ผลของนวัตกรรมที่นอนรังนกยางพาราต่อคุณภาพการนอนหลับและการเปลี่ยนแปลงทางสรีรวิทยาในทารกเกิดก่อนกำหนด

Usa Jansuth; Wantanee  Wiroonpanich

Authors

Usa Jansuth Faculty of Nursing, Prince of Songkla University, Songkhla
Wantanee Wiroonpanich Faculty of Nursing, Prince of Songkla University, Songkhla

Keywords:

rubber nest mattress, preterm infants, sleep quality, physiological change

Abstract

This cross-over quasi-experimental research was designed to study the effect of a rubber nest mattress innovation and compare sleep quality and physiological changes in preterm infants while sleeping on a rubber nest mattress and a cloth nest mattress. Twenty-three preterm infants with 32-36 weeks of gestational age were selected using purposive sampling without replacement and randomly allocated to sleep on the nest. Sleep-wake behavior was recorded by video camera and the vital signs were recorded every 10 minutes. The videotape was then interpreted for the sleep duration. Inter-rater reliability of the assessment of the sleep-wake behavior between the expert and the researcher, and also between the researcher and the research assistant, were tested yielding a percentage of agreement of 95.0% and 98.33%, respectively. The mean sleep-wake duration and vital signs of preterm infants were compared when they were on the rubber nest mattress and the cloth nest mattress using a paired t-test.

The results revealed that 1) the sleep quality of preterm infants while they were on the rubber nest mattress was higher than while they were on the cloth nest mattress. The mean score of total sleep duration and deep sleep duration of preterm infants were significantly longer (p < .05). The active sleep duration of preterm infants, while they were on each type of nest mattress, was not different (p > .05), and 2) the physiological change in preterm infants while they were on the rubber nest mattress and the cloth nest mattress was different, in which the mean score of respiratory rate and heart rate while they were on the rubber nest mattress were significantly lower than while they were on the cloth nest mattress (p < .05). The mean score of body temperature, while they were on each type of nest mattress, was not different (p > .05).

Therefore, using a rubber nest mattress in caring for preterm infants admitted to a hospital is one of the methods that can improve sleep quality, total sleep duration, and deep sleep duration, which will help to promote the appropriate growth and development of preterm infants.

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References

Abdeyazdan, Z., Mohammadian-Ghahfarokhi, M., Ghazavi, Z., & Mohammadizadeh, M. (2016). Effects of nesting and swaddling on the sleep duration of premature infants hospitalized in neonatal intensive care units. Iranian Journal of Nursing and Midwifery Research, 21(5), 552-556.

Als, H. (1982). Toward a synactive theory of development: Promise for the assessment and support of infant individuality. Infant Mental Health Journal, 3(4), 229-243.

Altimier, L., & Phillips, R. M. (2013). The neonatal developmental care model: Seven neuroprotective core measures for family-centered developmental care. Infant Mental Nursing Review, 13, 9-12.

Blackburn, S. T., & Vadenberg, K. A. (1993). Assessment and management of neonatal neurobehavioral development. In C. Kanner, A. Brueggemeyer, & L. P. Gunderson (Eds.), Comprehensive neonatal nursing (pp. 1095-1130). Philadephia, PA: W. B. Saunders.

Boonya-bpichart, C., Vichitsukon, K., & Sithichai, K. (2007). The effect of nest on body temperature on low birth weight newborns. Siriraj Nursing Journal, 1(2), 1-10.

Calciolari, G., & Montirosso, R. (2011). The sleep protection in the preterm infants. The Journal of Maternal-Fetal & Neonatal Medicine, 24(1), 12-14.

El-Nagger, N. S. M., & Bayoumi, O., R. (2016). Effect of applying nesting technique as a developmental care on physiological functioning and neurobehavioral organization of premature infants. Life Science Journal, 12(1),79-92.

Gardner, S. L., & Lubchenco, L. O. (1998). The neonate and the environment: Impact on development. In G. B. Merenstein & S. L. Gardner (Eds.), Handbook of neonatal intensive care (pp. 211-212). St. Louis: Mosby.

Gorzilio, D. M., Garrido, E., Gaspardo, C. M., Martinez, F. E., & Linhares, M. B. M. (2015). Neurobehavioral development prior to term-age of preterm infants and acute stressful events during neonatal hospitalization. Early Human Development, 91(12), 769-775.

Holditch-Davis, D., & Blackburn, S. T. (2014). Neurobehavioral development. In L. C. Kenner & J. W. Lott (Eds.), Comprehensive neonatal nursing (pp. 689-721). New York, NY: Springer.

Kihara, H., & Nakamura, T. (2013). Nested and swaddled positioning support in the prone position facilitates sleep and heart rate stability in very low birth weight infants. Original Research, 3 ,11–14.

Kitase, Y., Sato, Y., Takahashi, H., Shimizu, M., Ishikawa, C., Yamamoto, H., & Hayakawa, M. (2017). A new type of swaddling clothing improved development of preterm infants in neonatal intensive care units. Early Human Development, 112, 25-28. https://dx.doi.org/10.1016/j.earlhumdev.2017.06.005

Kitpreedaborrisut, B. (2006). Techniques for creating data collection tools for research (6th ed). Bangkok: Sri-anan.

Mony, K., Vindra, S., Krishnakumar, D., & Vijaya, R. (2018). Effect of nesting on sleep pattern among preterm infants admitted in NICU. Biomedical Research, 29(10), 1994-1997.

Nakklinkul, P. (2003). Effect of quiet hour provision on sleep period of premature infants (Master of nursing science program, pediatric Nursing). Graduate School, Chiang Mai University, Chiang Mai.

Nuansate, S., Chairat, S., & Poungsuwan, S. (2017) Guideline for marketing mix development of healthy latex pillo products of phreak Har farmer group for sustainable promote latex privatiqation product (Research Reports, Faculty of Management Technology) Rajamanggala University of Technology Srivijaya. Nakhonsithammarat.

Pongsaranunthakul, Y. (2016). Nursing care for preterm infants. In W. Thampanichawat, S. Rungamornrat, & S. Payakkaraung (Eds.), Nursing care of high-risk newborn (pp 35-50). Bangkok: Pre-wan.

Sandeep, K. G., Yogesh, K., & Jyoti. S. (2015). A study to assess and evaluate the effect of nesting on physiological parameters and comfort behavior of preterm infants admitted in NICU of selected hospitals in Punjab and Haryana. Research & Reviews: Journal of Nursing Science and Practice, 5(2), 8-11.

Songnuy, K. (2021). The effect of nursing care using environmental management with Apaiparit chant listening on the sleep quality of preterm infants (Master of nursing science program, pediatric Nursing). Graduate School, Prince of Songkhla University, Songkhla.

Srisawet, S., Daramas, T., & Pookboonmee, R. (2013). Effects of Mozart’s music on heart rate, respiratory rate, oxygen saturation, and sleep duration of preterm infants. Ramatibodi Nursing Journal, 19(2), 221-234.

Thampanichawat, W. (2016). Developmental care for preterm infants. In W. Thampanichawat, S. Rungamornrat, & S. Payakkaraung (Eds.), Nursing care of high-risk newborn (pp 51-76). Bangkok: Pre-wan.

Thanacharoenpipat, P. (2001). Effects of positioning on duration of sleep among premature infants (Master of nursing science program, pediatric Nursing). Graduate School, Chiang Mai University, Chiang Mai.

Zarei, K., Shariat, M., Nikafs, N., & Sepaseh, H. (2018). Correlations of handling procedures and sleep patterns of the infants admitted to the Neonatal Intensive Care Unit. Iranian Journal of Neonatology, 9(3), 35-41.