Effect of Immersion Bathing and Showering Applications on Comfort Level and Physiological Parameters of Newborn

Okan University69 enrolled

Overview

Effect of immersion bathing and showering applications on comfort level and physiological parameters of Newborn

This study aims to determine the effect of immersion bathing and showering on comfort levels and physiological parameters of newborns in neonatal intensive care units. This is a randomized controlled experimental study. The sample consisted of a total of 69 newborns who were born at the 37th gestational week and above, were referred to the neonatal intensive care unit of a training and research hospital, and met the study inclusion criteria. Study groups were determined through randomization by throwing a dice (immersion bathing group:35, showering group:34). Environmental variables were kept the same for both groups. Physiological parameters (respiration, high heart rate, oxygen saturation, body temperature) and comfort levels of newborns in both groups were compared before, just after and 15 minutes after the bath. Their comfort levels were measured using the Newborn Comfort Behavior Scale (NCBS).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Preterm Birth

Interventions

bathingOTHER

immerson bathing and showering

Eligibility

Sex: ALLMin age: 37 WeeksMax age: 40 WeeksHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being a newborn born at the 37th gestational week and above, * Completing 24 hours following the birth * Having a stable condition (no tachycardia and bradycardia) Exclusion Criteria: * Having respiratory failure and distress (having respiratory rate between 30-60, not being monitored in the ventilator, having oxygen saturation of 90% and above, having no need for high concentrations of oxygen via methods such as Hood and CPAP) * Having signs of infection, fever and hypothermia (having an ideal body temperature between 36-37.3 ℃) * Having neurological problems (hypotonia, hypertonics, etc.), no history of convulsions, using no sedative medication, and having a normal cranial USG.

Locations (1)

Okan University

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Newborn Comfort Behavior Scale (NCBS)

The scale was developed by Dijk et al. (2009), and its Turkish validity and reliability study was performed by Kahraman et al. (2014). This is a five-point Likert type scale with six factors: alertness, calmness/agitation, respiratory response, physical movement, crying, muscle tone, and facial tension. The NCBS is used by nurses to assess the baby's comfort, pain and distress. Total score ranges from 6 to 30. A lower score indicates a higher newborn comfort level. A total score between 9-13 indicates that the baby is "comfortable", whereas a total score between 14-30 indicates that the baby has pain and distress, that is, is "uncomfortable" and needs comfort enhancing interventions.

Time frame: 2 minute

Respiratory rate

Time frame: 1 minute

heart rate

Time frame: 1 minute

oxygen saturation

Time frame: 1 minute

body tempreture

Time frame: 1 minute

Data from ClinicalTrials.gov

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