Effects of Acupressure on Physiological Indicators, Oxygen Demand and Length of Hospital Stay in Premature Infants With Pulmonary Infiltration

Changhua Christian Hospital42 enrolled

Overview

In 2020, 11.6% of newborns are delivered prematurely in Taiwan. Excessive sputum is a common symptom of respiratory complications in premature infants. Effective methods for reducing sputum secretion in premature infants need to be urgently explored.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

PreTerm Neonate Pulmonary Complications

Interventions

massage acupointsBEHAVIORAL

The massage acupoints involved Zusanli (ST36), Fenglong (ST40), Zhongfu (LU1), Tanzhong (CV17), and Feishu (BL13). Each acupoint was massaged for 2 minutes, totaling 10 minutes per session. The routine care included chest physiotherapy and sputum suction as needed every 3 hours (PRN, Q3H).

Routine careBEHAVIORAL

The routine care included chest physiotherapy and sputum suction as needed every 3 hours (PRN, Q3H).

Eligibility

Sex: ALLMin age: 32 WeeksHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Newborn ≤32 weeks of gestational age * X-ray reporting pulmonary infiltration requiring suctioning * Treated with O2 nasal cannula or High-flow nasal cannula Exclusion Criteria: * Congenital pulmonary structural abnormalities * Muscular weakness * Heart disease, excluding Patent Ductus Arteriosus(PDA) and Atrial Septal Defect (ASD) * Abnormal bleeding conditions * Chest tube placement * Compromised skin integrity at the acupressure sites

Locations (1)

Taiwan

Changhua, Taiwan

Outcomes

Primary Outcomes

Frequency of sputum suction

Suctioning frequency per day was obtained from nursing records throughout the intervention period and for the subsequent two days.

Time frame: The study outcomes were evaluated before and day 5, day 10, day 12 after the intervention.

Secondary Outcomes

Physiological indicatores

Physiological indicators include heart rate、 respiratory rate、 oxygen saturation. Physiological indicators per day was obtained from nursing records throughout the intervention period and for the subsequent two days on physiological chart record sheets. 1. Heart Rate Description: Daily heart rate obtained from nursing records. Unit of measure: beats per minute (bpm). Measured instruments: Philips MX450 ECG Monitor. 2. Respiratory Rate Description: Daily respiratory rate obtained from nursing records. Unit of measure: breaths per minute. Measured instruments: Philips MX450 ECG Monitor. 3. Oxygen Saturation (SpO₂) Description: Daily oxygen saturation obtained from nursing records. Unit of measure: percentage (%). Measured instruments: Philips MX450 ECG Monitor.

Time frame: These outcomes were recorded 2 days before the intervention, days 1-5 of the intervention, days 6-10 of the intervention, and 2 days after the intervention.

Data from ClinicalTrials.gov

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