Hammock Position and Nesting in the Neonatal Intensive Care Unit
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age32-37
SponsorMaltepe University
About this trial
This research aims to determine the effect of hammock position and nesting practices on the comfort level and physiological parameters of preterm babies.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Preterm babies between 32-37 weeks of gestation
The weight of the baby is 1500 grams and above,
Postnatal age is 3 days or more,
Preterm babies who have been in the Neonatal Intensive Care Unit for more than 24 hours,
Disqualifiers
Babies younger than 32 weeks of gestation and older than 37 weeks of gestation
The baby's weight is below 1500 grams,
Postnatal age is less than 3 days,
Preterm babies who have been in the Neonatal Intensive Care Unit for less than 24 hours,
Trial design
Design model
Parallel
Treatments tested in this trial
Hammock Position
BehavioralResearchers will make a hammock by using a soft rectangular cotton cloth with ropes that pass through the circular openings of the incubator and are tied on the upper part of it. Babies will be placed in this hammock in a supine position with their extremities in the midline. The spine of the preterm neonate will support while arms and knees are flexed. Additionally, a small rectangular roller will be placed between the cervical and scapular region of the newborn in the hammock position to ensure that no hyperflexion or hyperextension position of the head occurs, which may impair respiratory function.
Nesting
BehavioralIn the nesting group, a nest will be made using rolls prepared with materials such as towels and blankets, and the baby will be placed in this nest. The baby's head and body will be positioned on the same axis, its extremities will be positioned in the midline, and its hands will be positioned close to its face.
Treatment groups
72 Participants
are divided into 2 treatment groupsGroup A: Hammock Position GroupExperimental treatment 1 intervention
Group B: Nesting GroupExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Comfort Level
The preterm babies' comfort levels will be determined using the Newborn Comfort Behavior Scale (COMFORTneo). COMFORTneo is a Likert-type scale consisting of six parameters: alertness, calmness/agitation, respiratory response, crying, body movements, facial tension, and muscle tone. In addition to determining comfort, the Newborn Comfort Behavior Scale allows nurses to evaluate the baby's pain and distress. It has been stated that the lowest score that can be obtained from the Newborn Comfort Behavior Scale is 6 and the highest score is 30. COMFORTneo score values under 13 indicate no pain or stress, values between 14 and 21 indicate moderate pain or stress, and values between 22 and 30 indicate severe pain or stress.
Time frame
5 minutes before positioning the neonate, at the 2nd, 20th, 40th, 60th minute of positioning the neonate, 5 minutes after positioning the neonate.Secondary outcomes
1
Heart Rate
The researchers recorded the neonates' heart rate from the ECG monitor
Time frame
5 minutes before positioning the neonate, at the 2nd, 20th, 40th, 60th minute of positioning the neonate, 5 minutes after positioning the neonate.2
Respiration Rate
The researchers recorded the neonates' respiration rate from the ECG monitor
Time frame
5 minutes before positioning the neonate, at the 2nd, 20th, 40th, 60th minute of positioning the neonate, 5 minutes after positioning the neonate.3
Oxygen Saturation
The researchers recorded the neonates' oxygen saturation from the ECG monitor
Time frame
5 minutes before positioning the neonate, at the 2nd, 20th, 40th, 60th minute of positioning the neonate, 5 minutes after positioning the neonate.Sponsors and contacts
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Source ClinicalTrials.gov