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IRCT20190326043115N1 IRCT 2020-07-06 Tabriz University of Medical Sciences The effect of Swaddling bathing on Oxygen needs in premature neonates with chronic lung disease (CLD) The effect of Swaddling bathing on oxygen needs and physiologic parameters (body temperature, HR and RR) among premature neonates with chronic lung disease (CLD): a randomized clinical trial 2020-06-30 anticipated 50 Complete https://irct.ir/trial/38643 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random numbers table will be used to randomly assign people to study groups. Each participant is assigned a code, and then, by selecting a one-digit refinement on the random number table and moving to a specific side on the number table, the required number of people in each group is determined. The even numbers will be allocated to the intervention group and the odds numbers to the control group, Blinding description: The study is planned in such a way that the data analyzer does not know which study group is control or experimental groups. N/A The need for oxygen in infants with chronic lung disease (CLD).. Intervention 1: Intervention group: In this group, infants are bathed three times, once a day, at a certain time of the day, according to the Swaddle Bathing protocol in the bathtub. Oxygen requirements, body temperature, respiration rate and heart rate will be measured 10 minutes before, 10 minutes and 1 hour after bathing. Room temperature is 26-27 degrees Celsius and water temperature is 38 to 40 degrees Celsius. The bath time is between 6-8 minutes before the baby's feeding time and with the presence, support and participation of at least one parent. The baby's body temperature is fully monitored during the bath to avoid hypothermia and to control stressful symptoms. Bathing will be done using a bathtub, shampoo and other special equipment and in full compliance with the baby's bath protocol as well as hygienic instructions. After bathing, we prepare the baby for nourishment and skin-to-skin contact with the mother. Intervention 2: Control group: There is no intervention in the control group, but the amount of oxygen required, body temperature, number of breaths and heart rate 10 minutes before and 10 minutes and 1 hour after bathing as the intervention group (three times, one day in Intermediate will be measured at a set time of day. Yes - There is a plan to make this available What will be shared: Information about age, sex, weight, height, multiple children, smoking mother and mother demographic profile. When: Since 1399 To whom: Researchers, doctors and nurses and medical centers Conditions: Research development and improvement in treatment routine Where to obtain: Tabriz University of Medical Sciences, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences How to obtain: Written request from Tabriz University of Medical Sciences, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences. Visit the center in person Comments: I do not have
public Zahra Zad Mahmoud
No. 112; 2 closed alley; 11 alley; Koie Janbazan
Ajabshir Iran (Islamic Republic of) 5541635631 +98 41 3762 1302 zadmahmood61@gmail.com Tabriz University of Medical Sciences scientific Dr. Mohammad Arshadi
Tabriz School of Nursing and Midwifery; South Shariati street
Tabriz Iran (Islamic Republic of) 5138947-977 +98 41 3479 6770 arshadi9429@gmail.com Tabriz University of Medical Sciences Iran (Islamic Republic of) Preterm infants with CLD hospitalized in the NICU (infants in need of oxygen for more than 28 days and reaching a calendar age of 32 to 36 weeks (Postconceptional Age)) Has received oxygen At least one parent is present during the bath Physiological stability at the start of the study (in the last 24 hours there is no decreased saturation, hypothermia, decreased or increased heart rate) Bathing instructions by a neonatal subspecialist The venous line is cut off no limit no limit Both Having a congenital anomaly Any type of wound, including surgical wounds on the skin J06 Acute upper respiratory infections of multiple and unspecified sites Treatment - Devices Other Intervention group: In this group, infants are bathed three times, once a day, at a certain time of the day, according to the Swaddle Bathing protocol in the bathtub. Oxygen requirements, body temperature, respiration rate and heart rate will be measured 10 minutes before, 10 minutes and 1 hour after bathing. Room temperature is 26-27 degrees Celsius and water temperature is 38 to 40 degrees Celsius. The bath time is between 6-8 minutes before the baby's feeding time and with the presence, support and participation of at least one parent. The baby's body temperature is fully monitored during the bath to avoid hypothermia and to control stressful symptoms. Bathing will be done using a bathtub, shampoo and other special equipment and in full compliance with the baby's bath protocol as well as hygienic instructions. After bathing, we prepare the baby for nourishment and skin-to-skin contact with the mother. Control group: There is no intervention in the control group, but the amount of oxygen required, body temperature, number of breaths and heart rate 10 minutes before and 10 minutes and 1 hour after bathing as the intervention group (three times, one day in Intermediate will be measured at a set time of day. Oxygen needs. Timepoint: It will be measured three times at certain times of the day, every other day, 10 minutes before and 10 minutes and 1 hour after bathing. Method of measurement: In measuring the need for oxygen, the concentration of saturated oxygen using a blender and the duration of oxygen therapy per day will be measured using a finger oxygen meter that is fixed to the baby's foot. Body temperature. Timepoint: It will be measured three times at certain times of the day, every other day, 10 minutes before and 10 minutes and 1 hour after bathing. Method of measurement: Using a digital armpit thermometer. Heart rate. Timepoint: It will be measured three times at certain times of the day, every other day, 10 minutes before and 10 minutes and 1 hour after bathing. Method of measurement: Using a finger probe connected to the monitor. Respiratory Rate. Timepoint: It will be measured three times at certain times of the day, every other day, 10 minutes before and 10 minutes and 1 hour after bathing. Method of measurement: By observing and counting chest movements. Tabriz University of Medical Sciences Approved 2020-04-20 Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences School of Nursing and Midwifery; South Shariati street Tabriz East Azarbaijan Iran (Islamic Republic of)