The study will be carried out as a prospective randomized controlled clinical study to determine the effect of tactile/kinesthetic stimulus program on preterm infants on transition time to full sucking, sucking success and hospital stay.
Application of the Research Tactile/kinesthetic Group After the stability in the general health status of the babies and the oral feeding decision are made, for 14 days, 2 times a day, just before feeding; There will be a 15-minute tactile/kinesthetic application. Complications that may develop during the tactile/kinesthetic application in infants will be monitored by evaluating the physical findings of the preterm infant and on the bedside monitor. In cases such as decreased oxygen saturation, apnea and bradycardia during the tactile/kinesthetic intervention, the procedure will not be performed or will be delayed until the baby regains stability. Note: The application will be carried out by showing the necessary sensitivity for the preterm baby (not shaking the baby, not moving the baby suddenly, the temperature of the hands being close to the baby's body temperature, etc.) and by the researcher nurses experienced in NICU. Control Group Tactile/kinesthetic applications will not be applied to the control group and these babies will be followed up for 14 days and at discharge after the stability of the general health status of the babies is ensured and the oral feeding decision is made. In both groups; Baby scales and tape measure will be used for anthropometric measurement of body weight before and after breastfeeding. Other data will be obtained from the patient file and observations made during the hospitalization of the preterm infant. The LATCH Breastfeeding Diagnosis Form (during the first mother's breastfeeding) will be filled in by observation, by the researcher and an observer nurse, as it is an observation-based form. The researcher will train the observer on the use of the LATCH Breastfeeding Diagnostic Form. The researcher and observer will simultaneously and independently evaluate each preterm infant by scoring the LATCH Breastfeeding Diagnostic Form during the breastfeeding period. In order to evaluate the agreement among the observers, the agreement will be evaluated by looking at Cohen's Kappa coefficient. The LATCH second measurement will be made on Day 5. The amount of food taken during breastfeeding within 14 days (1st, 5th, 9th, 13th, and on the day of discharge) will be determined by measuring body weight before and after feeding. Body weight will be weighed before and after feeding at discharge. The times of full enteral feeding and full oral feeding will be recorded in the groups. Hypotheses H0 hypothesis: Tactile/kinesthetic stimulus interventions have no effect on transition time to full oral feeding in preterm infants. Hypothesis H1: In preterm infants, interventions with tactile/kinesthetic stimuli have an effect on transition time to full oral feeding.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
80
Tactile/kinesthetic stimulation is performed in three stages. In the first stage; for tactile stimulation; The baby is placed in the prone (prone) position in the incubator. Light massage was applied in the head, shoulder, back, legs and arms of the infants. Each massage is applied 12 times for 1 minute. Massage was performed for 5 seconds. In the second stage Kinesthetic stimulation, including elbow flexion-extension movement, palm massages, flexion-extension of the knees and legs and plantar massages, was applied while the neonate was in supine position. Each kinesthetic stimulation was performed for 5 seconds. Each movement was repeated six times, with a total duration of 5 minutes. Tactile stimulation was repeated once after kinesthetic stimulation. The total duration of TKS was 15 minutes which was performed three times daily preferably between breastfeeding or bottle feeding for 14 consecutive days.
Etlık Zubeyde Hanım Kadın Hastalıkları Eğitim Ve Araştırma Hastanesi
Ankara, Eyalet/Yerleşke, Turkey (Türkiye)
RECRUITINGtransition time (day) to full oral feeding
This is the data on which day full oral feeding is started after admission to the neonatal intensive care unit.
Time frame: within the first 30 days of birth
transition time(day) to oral feeding trials
This is the data on which day oral feeding trials were performed after admission to the neonatal intensive care unit. intensive care unit.
Time frame: within the first 30 days of birth
transition time (day) to full enteral feeding
This is the data on which day full enteral feeding is started after admission to the neonatal intensive care unit.
Time frame: within the first 30 days of birth
transition time (day) to enteral feeding trials
This is the data on which day full enteral feeding is started after admission to the neonatal intensive care unit.
Time frame: within the first 30 days of birth
time (day) to first breastfeeding
This is the data on which day breastfeeding feeding is started after admission to the neonatal intensive care unit.
Time frame: within the first 30 days of birth
latch score (first day of breastfeeding)
Using LATCH Scale. The minimum LATCH score is 0 and the maximum is 10.
Time frame: first breastfeeding process (20 minutes)
latch score (fifth day of breastfeeding)
Using LATCH Scale. The minimum LATCH score is 0 and the maximum is 10.
Time frame: fifth day breastfeeding process (20 minutes)
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length of hospital stay (days)
length of hospital stay (days)
Time frame: the date of at discharge (up to 40 weeks)
change in weight before and after feeding
babies will be weighed before and after feeding on the first, fifth, ninth, thirteenth day and at discharge
Time frame: the date of at discharge (up to 40 weeks)