Effect of Immersion Bathing and Showering Applications on Comfort Level and Physiological Parameters of Newborn

Okan University

Status: Completed

Conditions: Preterm Birth

Treatments: Other: bathing

Study type: Interventional

Funder types: Other

Identifiers

NCT04811742

010

Details and patient eligibility

About

Effect of immersion bathing and showering applications on comfort level and physiological parameters of Newborn

Full description

This study aims to determine the effect of immersion bathing and showering on comfort levels and physiological parameters of newborns in neonatal intensive care units.

This is a randomized controlled experimental study. The sample consisted of a total of 69 newborns who were born at the 37th gestational week and above, were referred to the neonatal intensive care unit of a training and research hospital, and met the study inclusion criteria. Study groups were determined through randomization by throwing a dice (immersion bathing group:35, showering group:34). Environmental variables were kept the same for both groups. Physiological parameters (respiration, high heart rate, oxygen saturation, body temperature) and comfort levels of newborns in both groups were compared before, just after and 15 minutes after the bath. Their comfort levels were measured using the Newborn Comfort Behavior Scale (NCBS).

Enrollment: 69 patients

Sex: All

Ages: 37 to 40 weeks old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being a newborn born at the 37th gestational week and above,
• Completing 24 hours following the birth
• Having a stable condition (no tachycardia and bradycardia)

Exclusion criteria

• Having respiratory failure and distress (having respiratory rate between 30-60, not being monitored in the ventilator, having oxygen saturation of 90% and above, having no need for high concentrations of oxygen via methods such as Hood and CPAP)
• Having signs of infection, fever and hypothermia (having an ideal body temperature between 36-37.3 ℃)
• Having neurological problems (hypotonia, hypertonics, etc.), no history of convulsions, using no sedative medication, and having a normal cranial USG.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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69 participants in 2 patient groups

immersion bathing group

Experimental group

Description:

Immersion bathing was started by placing the baby's whole body, except for the head and neck, into a bathtub of warm water with a depth of 13-14 cm. The baby was shampooed and cleaned in the tub. Then, the baby was taken out of the water and rinsed over the tub. Finally, the baby was wrapped with a towel, taken to the radiant and dried, thus the process of bathing was completed.

Treatment:

Other: bathing

showering group

Experimental group

Description:

Shower was started by keeping the baby's face down and firmly gripping the baby from his/her armpit and head by one of the nurse's hands. The baby was washed under running water with the other hand. The second nurse assisted to ensure the flow of water. After the baby was rinsed, he/she was wrapped with a towel, taken to the radiant and dried, thus the process of bathing was completed.

Treatment:

Other: bathing