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IRCT2014071216937N3 IRCT 2015-02-21 Vice Chancellor for research of Tehran University of Medical Sciences The effect of premature infant massage on mother attachment Clinical trial the study of premature infant massage by mothers on maternal attachment behavior among infants hospitalized in neonatal intensive care unit 2014-03-21 anticipated 80 Complete https://irct.ir/trial/15711 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Other design features: Statistics were performed using a table of random numbers reference book. Less than 81 were selected and participated in the study. 80 samples were divided in two qroups number 1 to 40 represents the experimental group and the numbers 41 to 80, representing the control group were classified. N/A The effect of premature infant massage by mother on attachment behavior. Intervention 1: After selecting the samples for starting the research and having enough and clear explanations for mothers about the goals and the type of the research by researcher, and also to clarify the attachment evaluation procedure and to express their attachment behavior to their infants is measured by the researcher before starting massage and the days 5 after massage. Acquiring written satisfaction, and are attendant in this project. In the experimental group a book with a training CD that is prepared by infants health office about massage training will be given to mothers. The massage is done from the tip of the infants toes in the way that the infant is without coverage or is just diapered. The massage training movie is played by the researcher for mothers. Massage training classes is hold in the two hospitals of conference saloon of hospitals.These saloons are equipped with the perfect audio visual system and the manipulation is done with the related authorities in the two hospitals to allow using this equipments. Training classes will be performed during 1 hour in 2 sessions, mothers will learn the massage practically and by face to face training, by the researche. They will practice on the maquette with attendance of the researcher. (The researcher will apply personally for massage training and also evaluation of attachment samples and she will not use the colleague). In the case that mother needs sessions and more hours for training,these training will be continued till the correct massage learning. The researcher control the research by observation of the massage by mothers on the maquette have a correct insight from the massage training. The exact performance of massage and having a correct insight of the massage training by mothers is controlled by the researcher by mothers observation of the maquette.in all stages of the massage training film, and in practical exercise of the massage, the researcher will be present beside mothers for fixing their problems and answering to their questions. (The researcher has received the massage certificate formerly). (Also the researcher telephon number is accessible to them all the time). First massage of the infant by the mother is done by researcher attendance. Every mother massage her infant by odorless olive oil once in 24 hours. For 15 minutes. (used olive oil is of the same trade mark for all samples). Massage is done for 5 days on the infants by their mothers. Evaluation of attachment of mothers in experimental group is done before the massage and the days 5 after massage. The evaluation is done by the researcher regarding spatial time allocation of 1 hour after massage. Attachment evaluation is started by the time the mother is on the infant’s bed and is ready to feed her infant and the evaluation would continue during this feeding, that is if the mother feed or contact her infant less than 15 minutes, the evaluation wouldn’t be accepted and will postpone to other time. (This point of evaluation will be concerned in both the control and experimental group). In order to measure mothers attachment by attachment evaluation scale, 15 minutes interaction between mother and the infant constantly evaluate; in every minute in the first 30 second the mother behavior to the infant evaluated and in 2nd 30 second the behavior is recorded. Counting of seconds is done by counting watch. Before doing massage of the infant, the evaluation then is done in 5th days after starting the massage. Intervention 2: In control group mothers and infants will receive only routine care; (this caring contains doctor visit, daily weighting newborns, serum therapy, training of correct breast feeding to infant, intake and output control, needed training for discharge of the infant, their attachment assess after confirming the needed situations for entering the research, and getting the one turn written satisfactory and then it will be assess in 5th days after massage.
public Soroor Sohrabi
School of Nursing and Midwifery, Tehran University of Medical Sciences
Tehran Iran (Islamic Republic of) +98 21 7742 8716 soroor.soh@gmail.com Tehran University of Medical Sciences scientific Soroor Sohrabi
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
Tehran Iran (Islamic Republic of) +98 21 7742 8716 soroor.soh@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Iranian mother; the baby is the result of a single pregnancy; infants 2500 gm birth weight or less and gestational age of 37 weeks or less; infants are clinically stable condition. Exclusion criteria: infants discharged before end of intervention; collide stability and general condition of the baby and mother 1 day 28 days Both ----- ----- Prevention Prevention After selecting the samples for starting the research and having enough and clear explanations for mothers about the goals and the type of the research by researcher, and also to clarify the attachment evaluation procedure and to express their attachment behavior to their infants is measured by the researcher before starting massage and the days 5 after massage. Acquiring written satisfaction, and are attendant in this project. In the experimental group a book with a training CD that is prepared by infants health office about massage training will be given to mothers. The massage is done from the tip of the infants toes in the way that the infant is without coverage or is just diapered. The massage training movie is played by the researcher for mothers. Massage training classes is hold in the two hospitals of conference saloon of hospitals.These saloons are equipped with the perfect audio visual system and the manipulation is done with the related authorities in the two hospitals to allow using this equipments. Training classes will be performed during 1 hour in 2 sessions, mothers will learn the massage practically and by face to face training, by the researche. They will practice on the maquette with attendance of the researcher. (The researcher will apply personally for massage training and also evaluation of attachment samples and she will not use the colleague). In the case that mother needs sessions and more hours for training,these training will be continued till the correct massage learning. The researcher control the research by observation of the massage by mothers on the maquette have a correct insight from the massage training. The exact performance of massage and having a correct insight of the massage training by mothers is controlled by the researcher by mothers observation of the maquette.in all stages of the massage training film, and in practical exercise of the massage, the researcher will be present beside mothers for fixing their problems and answering to their questions. (The researcher has received the massage certificate formerly). (Also the researcher telephon number is accessible to them all the time). First massage of the infant by the mother is done by researcher attendance. Every mother massage her infant by odorless olive oil once in 24 hours. For 15 minutes. (used olive oil is of the same trade mark for all samples). Massage is done for 5 days on the infants by their mothers. Evaluation of attachment of mothers in experimental group is done before the massage and the days 5 after massage. The evaluation is done by the researcher regarding spatial time allocation of 1 hour after massage. Attachment evaluation is started by the time the mother is on the infant’s bed and is ready to feed her infant and the evaluation would continue during this feeding, that is if the mother feed or contact her infant less than 15 minutes, the evaluation wouldn’t be accepted and will postpone to other time. (This point of evaluation will be concerned in both the control and experimental group). In order to measure mothers attachment by attachment evaluation scale, 15 minutes interaction between mother and the infant constantly evaluate; in every minute in the first 30 second the mother behavior to the infant evaluated and in 2nd 30 second the behavior is recorded. Counting of seconds is done by counting watch. Before doing massage of the infant, the evaluation then is done in 5th days after starting the massage. In control group mothers and infants will receive only routine care; (this caring contains doctor visit, daily weighting newborns, serum therapy, training of correct breast feeding to infant, intake and output control, needed training for discharge of the infant, their attachment assess after confirming the needed situations for entering the research, and getting the one turn written satisfactory and then it will be assess in 5th days after massage. Attachment. Timepoint: Before massageand and the day5 after massage. Method of measurement: Calculated by taking the average frequencyof attachment behavior By maternal attachment observation form. Vice Chancellor for research of Tehran University of Medical Sciences Approved 2010-09-23 Ethics committee of Tehran University of Medical Sciences Sixth Floor, Central University, Qods St, Keshavarz Blvd, Tehran, Iran Tehran Iran (Islamic Republic of)