Hemşirelik Uygulamalarının Prematüre Bebeklerin Near Infrared Spectroscopy Düzeylerine Etkisi

Year 2024, , 650 - 656, 31.10.2024

Ezgi Ayvaz , Ayfer Açıkgöz

https://doi.org/10.54005/geneltip.1439370

Abstract

Amaç: Bu çalışma yenidoğan yoğun bakım ünitesi (YYBÜ)’nde yatan prematüre bebeklerde yapılan hemşirelik bakım uygulamalarının bebeklerin Near Infrared Spectroscopy (NIRS) düzeylerine etkisini belirlemek amacıyla yapılmıştır.
Materyal ve Metod: Kesitsel analitik bir çalışmadır. Araştırma, Eskişehir’de bir hastanenin YYBÜ’de gerçekleştirilmiştir. Çalışmamızda örneklem hesabına gidilmemiş olup 1 Mart- 26 Nisan 2019 tarihleri arasında NICU’da yatan, çalışma seçim kriterlerine uyan ve ebeveynlerinden bilgilendirme sonrası onam alınan tüm yenidoğanlar dahil edilmiştir. Çalışma 40 yenidoğan ile tamamlanmıştır. Veri toplamak amacıyla “Tanımlayıcı Bilgi Formu”, ve “Yapılan İşlemler Çizelgesi” kullanılmıştır. Çalışmada elde edilen veriler IBM SPSS 24 paket programı ile değerlendirilmiştir.
Bulgular: Çalışma kapsamına alınan hemşirelik bakım uygulamaları ile yenidoğanların Near Infrared Spectroscopy (NIRS) değerleri, oksijen saturasyonları (SpO2) ve kalp tepe atım (KTA) değerleri arasında önemli fark olduğu saptanmıştır (p<0.01).
Sonuç ve Öneriler: Çalışma sonucunda prematüre bebeklere yapılan hemşirelik bakım uygulamalarının bebeklerin serebral oksijenlenmesini olumsuz etkilediği belirlenmiştir. Önerimiz; prematüre bebeklere yapılan hemşirelik uygulamalarında hassas davranılması, bu uygulamaların gerekli olmadıkça bebeğe yapılmaması, uzun sürecek toplu bakım uygulamalarının farklı zamanlara bölünmesi ve bebeklerin dinlenmesine izin verilmesidir.

Keywords

hemşirelik bakımı, NIRS, prematüre, yenidoğan yoğun bakım

Project Number

2018-2334

The Effect of Nursing Practices on the Near Infrared Spectroscopy Levels of Premature Infants

Abstract

Aim: This study was conducted to determine the effect of nursing care practices on the Near Infrared Spectroscopy (NIRS) levels of premature infants in the neonatal intensive care unit (NICU).
Materials and Method: This is a cross-sectional, analytical study. It was conducted over the in the NICU of a hospital in Eskişehir province. We did not calculate sample size, but included in the study, after the parents had been informed about the research, the entire universe of neonates in the NICU who matched the inclusion criteria during the period March 1 - April 26, 2019. The study was completed with 40 neonates. Data collection was performed with a “Descriptive Data Form,” and a “Procedures Performed Chart.” The data were evaluated with the IBM SPSS 24 package program.
Results: A significant difference was discovered between the nursing care practices included in the study and the neonates’ Near Infrared Spectroscopy (NIRS) values, oxygen saturation (SpO2), and peak heart rates (PHR) (p<0.01).
Conclusion and Recommendations: At the end of the study, we concluded that the nursing care practices conducted with premature infants had an adverse impact on cerebral oxygenation. We suggest that nursing practices carried out with premature infants be executed with sensitivity and care; no unnecessary practice should be implemented, and lengthy collective care practices should be divided into convenient increments so that the neonates are allowed to rest in-between.
Keywords: Nursing care, NIRS, premature, neonate, neonatal intensive care unit
This study was sponsored by a University Scientific Research Projects Unit. Project code: 2018-2334

Keywords

nursing care, NIRS, Premature, neonate, neonatal intensive care unit

Ethical Statement

Prior to the start of the study, ethics committee approval was received from T.C. Karatay University Clinical Studies Ethics Committee (approval dated 05.06.2018, numbered 41901325-050.99) and permission was also obtained from the hospital administration where the study was to be conducted. Only the infants of parents who had given their informed consent were included in the study.

Supporting Institution

This study was sponsored by the Eskişehir Osmangazi University Scientific Research Projects Unit. Project code: 2018-2334

Project Number

2018-2334

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