Effect of Repositioning Frequency Neonates Receiving Phototherapy

Selcuk University

Status: Completed

Conditions: Newborn Jaundice; Bilirubinemia

Treatments: Behavioral: Supine position group; Behavioral: Hourly position change group; Behavioral: Control Group (2-hour position change)

Study type: Interventional

Funder types: Other

Identifiers

NCT05692648

2019/14489

Details and patient eligibility

About

Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.

Design and methods: This was a single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial conducted in a neonatal intensive care unit. Participants were randomly assigned to one of three groups: Supine position group (n = 20), hourly position change group (n = 20), and control group (n = 20). The bilirubin level and comfort levels of the neonates were evaluated.

Full description

Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.

Enrollment: 60 patients

Sex: All

Ages: 35 to 42 weeks old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• gestational age between 35-42 weeks
• birth weight of 2000 g or more
• indication for phototherapy
• no previous phototherapy,
• no medical diagnosis other than prenatal hyperbilirubinemia
• stable health status
• no clinical signs of dehydration
• transition to oral feeding, no sucking problems
• being at least 2 days old on the day of phototherapy

Exclusion criteria

• a sudden change in stability during phototherapy and
• phototherapy duration of less than 24 hours

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 3 patient groups

Supine position group

Experimental group

Description:

These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position.

Treatment:

Behavioral: Supine position group

Hourly position change group:

Experimental group

Description:

Infants in this group were repositioned "every hour" based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours.

Treatment:

Behavioral: Hourly position change group

Control Group (2-hour position change)

Other group

Description:

Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation.

Treatment:

Behavioral: Control Group (2-hour position change)