Preterm ve Term Yenidoğanlarda İlk Banyo Zamanlarının ve Farklı Banyo Yöntemlerinin Termoregülasyona Etkisi: Sistematik Derleme

Yıl 2020, Cilt: 10 Sayı: 4, 711 - 718, 15.12.2020

Atiye Karakul , Pınar Doğan

https://doi.org/10.31832/smj.757609

Cited By: 1

Öz

Çalışmanın amacı, deneysel/yarı deneysel ve randomize kontrollü yapılmış çalışmalarda preterm ve term yenidoğanlarda ilk banyo zamanlarının ve farklı banyo tiplerinin termoregülasyona etkisini incelemektir.
Tarama, Nisan 2020- Mayıs 2020 tarihleri arasında PUBMED ve EBSCO elektronik veri tabanlarında ingilizce olarak yapılmıştır. Taramalarda, "newborn" and "bath" or "thermoregulation" anahtar sözcükleri kullanılmış olup, veri tabanında belirlenen dahil edilme kriterleri kullanılarak çalışmalar filtrelenmiştir. Çalışmaların seçiminde dahil etme ve dışlanma kriterleri PICOS yöntemi temel alınarak oluşturulmuştur. Çalışmaya, deneysel/yarı deneysel ve randomize kontrollü olmak üzere 11 çalışma dahil edilmiştir.
Sistematik derlemede yer alan çalışmalarda oda ısısı 26-27oC, banyo suyu sıcaklığı ise 37-38oC arasında değişmiştir. Çalışmalarda, preterm ve term yenidoğanlarda banyo zamanının doğum sonrasında 3-24 saat arasında yapıldığı, preterm ve term yenidoğanlarda banyonun vücut sıcaklığını düşürdüğü, pretermlerde küvet banyo yönteminin vücut sıcaklığını korumada silme banyodan daha etkili olduğu, preterm yenidoğanların vücut sıcaklığının korunmasında sarmalama banyonun silme banyodan daha etkili bir yöntem olduğu gösterilmiştir.

Anahtar Kelimeler

Yenidoğan, banyo, termoregülasyon

Kaynakça

• 1. Afsar FS. Skin care for preterm and term neonates. Clinical and Experimental Dermatology: Clinical Dermatology 2009; 34(8): 855-858.
• 2. Conk Z, Başbakkal Z, Bal -Yılmaz H, Bolışık B.Pediatri Hemşireliği.1. Baskı. Ankara. Akademisyen Kitapevi; 2013. S289-294.
• 3. Loring C, Gregory K, Gargan B, LeBlanc V, Lundgren D, Reilly J, et al. Tub bathing improves thermoregulation of the late preterm infant. JOGNN 2012; 41(2): 171-179.
• 4. George S, Phillips K, Mallory S, Holmquistova I, Hare R, Allen S,et al. A pragmatic descriptive study of rewarming the newborn after the first bath . JOGNN 2015; 44(2): 203-209.
• 5. Chamberlain J, McCarty S, Sorce J, Leesman B, Schmidt S, Meyrick E, et al. Impact on delayed newborn bathing on exclusive breastfeeding rates, glucose and temperature stability, and weight loss. Journal of Neonatal Nursing 2019; 25(2): 74-77.
• 6. Edraki M, Paran M, Montaseri S, Nejad MR, Montaseri Z. Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: a randomized clinical trial. Journal of Caring Sciences 2014; 3(2): 83.
• 7. Lee HK. Effects of sponge bathing on vagal tone and behavioural responses in premature infants. Journal of Clinical Nursing 2002; 11(4): 510-519.
• 8. Bryanton J, Walsh D, Barrett M, Gaudet D. Tub bathing versus traditional sponge bathing for the newborn. JOGNN 2004; 33(6): 704-712.
• 9. Vignochi C, Teixeira PP, Nader SS. Effect of aquatic physical therapy on pain and state of sleep and wakefulness among stable preterm newborns in neonatal intensive care units. Brazilian Journal of Physical Therapy 2010;14(3): 214-220.
• 10. de Freitas P, Bueno M, Holditch-Davis D, Santos HP, Kimura AF. Biobehavioral responses of preterm infants to conventional and swaddled tub baths: a randomized crossover trial. J Perinat Neonatal Nurs 2018; 32(4): 358-365.
• 11. Taşdemir Hİ, Efe E. The effect of tub bathing and sponge bathing on neonatal comfort and physiological parameters in late preterm infants: A randomized controlled trial. IJANS 2019; 99: 103377.
• 12. Lund C. Bathing and beyond: current bathing controversies for newborn infants. Advances in Neonatal Care 2016; 16: S13-S20.
• 13. El-Atawi K, Elhalik M. Neonatal Skin Care. Pediatr Neonatal Nurs Open Access 2016; 2(2): 2470-0983.
• 14. Brandon D, Hill CM, Heimall L, Lund CH, Kuller J, McEwan T, et al. Neonatal Skin Care: Evidence-Based Clinical Practice Guideline. (4th ed.). 2018. Washington DC: Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN).
• 15. Ar I, Gözen D. Effects of Underrunning Water Bathing and Immersion Tub Bathing on Vital Signs of Newborn Infants: A Comparative Analysis. Advances in Neonatal Care 2018; 18(6): E3-E12.
• 16. Suchy C, Morton C, Roy Ramos R, Ehrgott A, Quental MM, Burridge A, et al. Does Changing Newborn Bath Procedure Alter Newborn Temperatures and Exclusive Breastfeeding? Neonatal Network 2018; 37(1): 4–10.
• 17. Freitas PD, Munhoz MMB, Costa P, Kimura AF. Effect of Two Immersıon Bathıng Technıques on the Axıllary Temperature of Preterm Newborns: A Pılot Study. Texto & Contexto-Enfermagem 2018; 27(1).
• 18. Tambunan DM, Mediani HS, Nurjanah N. Effectıveness of Swaddle and Conventıonal Tub Bath on Thermal Stabılıty in Premature Infants at Dustıra Hospıtal Cımahı. In The 3rd International Seminar on Global Health 2019; 3(1): 134-143.
• 19. Moher D, Liberati A, Tetzlaff J, et al. Reprint—preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Physical Therapy 2009; 89: 873-80.
• 20. Karaçam Z. Sistematik derleme metodolojisi: sistematik derleme hazırlamak için bir rehber. DEUHYO ED 2013; 6 (1): 26-33.
• 21. Higgins J. Green S. Cochrane handbook for systematic reviews of interventions Version 5.1. 0. The Cochrane Collaboration. Confidence intervals. 2011.
• 22. Retrieved May 24, 2020, from https://casp-uk.net/wp-content/uploads/2018/01/CASP-Randomised-Controlled-Trial-Checklist-2018.pdf
• 23. Ruschel LM, Pedrini DB, Cunha MLCD. Hypothermia and the newborn's bath in the first hours of life. Hipotermia e banho do recém-nascido nas primeiras horas de vida. Rev Gaucha Enferm 2018;39:e20170263.
• 24. De Lima RO, Estevam LD, Leite FMC, Almeida MVS, Nascimento L, Amorim MHC, et al. Nursing intervention-first bath of the NB: a randomized study on neonatal behavior. Acta Paul Enferm 2020; 33: 1-10.
• 25. Kelly PA, Classen KA, Crandall CG, Crenshaw JT, Schaefer SA, Wade DA, et al. Effect of Timing of the First Bath on a Healthy Newborn’s Temperature. JOGNN 2018; 47(5): 608-619.
• 26. Gaddam Swapna, Nandhini P, Ruthrani Princely J, Kanchana S, Celina D., Relative Effectiveness of Swaddle Bath and Conventional Bath on Level of Tehrmal Stability and Crying Duration among Preterm Infants at Selected Hospital in North India, ICCRJNR 2017; 2(1): 34-54.
• 27. Ceylan SS, Bolıışık B. Effects of Swaddled and Sponge Bathing Methods on Signs of Stress and Pain in Premature Newborns: Implications for Evidence‐Based Practice. Worldviews Evid Based Nurs 2018; 15(4): 296-303.
• 28. Fernández D, Antolín-Rodríguez R. Bathing a premature infant in the intensive care unit: A systematic review. Journal of Pediatric Nursing 2018; 42, e52-e57.
• 29. Ar I, Gözen D. Effects of Underrunning Water Bathing and Immersion Tub Bathing on Vital Signs of Newborn Infants: A Comparative Analysis. Advances in Neonatal Care 2018; 18(6): E3-E12.
• 30. Taşdemir Hİ, Efe E. The effect of tub bathing and sponge bathing on neonatal comfort and physiological parameters in late preterm infants: A randomized controlled trial. IJANS 2019; 99, 103377.
• 31. Çaka SY, Gözen D. Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. J Spec Pediatr Nurs 2018; 23(1): e12202.