EFFECT OF WEE CARE ON PHYSICAL GROWTH AND BEHAVIORAL RESPONSES OF PRETERM NEONATES | ||||
| Port Said Scientific Journal of Nursing | ||||
| Article 6, Volume 9, Issue 2, August 2022, Page 154-180 PDF (797.58 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2022.94134.1145 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Omayma Reda Elsheshtawy  1; Noha Mohamed Arafa1; Gehan Maher Khamis2
| ||||
| 1sedi gaber- | ||||
| 2Assistant professor of Pediatric Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt. | ||||
| Abstract | ||||
| Background: Wee care is an essential element for caring of preterm neonates in intensive care units. It decreases mismatching between intrauterine and extra uterine life which improves physical growth and neuro-behavior stability of preterm neonates. Aim: is to determine the effect of wee care on physical growth and behavioral responses of preterm neonates. Subjects and method: Design: A quasi experimental design was used to accomplish this study. Setting: The study was conducted at the Neonatal Intensive Care Unit at Alexandria University Children’s Hospital at Smouha. Subjects: A convenient sample of 60 preterm neonates were selected to perform the current study. Tools: Three tools were used for data collection, Tool I: Characteristics and clinical data of preterm neonates’ record, Tool II: Preterm neonates physiological parameters and physical growth record. Tool III: Assessment of Preterm Infants` Behavior Scale (APIB). Results: the result of the current study revealed that the preterm neonates of the study group have more means of weight gain than the control group with statistically significant differences. Statistically significant differences were found regarding total score of behavior responses of preterm neonates between the study and control groups in day 1 and day 21. The study group had higher mean of oxygen saturation and lower means of respiratory rate within normal range compared to the control groups Conclusion: The study concluded that application of wee care for preterm neonates in neonatal intensive care unit enhance weight gain, improve autonomic visceral responses, and improve behavioral organization. Recommendations: Application of Wee care for preterm neonates should be included in the updated policy of neonatal intensive care units. It should be incorporated as a part of the routine care for preterm neonates. | ||||
| Keywords | ||||
| Behavioralresponses; Physical growth; Preterm neonates; Wee care | ||||
| References | ||||
|
Aita, M., Stremler,R., Feeley, N., Lavallée, A., & Faugere G. (2017).Effectiveness of the interventions during NICU hospitalization on the neurodevelopment of preterm infants: A systematic review protocol. BMC Pediatric J. 6(1),225. doi: 10.1186/s13643-017-0613-5.
Alemdar, D., & Inal, S.(2019) .The effect of individualized developmental care practices in preterm infants. Comprehensive medicine research J. 27 (2): 1-8. doi:10.1159/000504357.
Als, H., Lester, B., Tronick, E., & Brazelton, T. (1982). Manual for the assessment of preterm infants' behavior (APIB) In: Fitzgerald HE, Lester BM, Yogman MW, editors. Theory and research in behavioral pediatrics. New York: Plenum Press: pp. 65–132.
Altimier, L., & Phillips, R.(2016). The neonatal integrative developmental care model: Advanced clinical applications of seven neuro-protective core measures for family-cantered developmental care. Newborn Infant Nurs Rev; 16 (4): p230-44. doi.10.1053/j.nainr.2016.09.030
Altimier, L., Kenner, C., & Damus, K. (2015). The Wee care neuroprotective NICU Program (Wee Care): The Effect of a comprehensive developmental care training program on seven neuroprotective core measures for family-centered developmental care of premature neonates. Newborn & Infant Nursing Journal. 15 (1), 6:16. doi.org/10.1053/j.nainr.2015.01.006.
Basiri, B., Ashari, E., Shokouhi, M.,&Sabzehei, K. (2015). Neonatal mortality and its main determinants in premature infants hospitalized in neonatal intensive care unit in Fatemieh Hospital, Hamadan. Iran. J Compr Ped.,6 (3), 23-4. doi: 10.17795/compreped-26965.
Bera, A., Ghosh, J., Singh, A,. & Hazra, A. (2014) . Effect of kangaroo mother care on vital physiological parameters of the low birth weight newborn. Indian J Community Med. 39(4),245-9. doi: 10.4103/0970-0218.143030.
Blencowe, H., Lee, A., Cousens, S., Bahalim, A., Narwal, R., & Zhong, N.(2013). Preterm birth-associated neuro-developmental impairment estimates at regional and global levels for 2010. Pediatric research .74, 17-34. doi: 10.1038/pr.2013.204.
Bonan, K,. Filho, J.,Tristao, R., Jesus,J., & Junior, D. (2015). Sleep deprivation, pain and prematurity: Arq. Neuro-Psiquiatr. 73(2): 693-706. https://doi.org/10.1590/0004-282X20140214.
Demirel, G., Oguz, S., Celik, I., Erdeve, O., & Dilmen, U. (2012). Cerebral and mesenteric tissue oxygenation by positional changes in very low birth weight premature infants. Early Human Development J. 88(6), 409-11. doi: 10.1016/j.earlhumdev.2011.10.005.
Diego, M., Field, T., & Reif, M. (2014) Preterm infant weight gain is increased by massage therapy and exercise via different underlying mechanisms. Early Hum Dev. 90(3): 137–40. doi: 10.1016/j.earlhumdev.2014.01.009.
Edwards, A., & Austin, T.(2016). Noise in the NICU: how prevalent is it and is it a problem. Infant J.12(5):161-65
Faria, T., & Kamada, I. (2018). Skin injury in newborn in neonatal intensive care. Enfermeria Global J. 17. P227-34. dx.doi.org/10.6018/eglobal.17.1.273671.
Foster J, Psaila K, & Patterson T. (2016) Non‐nutritive sucking for increasing physiologic stability and nutrition in preterm infants. Cochrane Database Syst Rev J. (10). doi: 10.1002/14651858.CD001071.
Hasanpour, S., Ouladsahebmadarek, E., Hosseini, M., & Mirghafourvand, M. (2017) .The Effects of developmental care on short-Term outcomes of preterm infants: A quasi-experimental study. Iranian Red Crescent Medical Journal. 1-10.doi:10.5812/ircmj.13799.
Hendricks, K., & Mayers, R . (2014). Neonatal nurse training program in kangaroo Mother Care (KMC) decreases barriers to KMC utilization in the NICU. Am J Perinatol. 31(11):987-91. doi: 10.1055/s-0034-1371359.
Karlsson, V., Heinemann, A., Sjors, G., & Nykvist, K. (2012). Early skin-to-skin care in extremely preterm infants: Thermal balance and care environment. The Journal of Pediatrics. 161(3): 422-6. doi:10.1016/j.jpeds.2012.02.034.
Lee, E., & Lee, S. (2018). The effects of early-stage neurodevelopmental treatment on the growth of premature infants in neonatal intensive care unit. Journal of Exercise Rehabilitation. 14(3).523-9.doi: 10.12965/jer.1836214.107
Liu, L., Oza, S., Hogan, D., & Zhu, J. (2016). Global, regional, and national causes of under-5 mortality in 2000–15: an updated systematic analysis with implications for the sustainable development goals. Lancet Glob Health J. 388 (10063),3027–35. doi:https://doi.org/10.1016/S0140-6736(16)31593-8.
Lucas, N. (2015). Developmental care in the neonatal unit. Sri Lanka Journal of Child Health.44 (1), 45-52. doi:10.4038/sljch.v44i1.7962.
Mohammed, R., Khamis, G., & Sabry., Y.(2018). Effect of preterm neonates' developmental supportive care program on nurses' performance. JNHS. 7(4), 33-45. doi: 10.9790/1959-0704053345
Mohammed, S., Bayoumi, M., & Mahmoud, F. (2014).The Effect of developmentally supportive care training program on nurses' performance and behavioral responses of newborn infants. Journal of Education and Practice. 5 (6).138.
Montirosso,R.,Tronick,ED.,&Borgatti1,R. (2017). Promoting neuroprotective care in neonatal intensive care units and preterm infant development: Insights from the neonatal adequate care for quality of life study. Child Development Perspectives J.11(1). P 9-15. doi.org/10.1111/cdep.12208.
Parsa, P., Karimi, S., Basiri, B., & Roshanaei, G.(2018).The effect of kangaroo mother care on physiological parameters of premature infants in Hamadan City, Iran. Pan African Medical Journal. 30(89), P 1-7. doi:10.11604/pamj.2018.30.89.14428.
Sarapuk, I., Pavlyshyn, H., Lacina, L., & Królak-Olejnik B.(2017).Neurodevelopmental care of preterm babies and its key elements. International Journal of Medicine and Medical Research. 3(1). P 26-33. doi 10.11603/IJMMR.2413-6077.2017.1.7063.
Soleimani, F., Azari, N., Ghiasvand, H., & Fatollahierad, S . (2020). Effects of developmental care on neurodevelopment of Preterm infants. Iran J Child Neurol. 14(2),7-15.
Spence, K., Henderson, D., New, K., Whitelaw, J. (2010) Evidenced-based clinical practice guideline for management of newborn pain. J Paediatr Child Health; 46 (4):184-92.
World Health Organization.(2018). Preterm birth. Key facts.http://www.who.int/news-room/fact-sheets/detail/preterm-birth.
Yuan, Z., yan, J., Wen, H., Deng, X., Li, X., & Su, S.(2019).Feeding intolerance alters the gut microbiota of preterm infants. 14 (1). doi: 10.1371/journal.pone.0210609.
| ||||
|
Statistics Article View: 245 PDF Download: 240 |
||||
