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| Título: Effectiveness of Hammock Positioning in Reducing Pain and Improving Sleep-Wakefulness State in Preterm Infants | |
| Enlace: https://doi.org/10.4187/respcare.06265 | |
| Autores: Ribas, Camila Gemin; Andreazza, Marimar Gorette; Neves, Valéria Cabral; Valderramas, Silvia; | |
| Tipo de documento: Articulo de revista | |
| Idioma: Inglés | |
| Resumen:BACKGROUND: Hammock positioning is now frequently used with preterm infants admitted to ICUs. However, few studies have investigated the extent to which hammock positioning reduces pain and improves the sleep-wakefulness state compared with traditional positioning. METHODS: Twenty-six clinically stable newborns with gestational ages from 30 to 37 weeks who were breathing spontaneously were randomly assigned to 2 groups: a hammock-positioning group (n = 13), in which newborns were placed in hammocks in the lateral position, and a traditional-positioning group (n = 13), in which they were kept nested, also in the lateral position. The following variables were evaluated at the beginning and the end of the treatment: pain (with the Premature Infant Pain Profile, and Neonatal Facial Coding System), sleep-wakefulness state (with the Brazelton Neonatal Behavioral Assessment Scale), heart rate, breathing frequency, and peripheral S pO2 . RESULTS: The subjects in the hammock-positioning group showed an improvement in pain compared with the traditional-positioning group(Premature Infant Pain Profile score, 2.62 ± 1.89 vs 2.31 ± 1.97, ∆P = .008) and sleep-wakefulness state score (2.08 ± 0.64 vs 1.23 ± 0.44, ∆ P < .001), reduced heart rate (151.69 ± 5.44 vs 142.77 ± 5.18 beats/min, ∆ P < .001), breathing frequency (52.31 ± 4.05 vs 50.23 ± 2.55 beats/min, ∆ P = .024), and increased peripheral S pO2 (94.69 ± 2.14 vs 98.00 ± 1.22%, ∆ P < .001). CONCLUSIONS: Hammock positioning was an effective treatment option to reduce pain and improve sleep-wakefulness state. It also helped to reduce heart rate and breathing fre-quency, and to increase peripheral S pO2 , which made it a treatment option for preterm infants. | |
| Descriptores: patient positioning; physical therapy specialty; preterm infant; respiratory care; respiratory therapy; nbas; | |
| Soporte: Digital | |
| Ilustraciones: Sí | |
| Tipo documento: Revista | |
| Nombre revista: Respiratory Care | |
| ISSN: 0020-1324 (print) // 1943-3654 (online) | |
| Periodicidad: Mensual | |
| Volumen: 64 | |
| Número: 4 | |
| Páginas: 384-389 | |
| Año: 2019 |
Afiliada a WAIMHWorld Association
for Infant Mental Health
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