Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing
Abstract Aim Despite the consequences of neonatal distress and agitation, preterm infants undergo stress owing to weighing procedures. The objective of this study was to enable very low birth weight infants to maintain adequate self‐regulation during weighing. Design This prospective crossover study...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.1943 |
| _version_ | 1827820603166425088 |
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| author | Silvia Vicente‐Perez Gemma Robleda Ignasi Gich Tania Nolla Jaume Ponce‐Taylor Sergio Verd Gemma Ginovart |
| author_facet | Silvia Vicente‐Perez Gemma Robleda Ignasi Gich Tania Nolla Jaume Ponce‐Taylor Sergio Verd Gemma Ginovart |
| author_sort | Silvia Vicente‐Perez |
| collection | DOAJ |
| description | Abstract Aim Despite the consequences of neonatal distress and agitation, preterm infants undergo stress owing to weighing procedures. The objective of this study was to enable very low birth weight infants to maintain adequate self‐regulation during weighing. Design This prospective crossover study utilizes a within‐subjects design, where intervention days were compared to control days. Method Infants were exposed to both swaddled and unswaddled weighing in an intensive care nursery setting. Nineteen very low birth weight infants were weighed on two consecutive days. Variables of heart rate, respiratory rate and ALPS‐Neo score were recorded. Results Stress score decreased significantly from 1.65 (pre‐weight) to 0.23 (weight measurement) in swaddled‐intervention periods; conversely, it increased significantly from 1.26 (pre‐weight) to 4.97 (weight measurement) in control periods. During weight measurement, heart and respiratory rate were significantly lower for swaddled‐intervention days when compared to control days. Given the significant impact of swaddled weighing in reducing stress, this method can be used as an appropriate weighing procedure in intensive care. This research has no patient or public contribution. |
| first_indexed | 2024-03-12T01:30:44Z |
| format | Article |
| id | doaj.art-dcac363de5364305a7005398c1352293 |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-03-12T01:30:44Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-dcac363de5364305a7005398c13522932023-09-12T06:16:43ZengWileyNursing Open2054-10582023-10-0110106896690210.1002/nop2.1943Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighingSilvia Vicente‐Perez0Gemma Robleda1Ignasi Gich2Tania Nolla3Jaume Ponce‐Taylor4Sergio Verd5Gemma Ginovart6Neonatal Intensive Care Unit Hospital de la Santa Creu i Sant Pau Barcelona SpainCampus docent Sant Joan de Déu Barcelona University Barcelona SpainClinical Epidemiology Unit Hospital de la Santa Creu i Sant Pau Barcelona SpainOrthopedic & Neuroscience Units Hospital de la Santa Creu i Sant Pau Barcelona SpainDepartment of A&E Primary Care Balearic Health Authority Majorca SpainDepartment of Primary Care Balearic Health Authority, La Vileta surgery Majorca SpainNeonatal Intensive Care Unit Hospital Germans Trias Barcelona SpainAbstract Aim Despite the consequences of neonatal distress and agitation, preterm infants undergo stress owing to weighing procedures. The objective of this study was to enable very low birth weight infants to maintain adequate self‐regulation during weighing. Design This prospective crossover study utilizes a within‐subjects design, where intervention days were compared to control days. Method Infants were exposed to both swaddled and unswaddled weighing in an intensive care nursery setting. Nineteen very low birth weight infants were weighed on two consecutive days. Variables of heart rate, respiratory rate and ALPS‐Neo score were recorded. Results Stress score decreased significantly from 1.65 (pre‐weight) to 0.23 (weight measurement) in swaddled‐intervention periods; conversely, it increased significantly from 1.26 (pre‐weight) to 4.97 (weight measurement) in control periods. During weight measurement, heart and respiratory rate were significantly lower for swaddled‐intervention days when compared to control days. Given the significant impact of swaddled weighing in reducing stress, this method can be used as an appropriate weighing procedure in intensive care. This research has no patient or public contribution.https://doi.org/10.1002/nop2.1943behaviourbreastfeedingclothingneonatenursing carepremature infant |
| spellingShingle | Silvia Vicente‐Perez Gemma Robleda Ignasi Gich Tania Nolla Jaume Ponce‐Taylor Sergio Verd Gemma Ginovart Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing Nursing Open behaviour breastfeeding clothing neonate nursing care premature infant |
| title | Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing |
| title_full | Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing |
| title_fullStr | Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing |
| title_full_unstemmed | Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing |
| title_short | Physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing |
| title_sort | physiological responses and behavioural organization of very low birth weight infants during swaddled versus traditional weighing |
| topic | behaviour breastfeeding clothing neonate nursing care premature infant |
| url | https://doi.org/10.1002/nop2.1943 |
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