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IRCT201201163250N5 IRCT 2012-12-07 Vice Chancellor for Research and Technology, Kerman University of Medical Sciences Effect of Yakson and Gentle Human Touch on preterm infants Comparison between Yakson and Gentle HumanTouch on behavioral states of preterm infants hospitalized in the neonatal intensive care units 2012-03-01 anticipated 90 Complete https://irct.ir/trial/3325 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A preterm infant. Intervention 1: Yakson intervention: 1. After wearing a clean inner gown, the researcher washed her hands and arms thoroughly with antimicrobial agents for 3 min. 2. She warmed both of her hands using a radiant warmer until the temperature of the palms reached 93.2 8F (34.0 8C). 3. She relaxed both arms and the muscles of both shoulders for 1 min and breathed deeply to concentrate Ki energy on their palms. 4. She provided Yakson to preterm infants. Yakson lasted 15 min: hand resting (5 min), gentle caressing (5 min), and hand resting again (5 min). During the administration of Yakson, the palms and all fingers of the researcher constantly maintained close contact with the infants up to the limit that preterm infants did not feel pressure. (1) Hand resting (5 min): while resting one hand on the chest and abdomen of a preterm infant while supporting the back of the preterm infant with the other hand, the researcher concentrated on her resting hands and envisioned that a healthy Ki was passing to the preterm infant. At that time, the researcher breathed slowly to maintain a relaxed state. (2) Gentle caressing (5 min): in the same hand position, the researcher repeated caressing and resting for 5 min; caressing (1 min) – resting (30 s) – caressing (1 min) – resting (30 s) – caressing (2min). The researcher caressed the infant’s chest and abdomen clockwise in a 1 cm diameter circular motion every 10 s. (3) Hand resting (5 min): researcher followed the same hand resting procedure as described above. Intervention 2: GHT intervention: The Gentle Human Touch (GHT) protocol was as follows: Jay (1982) and Harrison et al. (2000). 1. After wearing a clean inner gown, the NICU nurses trained washed both hands and arms with antimicrobial agents for 3 min. 2. The NICU nurses trained warmed both of her hands using a radiant warmer until the temperature of the palms reached 93.2 8F. 3. For 15 min, the NICU nurses trained placed the fingertips of one hand above the eyebrow line with the palm touching the preterm infant’s crown while the other hand was rested on the lower abdomen of the infant encompassing the waist and the hip. Intervention 3: Control group: receive routine nursing care.
public Dr. Bahareh Bahman Bijari
Department of Pediatrics, Afzali por hospital
Kerman Iran (Islamic Republic of) 7616913911 +98 34 1322 2250 bbbijari@kmu.ac.ir Kerman University of Medical Sciences scientific Dr. Bahareh Bahman Bijari
Department of Pediatrics, Afzali por hospital
Kerman Iran (Islamic Republic of) 7616913911 +98 34 1322 2250 bbbijari@kmu.ac.ir Kerman University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: (1) a gestational age of 26–34 weeks at birth;(2) not having undergone surgery. Exclusion criteria: (1) congenital anomalies; (2) Apgar score less than 6 at 5 min; (3 Lack of medical condition contraindicating the running of Yakson or GHT such as symptomatic sepsis. 26 years 34 years Both P07.3 28 completed weeks or more but less than 37 completed weeks (196 completed days but less than 259 completed days) of gestation Other Other N/A Yakson intervention: 1. After wearing a clean inner gown, the researcher washed her hands and arms thoroughly with antimicrobial agents for 3 min. 2. She warmed both of her hands using a radiant warmer until the temperature of the palms reached 93.2 8F (34.0 8C). 3. She relaxed both arms and the muscles of both shoulders for 1 min and breathed deeply to concentrate Ki energy on their palms. 4. She provided Yakson to preterm infants. Yakson lasted 15 min: hand resting (5 min), gentle caressing (5 min), and hand resting again (5 min). During the administration of Yakson, the palms and all fingers of the researcher constantly maintained close contact with the infants up to the limit that preterm infants did not feel pressure. (1) Hand resting (5 min): while resting one hand on the chest and abdomen of a preterm infant while supporting the back of the preterm infant with the other hand, the researcher concentrated on her resting hands and envisioned that a healthy Ki was passing to the preterm infant. At that time, the researcher breathed slowly to maintain a relaxed state. (2) Gentle caressing (5 min): in the same hand position, the researcher repeated caressing and resting for 5 min; caressing (1 min) – resting (30 s) – caressing (1 min) – resting (30 s) – caressing (2min). The researcher caressed the infant’s chest and abdomen clockwise in a 1 cm diameter circular motion every 10 s. (3) Hand resting (5 min): researcher followed the same hand resting procedure as described above. GHT intervention: The Gentle Human Touch (GHT) protocol was as follows: Jay (1982) and Harrison et al. (2000). 1. After wearing a clean inner gown, the NICU nurses trained washed both hands and arms with antimicrobial agents for 3 min. 2. The NICU nurses trained warmed both of her hands using a radiant warmer until the temperature of the palms reached 93.2 8F. 3. For 15 min, the NICU nurses trained placed the fingertips of one hand above the eyebrow line with the palm touching the preterm infant’s crown while the other hand was rested on the lower abdomen of the infant encompassing the waist and the hip. Control group: receive routine nursing care Behavioral state. Timepoint: 2 miniute befor intervention and 2 miniute after intervention. Method of measurement: Anderson Behavioral State Scale (ABSS). Harte rate. Timepoint: 2 miniute befor intervention and 2 miniute after intervention. Method of measurement: Spacelabs medica manitor. Arterial oxygen saturation. Timepoint: 2 miniute befor intervention and 2 miniute after intervention. Method of measurement: Spacelabs medica manitor. Vice Chancellor for Research and Technology, Kerman University of Medical Sciences Approved 2012-01-18 Vice Chancellor for Research and Technology, Kerman University of Medical Sciences Jahad Blvd, Ebn Sina Avenue Kerman Iran (Islamic Republic of)