The Effect Of The Care Package Applıed To Babıes Whıch Are Monıtored Wıth Temporary Follow-Up Of The Newborn In The Newborn Intensıve Care Unıt On The Duratıon Of Stay In Non-Invasıve Mechanıcal Ventılatıon And Physıologıcal Parameters
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Oxygen saturation Vital Signs
研究概览
简要总结
Temporary tachypnea of the newborn can be improved with minimal respiratory support and nursing care given to babies within the first 72 hours of life. Nursing care practices; It includes pain management, aspiration, moistening and warming of the airways, skin care, nutrition, body temperature regulation, positioning and chest physiotherapy practices.
Physiotherapy practices, when applied in accordance with the criteria, can reduce the newborn's respiratory problems and shorten the hospital stay. Although it has been reported that chest physiotherapy practices have a clinically positive effect on newborns, studies in this field are insufficient.
Nowadays, the concept of care package is frequently used, especially in areas where nursing care is very important, such as intensive care. Implementation of care packages in patient care increases the quality of care by ensuring standardization in the clinic. It also contributes to observing improvements in health practices. The positive results of the use of care packages in their application areas and the lack of care package application in babies monitored with temporary tachypnea of the newborn when the literature was scanned have led to the necessity of conducting studies in this field.
The study was planned as a semi-experimental (non-randomized) control group study to examine the effect of the care package applied to babies monitored with temporary tachypnea of the newborn in the neonatal intensive care unit on the duration of stay in noninvasive mechanical ventilation and physiological parameters.
详细描述
This study was carried out as a semi-experimental control group study to examine the effect of the care package applied to babies monitored with temporary tachypnea of the newborn in the Neonatal Intensive Care Unit of Istanbul Esenler Gynecology and Children's Hospital, on the duration of stay in noninvasive mechanical ventilation and physiological parameters.
Hypothesis 1 (H1): The care package applied to babies monitored with transient tachypnea of the newborn shortens the duration of stay in noninvasive mechanical ventilation.
Hypothesis 2 (H2): The care package applied to babies monitored with transient tachypnea of the newborn positively affects physiological parameters.
Hypothesis 3 (H3): The care package applied to babies monitored with transient tachypnea of the newborn positively affects blood gas parameters.
The research was conducted in the Neonatal Intensive Care Unit of Esenler Gynecology and Children's Hospital between January 2023 and October 2023.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 36 Weeks 至 41 Weeks（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being 36 weeks or above according to gestational age
- •Birth weight being 1500 grams and above
- •Receive noninvasive mechanical ventilation support
- •Feeding via orogastric tube
- •Parents' consent for the baby to be included in the study
排除标准
- •Those with pneumothorax and suspicion
- •Those with cranial bleeding or any suspicion of bleeding
- •Babies with congenital anomalies affecting breathing
- •Babies who are reconnected to mechanical ventilation after being weaned off noninvasive mechanical ventilation
- •Babies with neurological diseases (no neurological problems (hypotonia, hypertonic etc.), no history of convulsions, not using sedative drugs, normal cranial USG,
- •Babies with any fractures (clavicle, femur, etc.) were excluded from the sample.
结局指标
主要结局
Oxygen saturation Vital Signs
时间窗: It was evaluated upon admission to intensive care, 1 hour after the first care, and 1 hour after the first care after weaning from mechanical ventilation.
Oxygen saturation (%) were evaluated
blood gas HCO3 value
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas HCO3 (mEq/L) were evaluted
blood gas SaO2 value :
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas SaO2 (mmHg)were evaluted
Heart rate Vital Signs
时间窗: It was evaluated upon admission to intensive care, 1 hour after the first care, and 1 hour after the first care after weaning from mechanical ventilation.
Heart rate (beats/minute) were evaluated
Blood pressure Vital Signs
时间窗: It was evaluated upon admission to intensive care, 1 hour after the first care, and 1 hour after the first care after weaning from mechanical ventilation.
Blood pressure (mmHg) were evaluated
Respiratory Rate Vital Signs
时间窗: It was evaluated upon admission to intensive care, 1 hour after the first care, and 1 hour after the first care after weaning from mechanical ventilation.
Respiratory Rate (breaths/minute) were evaluated
blood gas pH value :
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas H iyon
blood gas PaO2 value
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas PaO2 (mmHg)were evaluted
Body temperature Vital Signs
时间窗: It was evaluated upon admission to intensive care, 1 hour after the first care, and 1 hour after the first care after weaning from mechanical ventilation.
Body temperature (°C) were evaluated
blood gas BE value
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas BE(mmol/L) were evaluted
blood gas PCO2 value
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas PCO2 (mmHg) were evaluted
blood gas lactat value
时间窗: It was evaluated upon admission to the intensive care unit, immediately before weaning from mechanical ventilation, and 1 hour after weaning from mechanical ventilation.
blood gas lactat (mmol/L) were evaluted
次要结局
- Total duration of mechanical ventilation stay(1 hour after discharge from intensive care)
- Total duration of stay in intensive care unit duration of transition to oral feeding were evaluated).(1 hour after discharge from intensive care)
- Total duration of transition to oral feeding were(1 hour after discharge from intensive care)
研究者
Esma Şeker
Esma Şeker
Okan University