Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing

Autor: Silvia Vicente‐Perez, Gemma Robleda, Ignasi Gich, Tania Nolla, Jaume Ponce‐Taylor, Sergio Verd, Gemma Ginovart
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Nursing Open, Vol 10, Iss 10, Pp 6896-6902 (2023)
Druh dokumentu: article
ISSN: 2054-1058
DOI: 10.1002/nop2.1943
Popis: Abstract Aim Despite the consequences of neonatal distress and agitation, preterm infants undergo stress owing to weighing procedures. The objective of this study was to enable very low birth weight infants to maintain adequate self‐regulation during weighing. Design This prospective crossover study utilizes a within‐subjects design, where intervention days were compared to control days. Method Infants were exposed to both swaddled and unswaddled weighing in an intensive care nursery setting. Nineteen very low birth weight infants were weighed on two consecutive days. Variables of heart rate, respiratory rate and ALPS‐Neo score were recorded. Results Stress score decreased significantly from 1.65 (pre‐weight) to 0.23 (weight measurement) in swaddled‐intervention periods; conversely, it increased significantly from 1.26 (pre‐weight) to 4.97 (weight measurement) in control periods. During weight measurement, heart and respiratory rate were significantly lower for swaddled‐intervention days when compared to control days. Given the significant impact of swaddled weighing in reducing stress, this method can be used as an appropriate weighing procedure in intensive care. This research has no patient or public contribution.
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