Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT06171997 |
Other study ID # |
Funda1 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
February 15, 2022 |
Est. completion date |
February 15, 2024 |
Study information
Verified date |
December 2023 |
Source |
Kafkas University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The research will be conducted experimentally in the form of randomized controlled studies to
determine the effect of safe swaddling of newborns after bathing on stress and comfort. The
population of the research consists of newborns receiving treatment and care in the Neonatal
Intensive Care Unit of a State Hospital located in the north of Turkey, and the sample
consists of 72 babies who meet the sample selection criteria. Descriptive Characteristics
Form, Newborn Stress Scale and Newborn Comfort Behavior Scale were used to collect data.
Babies will be bathed in the bathtub and then swaddled. The baby will be placed in the
incubator and kept for 15 minutes. After 15 minutes, the swaddle will be opened quietly and
slowly, without disturbing the body posture. Stress and comfort scores will be given by two
observers by video recording the babies before bathing, before swaddling and after swaddling.
Description:
Baby bathing is a nursing intervention with individual benefits. Today, there are ongoing
discussions about when the infant bath, which is an important part of skin care, should be
done first. However, the World Health Organization recommends not bathing newborns for the
first 24 hours and waiting until vital signs stabilized. Postponing the bathing of newborns
to 48 hours after birth is both effective in maintaining the baby's body temperature and
improves skin integrity. Since the thermoregulation abilities of newborns are very limited,
it is necessary to maintain body temperature, provide appropriate environmental conditions
and warming after bathing.
Although the bathing process, which is an important part of hospital care, protects the
health of the newborn, it is also a stressful action for babies and stress symptoms are
observed in these babies after bathing. Swaddling the baby in stressful situations such as
bathing contributes to the baby's self-calming. The swaddling technique mimics the uterus for
newborns and is a technique that ensures the continuation of the intrauterine environment.
Neonatal nursing has come to the forefront in recent years with the development of strategies
that increase comfort and has become a frequently used concept in neonatal intensive care
units.Among the interventions frequently applied by pediatric nurses to increase comfort are
practices such as relaxing positioning, massage, bathing, and wrapping.The practices of
nurses to increase the comfort level of the baby and reduce stress with practices with
increased level of evidence are very important in terms of nursing care and physical and
neuromotor development of the bab.In the light of all this information, this study was
planned to investigate the effect of safe swaddling after bathing on stress and comfort in
newborns.