مقايسه مراقبت خوشه اي سه و چهار پروسيجره ازنظر پاسخ هاي رفتاري نوزادان نارس: كارآزمايي باليني متقاطع تصادفي

Persian Abstract

پيش زمينه و هدف: نوزادان نارس بستري در بخش مراقبت هاي ويژه نوزادان تحت استرس مکرر قرار گرفته و دچار محروميت از خواب مي شوند. در اين راستا يکي از استراتژي هاي توصيه شده مراقبت خوشه اي مي باشد از طرفي بر مشاهده مستقيم رفتار نوزادان در زمان ارائه مراقبت هاي پرستاري تأکيد گرديده است. هدف از اين مطالعه مقايسه پاسخ هاي رفتاري نوزادان نارس در مراقبت خوشه اي با سه و چهار پروسيجر غيرتهاجمي مي باشد. مواد و روش ها: مطالعه حاضر يک کارآزمايي باليني متقاطع تصادفي است که در سال ۱۳۹۲ در مركز آموزشي درماني الزهراي تبريز، ايران انجام گرفت. ۳۱ نوزاد نارس بستري در بخش مراقبت هاي ويژه نوزادان در سن ۳۲ هفتگي تحت مراقبت خوشه اي سه پروسيجره و چهار پروسيجره موردمطالعه قرار گرفته ازنظر علائم رفتاري قابل مشاهده بررسي شدند.

Title

COMPARISON OF CLUSTERED CARE WITH THREE AND FOUR PROCEDURES ON BEHAVIORAL RESPONSES OF PRETERM INFANTS: RANDOMIZED CROSSOVER CLINICAL TRIAL

English Abstract

Background & Aims: Preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU) are under repeated stress, and they are suffering from sleep deprivation. In this respect, one of recommended strategies is clustered care. On the other hand, direct observation of infant behaviors has been emphasized at time of nursing care. The aim of this study was to compare the behavioral responses in preterm infants in clustered care with three and four noninvasive procedures. Materials & Methods: This study was a randomized crossover clinical trial performed in NICU of Al- Zahra teaching hospital, Tabriz, Iran in 2013. Thirty one preterm infants were studied at 32 weeks age by clustered care with three and four procedures, and observable behavioral symptoms were assessed. The analysis of data was done with the use of STATA 10 software at 0.05 significant level. Results: The findings showed that mean of behavioral symptoms indicated stability in before, during and after of clustered care with three procedures, and it was 1.48, 2.03, 2.45 respectively, and four procedures 2.68, 4.23, 2.87 and behavioral symptoms indicative stress of three procedures were 2.06, 2.52, 1.97 and four procedures 2.97, 4.03, 3.03. Significant differences were not found in before and after phases between two interventions but it was significant during phase (P=0.035). Conclusion: Although clustered care with three procedures can be assumed more acceptable, clustered care with four procedures is shown acceptable too, both of them could be recommended for preterm infants.

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