Effective swaddling for stabilizing premature infants during transition.

Purpose This study aimed to determine the effective swaddling methods for stabilizing premature infants during transition. Methods The study included 12 premature infants during the transition period following admission to the NICU/GCU, with parental consent. The following data were collected: physi...

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Publicado en:Journal of Japan Academy of Midwifery Vol. 38; no. 2; pp. 272 - 284
Autor principal: Kaho HYAKUNARI
Formato: pictorial research tables/charts Journal Article
Publicado: Japan Academy of Midwifery Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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        09176357
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      dt: Aug2024
      vid: 38
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      pub: Japan Academy of Midwifery
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        181749934
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        10.3418/jjam.JJAM-2023-0058
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        atl: Effective swaddling for stabilizing premature infants during transition.
      aug:
        au: Kaho HYAKUNARI
        affil: Nursing Science Major, Department of Nursing, Faculty of Health Sciences, Kyorin University
      sug:
        subj:
          Infant, Premature Psychosocial Factors
          Infant Care Methods
          Bedding and Linens
          Transitional Care
          Human
          Infant
          Patient Admission
          Intensive Care Units, Neonatal
          Consent
          Data Collection Methods
          Nursing Care
          Repeated Measures
          Analysis of Variance
          Mann-Whitney U Test
          Comparative Studies
          Infant: 1-23 months
      ab: Purpose This study aimed to determine the effective swaddling methods for stabilizing premature infants during transition. Methods The study included 12 premature infants during the transition period following admission to the NICU/GCU, with parental consent. The following data were collected: physiological indicators (heart rate, breathing rate, oxygen saturation), and a behavioral indicator (frowning behavior). Data was collected at rest and up to 20 minutes after nursing care. Evaluations were made at rest and at "0 to less than 5 minutes", "5 to less than 10 minutes", "10 to less than 15 minutes", and "15 to less than 20 minutes". Repeated measures analysis of variance were performed to reveal the effect of swaddling on the stability of premature infants. Furthermore, the Mann-Whitney U test was conducted to compare our findings to swaddling methods as defined in the literature to identify the differences. Results After nursing care, swaddling was carried out in 48 situations, and the effect of swaddling on stability was shown by heart rates that were significantly closer to the resting heart rate (p<0.001). Stability did not differ significantly between those who were compliant or noncompliant with swaddling. However, when comparing the swaddling method, the "upper limb restriction group" showed more "frowning behavior" than the "no upper limb restriction group" at 0 to less than 5 minutes after care (p=0.040) and 10 to less than 15 minutes after care (p=0.024). Conclusion The effect of swaddling of premature infants during transition was shown by heart rates that were significantly closer to the resting heart rate. The swaddling method without restriction of the upper limbs was also suggested to be effective in stabilizing infants.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Japanese
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