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Effect of Nested and Swaddled Prone Positioning on Sleep and Physiological Parameters of Low Birth Weight Neonates
Current Issue
Volume 5, 2018
Issue 3 (September)
Pages: 48-55   |   Vol. 5, No. 3, September 2018   |   Follow on         
Paper in PDF Downloads: 97   Since Sep. 13, 2018 Views: 1190   Since Sep. 13, 2018
Authors
[1]
Gehan Maher, Department of Pediatric Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
[2]
Wafaa Elarousy, Department of Pediatric Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Abstract
Nesting position is a comfort measure that simulates in-utero feeling of lack of space by providing a nest with a rolled blanket. Nesting facilitates deep peaceful sleep pattern, the flexed posture reduces the surface area exposed to the environment, minimizing heat loss. The aim is to determine the effect of nested and swaddled prone positioning on sleep and physiological parameters of low birth weight (LBW) neonates. Design: Experimental design was used in the study. Setting: This study was conducted at the Neonatal Intensive Care Unit of Maternity University Hospital at El-Shatby in Alexandria. Methods: Convenient sampling for 60 LBW neonates was used, randomly allocating the first neonate either to control or experimental group. Then, the others LBW neonates of each group were chosen alternatively. Thirty neonates were received nested position (study group) and other 30 neonates were received prone position only (control group). Neonates’ physiological parameters and sleep state using sleep state assessment observational checklist were assessed for all neonate. Results: The mean neonates’ heart rate was 143.40 ± 14.95 after nesting compared with 157.57 ± 15.88 for neonates of control group and the differences were statistically significant. Furthermore, the mean Oxygen saturation of neonates in study group was higher than in the control group (97.43 ± 1.47, 95.63 ± 0.76 respectively) and the differences were statistically significant. In addition, it was found that 43.3% of neonates of study group and 10% of neonates in control group were in deep sleep and the differences between both groups were statistically significant. Conclusion: It can be concluded that nested and swaddled position improve sleep and physiological parameters compared to prone position alone among LBW neonates.
Keywords
Low Birth Weight Neonates, Nesting Position, Prone Position, Sleep
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