plus 6 days of gestation
  • Postnatal 3-5. premature babies between days
  • Not taking analgesics or sedatives
  • Absence of congenital anomaly
  • Absence of skin disease
  • The premature babies passing to oral feeding
  • Not having a proven sepsis diagnosis
  • No need for mechanical ventilator support
Exclusion Criteria
  • Having a congenital anomaly
  • Presence of skin disease
  • Having intracranial bleeding
  • Having sepsis
  • Receiving phototherapy
  • Taking analgesic / sedative type drugs

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Massage groupMassageInfants in the massage group received a ten-minute massage once a day, one hour after the morning feeding (between 9.30-11.30 am). Video recordings were made to observe the stress behaviors of the infants before, during and after the massage. Vital signs will be recorded a minute before the starting of the massage, at fifth minutes during the procedure and a minute after the end of the massage, and a video will be recorded during these processes. A saliva cortisol sample will be taken the massage five minutes before and 30 minutes after the massage. The scores given to the "Newborn Stress Scale" will be evaluated by watching the videos recorded after the procedure by experts in the field.
Control groupSwaddlingInfants in the swaddling group will form the control group. The swaddling process will be done one hour after the babies are feding (between 9.30-11.30 am). Before, during and after the swaddling procedure, the video will be recorded to observe the stress behavior of the babies. A minute before swaddling, video recording will start. Infants will be swaddling for ten minutes and video recording will be continue. After this process, a minute video recording will be made while the baby is not swaddling. Vital signs will be recorded one minute before starting the swaddling at fifth minutes during the procedure, and a minute after the swaddling. A saliva cortisol sample will be taken five minutes before and 30 minutes after the swaddling. The scores given to the "Newborn Stress Scale" will be evaluated by watching the videos recorded after the procedure by experts in the field.
Primary Outcome Measures
NameTimeMethod
"Newborn Stress Scale"After the swaddling
Salivary cortisol levels30 minutes after swaddling
Secondary Outcome Measures
NameTimeMethod
Baby's heart rateA minutes after swaddling
Baby's oxygen saturationA minutes after swaddling
Baby's respiratory rateA minutes after swaddling
Baby's body temperatureA minutes after swaddling

Trial Locations

Locations (1)

Tepecik Training and Research Hospital

🇹🇷

İzmir, Turkey

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