Nursing Caries Clinical Trial
Official title:
The Effect of Positions on Physiological Parameters of Preterm Neonates Receiving Mechanical Ventilation
Verified date | December 2023 |
Source | Saglik Bilimleri Universitesi Gulhane Tip Fakultesi |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study was planned as an experimental study with a randomized crossover design to determine the effect of supine, prone, right lateral, left lateral, and quarter prone positions used during daily routine care in the neonatal intensive care unit on physiological parameters (oxygen saturation, heart rate, respiratory rate) of preterm neonates receiving mechanical ventilation.
Status | Completed |
Enrollment | 40 |
Est. completion date | May 1, 2023 |
Est. primary completion date | December 1, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 28 Weeks to 36 Weeks |
Eligibility | INCLUSION CRITERIA - A gestational age of 28-36 weeks , - Receiving mechanical ventilation (non-intubated), - Volunteer consent of the parents of the preterm neonate to participate in the study. EXCLUSION CRITERIA - Receiving mechanical ventilation and being intubated, - Having any congenital and genetic disorders, - Having a health problem that prevents positioning, - Having a chest tube, umbilical catheter or PICC line, - Receiving continuous sedative therapy, anticonvulsive therapy and cardiac drug therapy, - Frequent changes in mechanical ventilator settings, - A feeding frequency of more than three hours. |
Country | Name | City | State |
---|---|---|---|
Turkey | University of Health Sciences Turkey | Ankara |
Lead Sponsor | Collaborator |
---|---|
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi |
Turkey,
Brunherotti MA, Martinez EZ, Martinez FE. Effect of body position on preterm newborns receiving continuous positive airway pressure. Acta Paediatr. 2014 Mar;103(3):e101-5. doi: 10.1111/apa.12504. Epub 2013 Dec 20. — View Citation
Cakici M, Mutlu B. Effect of Body Position on Cardiorespiratory Stabilization and Comfort in Preterm Infants on Continuous Positive Airway Pressure. J Pediatr Nurs. 2020 Sep-Oct;54:e1-e8. doi: 10.1016/j.pedn.2020.06.015. Epub 2020 Jul 15. — View Citation
Gouna G, Rakza T, Kuissi E, Pennaforte T, Mur S, Storme L. Positioning effects on lung function and breathing pattern in premature newborns. J Pediatr. 2013 Jun;162(6):1133-7, 1137.e1. doi: 10.1016/j.jpeds.2012.11.036. Epub 2013 Jan 11. — View Citation
Montgomery K, Choy NL, Steele M, Hough J. The effectiveness of quarter turn from prone in maintaining respiratory function in premature infants. J Paediatr Child Health. 2014 Dec;50(12):972-7. doi: 10.1111/jpc.12689. Epub 2014 Jul 13. — View Citation
Utario Y, Rustina Y, Waluyanti FT. The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure. Compr Child Adolesc Nurs. 2017;40(sup1):95-101. doi: 10.1080/24694193.2017.1386976. — View Citation
Yin T, Yuh YS, Liaw JJ, Chen YY, Wang KW. Semi-Prone Position Can Influence Variability in Respiratory Rate of Premature Infants Using Nasal CPAP. J Pediatr Nurs. 2016 Mar-Apr;31(2):e167-74. doi: 10.1016/j.pedn.2015.10.014. Epub 2015 Nov 21. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Heart Rate | Beats per minute will be obtained using an electrocardiographic bedside monitor. An electrocardiographic bedside monitor will be placed on each of the babies. | 1 year | |
Primary | Oxygen Saturation | Oxygen saturation (SpO2) will be obtained using an electrocardiographic bedside monitor. A separate electrocardiographic bedside monitor will be placed for each of the babies. | 1 year | |
Primary | Respiratory Rate | Respiratory rate will be counted and recorded for 1 minute by the researcher. | 1 year |
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