Datos del Documento


Título: Does skin-to-skin contact reduce stress during diaper change in preterm infants?
  Enlace: https://doi.org/10.1016/j.earlhumdev.2014.01.011
  Autores: Lyngstad, Lene Tandle; Tandberg, Bente Silnes; Storm, Hanne; Ekeberg, Birgitte Lenes; Moen, Atle;
  Tipo de documento: Articulo de revista
  Idioma: Inglés
  Resumen:BACKGROUND: Skin-to-skin contact reduces pain response in preterm infants subjected to minor painful procedures, such as heel lance. Diaper change is a procedure performed several times daily in hospitalized preterm infants. Routine care giving tasks such as diaper change may be stressful for the infant. AIMS: The purpose of this study was to investigate whether diaper change induces stress and if skin-to-skin contact could reduce such stress, measured by changes in skin conductance. STUDY DESIGN: This was a randomized crossover pilot study in 19 preterm infants with gestational age between 28 and 34 weeks. The diaper change procedure was done twice in each infant, once during skin-to-skin contact, and once in incubator or bed with the mother present. OUTCOME MEASURES: During diaper change heart rate (HR), peripheral oxygen saturation (SpO2), and changes in skin conductance (SC) peaks per sec, using the Skin Conductance Algesimeter (SCA), were registered. RESULTS: The mean SC peaks/sec increased/decreased significantly under/after change of diapers which thereby underpins that this is a stressful procedure for the preterm infant. Skin-to-skin contact (SSC) entails significantly lower stress levels (p<0.05) compared to diaper changed in an incubator/bed measured by the SCA. CONCLUSIONS: Diaper change is a stressful procedure for preterm infants and may be ameliorated by skin-to-skin contact.
  Descriptores: diaper change; kangaroo mother care; nicu; preterm infant; routine care giving tasks; skin-to-skin contact; stress;
  Soporte: Digital
  Ilustraciones:
  Tipo documento: Revista
  Nombre revista: Early Human Development
  ISSN: 0378-3782
  Periodicidad:
  Volumen: 90
  Número: 4
  Páginas: 169-172
  Año: 2014
Afiliada a WAIMH
World Association
for Infant Mental Health
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