بررسی تاثیر اجرای پروتکل زمان آرام بر معیارهای فیزیولوژیک نوزادان نارس
محل انتشار: مجله مراقبت مبتنی بر شواهد، دوره: 5، شماره: 1
سال انتشار: 1394
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 294
فایل این مقاله در 11 صفحه با فرمت PDF قابل دریافت می باشد
- صدور گواهی نمایه سازی
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_EBCJ-5-1_008
تاریخ نمایه سازی: 23 مهر 1398
چکیده مقاله:
Background: There are extremely stressful stimuli in NICU environment. Although attempts have already saved neonates in this unit, this can disturb the adaptability of the infants in with environmental stimuli. Aim: To determine the effect of quiet time protocol implementation on physiological characteristics of preterm infants. Methods: In this cross-sectional clinical trial, 120 premature infants were randomly divided into experimental and control groups in Neonatal Intensive Care Unit of Ghaem Hospital, Mashhad in year 1393. The quiet time protocol, including preparing the environment, adjustment of the nursing staff and mothers, was performed in the intervention group between 16:00-18:00 p.m., and the control group received routine programs at 11:00-13:00 hours. Blood pressure, heart rate, and respiratory rate were measured in 15-min intervals during the intervention, and one hour before and after both times, as well as the sound level and light intensity. Data analysis was done by Independent t-test, Mann Whitney, ANOVA with Repeated Measures, and Friedman tests using SPSS version 11.5. Results: Of all infants, 40% were girls and 60 % boys. There was no significant difference between the groups regarding systolic (p<0.44) and diastolic BP (p<0.36). The mean heart rate of the intervention group at the second hour of intervention (135.7±12.4) was significantly lower than the control group (145.7±14.4) (p<0.02). Respiratory rate at the second hour of the intervention was lower in the quiet time group than that in control (p<0.007). Conclusion: The implementation of quiet time protocol can decrease heart rate and respiratory rate through decrease in the environmental stimuli (noise, light and handling), and is recommended for reducing stress in preterm infants.
کلیدواژه ها:
نویسندگان
Fatemeh Nasimi
MS in Neonatal Intensive Care, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Hamidreza Behnam Vashani
Instructor of Pediatrics Nursing, Department of Pediatrics Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Hasan Boskabadi
Associate professor of Neonatology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Damon Ketabi
Instructor of Occupational Health Engineering, Department of Occupational Health Engineering, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
مراجع و منابع این مقاله:
لیست زیر مراجع و منابع استفاده شده در این مقاله را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود مقاله لینک شده اند :