The Effect of Nursing Practices on the Near Infrared Spectroscopy Levels of Premature Infants
Öz
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
Anahtar Kelimeler
nursing care, NIRS, Premature, neonate, neonatal intensive care unit
Destekleyen Kurum
This study was sponsored by the Eskişehir Osmangazi University Scientific Research Projects Unit. Project code: 2018-2334
Proje Numarası
2018-2334
Etik Beyan
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.
Kaynakça
- Hartley C, Slater R. Neurophysiological measures of nociceptive brain activity in the newborn infant the next steps. Acta paediatrica 2014; 103(3):238-242.
- McPherson C, Miller SP, El-Dib M, Massaro AN, Inder TE. The influence of pain, agitation, and their management on the immature brain. Pediatric research 2020; 88(2):168-175.
- Umur A. Prematüreler İçin Hemşirelik Bakım Standartları Oluşturulması ve Etkinliğinin Değerlendirilmesi 2008. (Doctoral dissertation, Marmara Universitesi (Turkey)
- Volpe JJ. Intracranial hemorrhage: Neurology of the newborn. Philadelphia, PA: Saunders Elsevier 2008; 481-588.
- Williams MD, Lascelles BDX. Early neonatal pain a review of clinical and experimental implications on painful conditions later in life. Frontiers in Pediatrics 2020; 8:30.
- Slater R, Cantarella A, Franck L, Meek J, Fitzgerald M. How well do clinical pain assessment tools reflect pain in infants? PLoS Medicine 2008; 5(6): e129.
- Ranger M, Johnston CC, Rennick JE, Limperopoulos C, Heldt T, Du Plessis AJ. A multidimensional approach to pain assessment in critically ill infants during a painful procedure. The Clinical Journal of Pain 2013; 29(7): 613.
- Karunakaran KD, Peng K, Berry D, Green S, Labadie R, Kussman B, Borsook D. NIRS measures in pain and analgesia: fundamentals, features, and function. Neuroscience & Biobehavioral Reviews 2021; 120:335-353.
- Scarapicchia V, Brown C, Mayo C, Gawryluk JR. Functional magnetic resonance imaging and functional near-infrared spectroscopy: insights from combined recording studies. Frontiers in Human Neuroscience 2017; 11:419.
- Çağlayan N, Balcı S. Preterm Yenidoğanlarda ağrının azaltılmasında etkili bir yöntem: cenin pozisyonu. Florence Nightingale Hemşirelik Dergisi 2014; 22(1):63-68.