Postural support improves distress and pain during diaper change in preterm infants.

Objective:To determine the effects of a postural support protocol on the physiological and behavioral stability of preterm infants while undergoing a diaper change.Study Design:Forty-seven newborns having a birth weight </=2000 g and gestational age </=35 weeks were included in this randomized, cros...

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Publicado en:Journal of Perinatology Vol. 29; no. 7; pp. 504 - 508
Autores principales: Comaru T, Miura E
Formato: clinical trial pictorial research tables/charts Journal Article
Publicado: Springer Nature Jul2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2009
      vid: 29
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      pub: Springer Nature
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        2010322667
        10.1038/jp.2009.13
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        atl: Postural support improves distress and pain during diaper change in preterm infants.
      aug:
        au:
          Comaru T
          Miura E
        affil: Department of Health Science Center, The Federal University of Santa Maria - UFSM, Santa Maria, Brazil.
      sug:
        subj:
          Defecation
          Diapers
          Patient Positioning
          Stress Prevention and Control
          Analysis of Variance
          Clinical Trials
          Descriptive Statistics
          Funding Source
          Heart Rate
          Infant, Premature
          Intensive Care Units, Neonatal
          Oxygen Saturation
          Pain Measurement
          Random Assignment
          T-Tests
          Human
      ab: Objective:To determine the effects of a postural support protocol on the physiological and behavioral stability of preterm infants while undergoing a diaper change.Study Design:Forty-seven newborns having a birth weight </=2000 g and gestational age </=35 weeks were included in this randomized, crossover clinical trial in a Neonatology Intensive Care Unit. The infants were observed as his or her own control and evaluated with and without the use of the proposed intervention, which was positioning the baby in a nest produced with rolled-up towels. During the observations, as control, the care model used by the unit was considered.Result:All babies displayed increased distress and pain scores during diaper changes. This was significantly less for babies nested compared with non-nested babies (P<0.0001).Conclusion:Diaper change is a distressing procedure for preterm infants. Providing postural support during diaper changes reduces the signs of distress and pain.Journal of Perinatology (2009) 29, 504-507; doi:10.1038/jp.2009.13; published online 26 February 2009.
      pubtype: Academic Journal
      doctype:
        clinical trial
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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