The Effect of Parental Participation on Newborn Comfort During Diaper Care Practice in Preterm Infants
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 105
- 试验地点
- 2
- 主要终点
- Change in Level of Comfort
研究概览
简要总结
It was aimed to determine the effect of parental participation on newborn comfort during diaper care practice in preterm infants.
H1: Parental participation during infant diaper care practice in preterm infants has an effect on newborn comfort.
H2: There is a difference in the effect of parent diaper care practice and the participation of the mother or father on newborn comfort in preterm infants.
H3: There is a difference between the stress levels of parents before the application of infant diaper care in preterm infants.
详细描述
The expectation of all parents is to have a healthy baby at the end of the pregnancy. However, newborns being born unexpectedly early and being admitted to the neonatal intensive care unit is a stressful situation for both newborns and parents. During this process, parents of preterm infants experience anxiety, loss of control, fear of the future, depression, role change and concerns about the improvement of the baby's condition. It is important for parents to actively participate in care within the framework of family-centered care practices in order to reduce the newborn's stress level, increase its comfort and improve its environment and to increase the families' ability to cope with this situation.Infant care, which is repeated many times a day in the Neonatal Intensive Care Unit, is one of the care practices that include tactile stimuli. Studies have observed that preterm infants' stress increases during diaper changes. For this reason, it is important to plan the necessary invasive practices to increase comfort during diaper changes, to include parental participation in these procedures, and to determine the effect of these interventions on the infants' comfort and to include them in the literature.
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
- None
入排标准
- 年龄范围
- 1 Day 至 28 Days（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Infants whose gestational age is between ≥34 weeks and ≤36+6 weeks at the time of application
- •Infants with stable health conditions
排除标准
- •Intubated
- •Those with very low and extremely low birth weight at the time of procedure
- •Having a chronic disease
- •Those with congenital anomalies
- •Having undergone a surgical procedure
- •Having neurological symptoms
- •Receiving oxygen support
- •Diagnosed with sepsis
- •A pharmacological analgesic method was used four hours before.
- •Parents who do not want to participate in care
结局指标
主要结局
Change in Level of Comfort
时间窗: immediately before the procedure, during the procedure, immediately after the procedure. The change in these time intervals will be assessed
The infants' comfort level will be measured using the Premature Infant Comfort Scale.The scale is a multi-dimensional scale used to measure comfort in preterm newborns. The Premature Infant Comfort Scale was developed by Monique et al. in the Netherlands in 2007. The validity and reliability of the Turkish scale was determined by Küçük Alemdar and Güdücü Tüfekçi in 2015. The scale consists of 1 to 5 rating points. The infant's comfort is evaluated based on the total score according to the scale. According to the total score, 35 indicates the lowest score, 7 indicates the highest comfort level, and a high score indicates a low comfort level. The subscales of the scale include the preterm infant's alertness, calmness, respiratory status, physical movement, muscle tone, facial movements, and average heart rate
Level of Parental Stress
时间窗: It will be measured once just before the diaper care
The level of parental stress will be measured using the Neonatal Intensive Care Unit Parental Stress Scale.The scale was developed by Miles, Funk and Carlson in 1993 to determine the perception levels of stressors arising from the physical and psychosocial environment by mothers and fathers. The Turkish validity and reliability study of the scale was conducted by Turan and Başbakkal in 2006. The scale consists of 5 rating points and is rated from 1 (not stressful) to 5 (extremely stressful). The score that can be obtained from the scale varies between 0 and 170. The scale can be applied to mothers and fathers with infants in the neonatal intensive care unit
次要结局
未报告次要终点
研究者
Zehra Kan Onturk
Assist. Prof.
Acibadem University