]>
IRCT201407275168N5 IRCT 2014-08-19 Tabriz University of Medical Science Effect of Touch and Massage on urine cortisol hormon in preterm infants Comparison the effect of Gentle Human Touch and Massage Techniques, Field, on urine cortisol hormon in preterm infants: Randomized Control Clinical Trial 2014-07-23 anticipated 84 Complete https://irct.ir/trial/5518 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A stress in premature infants. Intervention 1: The newborns in control group will receive routine massage and no intervention will be performed on them. Intervention 2: Gentle Touch group: For 15 min, the mother 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: Massage Techniques, Field group: tactile and kinesthetic stimulation will carry out in 15-minute sessions.Each session consisted of 3 standardized phases of 5 minutes each, in which the infants were keep in a prone position in the 1st and 3rd phase. The neonates will gently stroke with the soft, smooth surfaces of all the fingers of both hands. The tactile stimulation procedure included 12 strokes at a rate of approximately 5 seconds per stroking motion over each region of the neonate in the following sequence: From the top of the head down the sides of the face to the neck, and vice versa; From the back of the neck to both ends of the shoulders, and vice versa; From the thighs down to the ankles, and vice versa; From the shoulders down the arms to the wrist, and vice versa In the middle phase, the neonate will make to lie in a supine position for kinesthetic stimulation that included 5 segments of 1 minute each which consist of 6 passive flexion/extension movements, each lasting 10sec. The stimulation will do on each arm, then each leg and lastly both legs together.
public Malihe Assadollahi
Department of Pediatrics, School of nursing and Midwifery, Tabriz
Tabriz Iran (Islamic Republic of) +98 41 1479 9713 assadollahim@tbzmed.ac.ir Tabriz University of Medical Science scientific Malihe Assadollahi
South Shariety St. Faculty of Nursing & Midwifery,Tabriz
Tabriz Iran (Islamic Republic of) +98 41 1477 0648 assadollahim@tbzmed.ac.ir Tabriz University of Medical Science Iran (Islamic Republic of) Inclusion criteria:30-36 gestational ages, 7-10 day passed from Date of Birth,Infants cared in cut or incubator that under any means for respiratory ventilation such as nasal cannula, positive pressure applied through the nose, mask, and not ventilator.Infants cared in cut or incubator that not intravenous or intramuscular medication instructions or blood sampling, and only remained in word due to access weight.Exclusion criteria:If have symptoms like(fever, respiratory distress,muscle stiffness, vomiting) infant massage will stop.If infant was allergy to sunflower oil.If cases such as intraventricular hemorrhage ,necrotizing enterocolitis , patent ducts arteriosus ,sepsis,acute lung disease or anemia (Hb<10gm/dl) found during the study.Infants that their mothers not regular perform massage or therapeutic touch program on schedule(at least once a day for 5 day),be excluded of study. no limit no limit Both F43.9 Reaction to severe stress, unspecified N/A Prevention Prevention The newborns in control group will receive routine massage and no intervention will be performed on them. Gentle Touch group: For 15 min, the mother 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. Massage Techniques, Field group: tactile and kinesthetic stimulation will carry out in 15-minute sessions.Each session consisted of 3 standardized phases of 5 minutes each, in which the infants were keep in a prone position in the 1st and 3rd phase. The neonates will gently stroke with the soft, smooth surfaces of all the fingers of both hands. The tactile stimulation procedure included 12 strokes at a rate of approximately 5 seconds per stroking motion over each region of the neonate in the following sequence: From the top of the head down the sides of the face to the neck, and vice versa; From the back of the neck to both ends of the shoulders, and vice versa; From the thighs down to the ankles, and vice versa; From the shoulders down the arms to the wrist, and vice versa In the middle phase, the neonate will make to lie in a supine position for kinesthetic stimulation that included 5 segments of 1 minute each which consist of 6 passive flexion/extension movements, each lasting 10sec. The stimulation will do on each arm, then each leg and lastly both legs together. Decrease cortisol in Massage by Techniques, Field. Timepoint: before and after the5-day intervention period. Method of measurement: The concentration of cortisol was measured by Radio Immuno Assay (cemilominesanse) by liasow device. Decrease cortisol in gentle touch. Timepoint: before and after the 5-day intervention period. Method of measurement: The concentration of cortisol was measured by Radio Immmuno Assay(CEMILOMINOSANS) by LIASOW device. Tabriz University of Medical Science Approved 2014-07-14 Tabriz University of Medical Sciences Central Building of Tabriz University of Medical Sciences,Golgasht Avenue, azadi street,Tabriz Tabriz Iran (Islamic Republic of)