Correlations of Handling Procedures and Sleep Patterns of the Infants Admitted to the Neonatal Intensive Care Unit | ||
| Iranian Journal of Neonatology | ||
| مقاله 6، دوره 9، شماره 3، آذر 2018، صفحه 35-41 اصل مقاله (762.1 K) | ||
| شناسه دیجیتال (DOI): 10.22038/ijn.2018.23783.1299 | ||
| نویسندگان | ||
| zahra godarzi1؛ Khadijeh Zarei2؛ Mamak Shariat3؛ khosro Sadeghniat4؛ Niko Nikafs5؛ Hamideh Sepaseh* 6 | ||
| 1Department of Pediatric and Neonatal Intensive Care Faculty of Nursing & Midwifery Tehran Univesity of Medical Scienses, Tehran/Iran | ||
| 2Department of Pediatrics and NICU Nursing Education, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran | ||
| 3Maternal & Child Health Specialist, Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran | ||
| 4Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran | ||
| 5Maternal, Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran | ||
| 6Logman Hospital Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| چکیده | ||
| Background: The present study aimed to assess handling procedures and their effects on the sleep-wake time in the preterm infants admitted to the neonatal intensive care unit (NICU). Methods: This observationalcross-sectional study was conducted in the NICU ofVali-e-Asr Teaching Hospital affiliated to Tehran University of Medical Sciences (TUMS), Iran in 2016. Sample population consisted of 15 preterm infants, and duration of the handling procedures was considered to be 15 days or 360 hours. Handling procedures were recorded within an uninterrupted 24-hours period. Sleep patterns of the infants were checked at 8 AM-8 PM using Als’ behavioral states scale of Newborn Individualized Developmental Care and Assessment Program (NIDCAP sheet). Results: Mean frequency of the handling procedures during 24 hours was 59.93±15.86. Within 12 hours, mean frequency of the care/monitoring, therapeutic, and supportive procedures was 41.20±12.14 during the day, while it was 18.73±5.43 at night. Mean handling procedures in minutes was 18.73±5.43 for care/monitoring procedures, 13.60±13.28for therapeutic procedures, and 76.21±93.08 for supportive procedures. In therapeutic and care/monitoring handling procedures, sleep duration decreased in the infants, while it increased in the supportive procedure. Mean total oxygen saturation was 94.80±2.81, and mean total heart rate was 147.30±16.76. Conclusion: According to the results, supportive handling could increase sleep duration in preterm infants. Therefore, it is recommended that this technique be applied for the comfort of preterm infants in the presence of parents. | ||
| کلیدواژهها | ||
| Handling؛ Neonatal intensive care unit (NICU)؛ Preterm infant؛ Sleep | ||
| مراجع | ||
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1. dos Santos AÁ, Khan RL, Rocha G, Nunes ML. Behavior and EEG concordance of active and quiet sleep in preterm very low birth weight and full-term neonates at matched conceptional age. Early Hum Dev. 2014; 90(9):507-10. 2. Als H. The preterm infant: a model for the study of fetal brain expectation. Washington, DC: American Psychological Association; 1995. 3. Levy J, Hassan F, Plegue MA, Sokoloff MD, Kushwaha JS, Chervin RD, et al. Impact of hands‐on care on infant sleep in the neonatal intensive care unit. Pediatr Pulmonol. 2017; 52(1):84-90. 4. Maki MT, Orsi KC, Tsunemi MH, Hallinan MP, Pinheiro EM, Avelar AF. The effects of handling on the sleep of preterm infants. Acta Paulista Enfermagem. 2017; 30(5):489-96. 5. VandenBerg KA. State systems development in high-risk newborns in the neonatal intensive care unit: identification and management of sleep, alertness, and crying. J Perinat Neonatal Nurs. 2007; 21(2):130-9. 6. Graven SN, Browne JV. Sleep and brain development: the critical role of sleep in fetal and early neonatal brain development. Newborn Infant Nurs Rev. 2008; 8(4):173-9. 7. Wolke D. Environmental neonatology. Arch Dis Child. 1987; 62(10):987-8. 8. Visscher MO, Lacina L, Casper T, Dixon M, Harmeyer J, Haberman B, et al. Conformational positioning improves sleep in premature infants with feeding difficulties. J Pediatr. 2015; 166(1):44-8. 9. de Weerd AW, van den Bossche RA. The development of sleep during the first months of life. Sleep Med Rev. 2003; 7(2):179-91. 10. Calciolari G, Montirosso R. The sleep protection in the preterm infants. J Matern Fetal Neonatal Med. 2011; 24(Suppl 1):12-4. 11. Dreyfus-Brisac C, Monod N. The neurology of early childhood [Abridged] sleep of premature and full-term neonates-a polygraphic study. Proc R Soc Med. 1965; 58:6-7. 12. Ezenwanne E. Current concepts in the neurophysiologic basis of sleep; a review. Ann Med Health Sci Res. 2011; 1(2):173-9. 13. Allen KA. Promoting and protecting infant sleep. Adv Neonatal Care. 2012; 12(5):288-91. 14. Westrup B. Newborn individualized developmental care and assessment program (NIDCAP)-familycentered developmentally supportive care. Early Hum Dev. 2007; 83(7):443-9. 15. Bertelle V, Sevestre A, Laou-Hap K, Nagahapitiye MC, Sizun J. Sleep in the neonatal intensive care unit. J Perinat Neonatal Nurs. 2007; 21(2):140-8. 16. Als H, Lawhon G, Brown E, Gibes R, Duffy FH, McAnulty G, et al. Individualized behavioral and environmental care for the very low birth weight preterm infant at high risk for bronchopulmonary dysplasia: neonatal intensive care unit and developmental outcome. Pediatrics. 1986; 78(6):1123-32. 17. Hedlund R, Tatarka MM. Infant behavioral assessment (IBA) training manual. Washington: Development Edition; 1988. 18. Amini E, Bastani F, Rajai N, Haghani H. The effect of in-arms-holding by mothers on sleepwake states disorders of preterm neonates in neonatal intensive care unit: a pilot study. Nurs Pract Today. 2015; 1(3):140-6. 19. Pereira FL, Nogueira de Góes Fdos S, Fonseca LM, Scochi CG, Castral TC, Leite AM. Handling of preterm infants in a neonatal intensive care unit. Rev Esc Enferm USP. 2013; 47(6):1272-8. 20. Blackburn S. Environmental impact of the NICU on developmental outcomes. J Pediatr Nurs. 1998; 13(5):279-89. 21. Gray L, Watt L, Blass EM. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics. 2000; 105(1):e14. 22. Lemons JA, Bauer CR, Oh W, Korones SB, Papile LA, Stoll BJ, et al. Very low birth weight outcomes of the National Institute of Child health and human development neonatal research network, January 1995 through December 1996. NICHD Neonatal Research Network. Pediatrics. 2001; 107(1):E1. 23. Vandenberg KA. Individualized developmental care for high risk newborns in the NICU: a practice guideline. Early Hum Dev. 2007; 83(7):433-42. 24. Axelin A, Ojajärvi U, Viitanen J, Lehtonen L. Promoting shorter duration of ventilator treatment decreases the number of painful procedures in preterm infants. Acta Paediatr. 2009; 98(11):1751-5. 25. Byers JF. Components of developmental care and the evidence for their use in the NICU. MCN Am J Matern Child Nurs. 2003; 28(3):174-80. 26. Als H, Duffy F, McAnulty G. Effectiveness of individualized neurodevelopmental care in the newborn intensive care unit (NICU). Acta Paediatr Suppl. 1996; 416:21-30. | ||
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