Research Article
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Banyonun yenidoğan bebeklerde beslenme, ağrı ve fizyolojik parametreler üzerine etkisi

Year 2023, Volume: 4 Issue: 2, 46 - 51, 31.08.2023
https://doi.org/10.29228/anatoljhr.69146

Abstract

Amaç: Bu çalışma, banyonun yenidoğanların beslenme, ağrı ve fizyolojik parametrelerine etkisini incelemek amacıyla yapılmıştır.
Yöntem: Bu çalışma, ağrı skoru 3 ve üzerinde olan rastgele seçilmiş 100 yenidoğan ile gerçekleştirilmiştir. Çalışmamıza dahil edilen yenidoğanların banyo öncesi, banyo sonrası 15. dakika (dk), 30. dk ve 60. dk fizyolojik parametreleri ile beslenme ve ağrı düzeyleri incelenmiştir. Yenidoğanların fizyolojik ölçümleri beslenme ve ağrı düzeyleri Yenidoğan İzlem Formu ve Yenidoğan Bebek Ağrı Skalası ile kaydedilmiştir. Verilerin analizinde tanımlayıcı istatistikler varyans analizi, Bonferroni analizi kullanılarak yapılmıştır.
Bulgular: Yenidoğanların banyo sonrası ağrı skorlarının ilk bir saat içerisinde kademeli olarak azaldığı, beslenme ile ilgili tekrarlanan ölçümlere göre yenidoğanın beslenme miktarının arttığı ve artışın banyodan sonra 30-60 dk’da olduğu görülmüştür. Ayrıca banyo sonrası yenidoğanların 30. ve 60. dk’larda vücut sıcaklığı ve saturasyonlarının arttığı, banyo öncesine göre tüm ölçümlerde nabızlarının düştüğü bulunmuştur (p˂0.05).
Sonuçlar: Yenidoğan yoğun bakım ünitelerinde banyonun yenidoğanların ağrılarını azalttığı ve beslenme miktarlarını arttırdığı belirlenmiştir. Tekrarlanan ölçümlerde banyonun yenidoğanların fizyolojik parametreleri üzerinde olumlu etkilerinin olduğu saptanmştır. Yenidoğan bebeklerin ağrılarının azaltılmasında ve beslenmelerinin arttırılmasında hemşireler etkin rol oynamaktadır. Bu nedenle hemşireler yenidoğanlarda banyo ile ilgili kanıta dayalı yöntemler, kılavuzlar ve protokoller oluşturmalıdır.

References

  • Afsar, F. S. (2010). Physiological skin conditions of preterm and term neonates. Clinical and Experimental Dermatology, 35(4), 346–350. https://doi.org/10.1111/j.1365-2230.2009.03562.x
  • Aguiar Da Silva, H., Candia Da Silva, K., De Oliveira, M., Reco, N., Santos Costa, A., Dos De, D., & Merey, F. (2017). Efeitos fisiológicos da hidroterapia em balde em recém-nascidos prematuros. Efeitos Fisiológicos Da Hidroterapia Em Balde Em Recém-Nascidos Prematuros, 28(3), 309–315. https://doi.org/10.11606/issn.2238-6149.v28i3p309-315
  • Akdovan, T. (1999). Evaluation of pain in healthy newborns, examining the effect of pacifier giving and cuddling [Master's thesis], Marmara University.
  • Ar, I., & Gözen, D. (2018). Effects of underrunning water bathing and immersion tub bathing on vital signs of newborn infants. Advances in Neonatal Care, 18(6), E3–E12. https://doi.org/10.1097/ANC.0000000000000484
  • Bryanton, J., Walsh, D., Barrett, M., & Gaudet, D. (2004). Tub bathing versus traditional sponge bathing for the newborn. Journal of Obstetric, Gynecologic & Neonatal Nursing, 33(6), 704–712. https://doi.org/10.1177/0884217504270651
  • Çaka, S. Y., & Gözen, D. (2018). Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. Journal for Specialists in Pediatric Nursing, 23(1), e12202. https://doi.org/10.1111/jspn.12202
  • Ceylan, S. S., & Bolışık, B. (2018). Effects of swaddled and sponge bathing methods on signs of stress and pain in premature newborns: Implications for evidence-based practice. Worldviews on Evidence-Based Nursing, 15(4), 296–303. https://doi.org/10.1111/wvn.12299
  • Darmstadt, G. L., & Dinulos, J. G. (2000). Neonatal skin care. Pediatric Clinics of North America, 47(4), 757–782. https://doi.org/10.1016/S0031-3955(05)70239-X
  • Edraki, M., Paran, M., Montaseri, S., Razavi Nejad, M., & Montaseri, Z. (2014). Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: A randomized clinical trial. Journal of Caring Sciences, 3(2), 83–91. https://doi.org/10.5681/jcs.2014.009
  • Gao, H., Li, M., Gao, H., Xu, G., Li, F., Zhou, J., & Jiang, H. (2018). Effect of non-nutritive sucking and sucrose alone and in combination for repeated procedural pain in preterm infants: A randomized controlled trial. International Journal of Nursing Studies, 83, 25–33. https://doi.org/10.1016/j.ijnurstu.2018.04.006
  • Gebuza, G., Kaźmierczak, M., & Leńska, K. (2022). The effects of kangaroo mother care and music listening on physiological parameters, oxygen saturation, crying, awake state and sleep in infants in NICU. Journal of Maternal-Fetal & Neonatal Medicine, 35(19), 3659-3669. https://doi.org/10.1080/14767058.2020.1836619
  • da Fonseca Filho, G. G., Passos, J. O. S., de Almeida, V. A., de Aquino Ribeiro, C. M., de Souza, J. C., de Araújo Silva, G. F., ... & Pereira, S. A. (2017). Thermal and cardiorespiratory newborn adaptations during hot tub bath. International Archives of Medicine, 10(85), 1-6. https://doi.org/10.3823/2355
  • Günay, U., & Coşkun, D. (2018). The effect of tub bathing on the newborns’ pain: a randomized clinical trial - proquest. International Journal of Caring Sciences, 11(2), 1132–1140.
  • Howard, C., Powell, A. S., Pavlidis, E., Pavel, A., Finn, D., Allen, A., Olavarria-Ramirez, L., Clarke, G., Livingstone, V., Boylan, G. B., & Dempsey, E. M. (2020). No effect of a musical intervention on stress response to venepuncture in a neonatal population. Acta Paediatrica, 109(3), 511–517. https://doi.org/10.1111/apa.15018
  • Kuller, J. M. M. (2014). Update on newborn bathing. Newborn and Infant Nursing Reviews, 14(4), 166–170. https://doi.org/10.1053/j.nainr.2014.10.006
  • Lawrence, J., Alcock, D., McGrath, P., Kay, J., MacMurray, S. B., & Dulberg, C. (1993). The development of a tool to assess neonatal pain. Neonatal Network, 12(6), 59–66. https://doi.org/10.1016/0885-3924(91)91127u
  • Lee, H. K. (2002). Effects of sponge bathing on vagal tone and behavioural responses in premature infants. Journal of Clinical Nursing, 11(4), 510–519. https://doi.org/10.1046/j.1365-2702.2002.00594.x
  • Lund, C. (2016). Bathing and beyond. Advances in Neonatal Care, 16, S13–S20. https://doi.org/10.1097/ANC.0000000000000336
  • Medves, J. M., & O’Brien, B. (2004). The effect of bather and location of first bath on maintaining thermal stability in newborns. Journal of Obstetric, Gynecologic & Neonatal Nursing, 33(2), 175–182. https://doi.org/10.1177/0884217504263081
  • Montirosso, R., Provenzi, L., Fumagalli, M., Sirgiovanni, I., Giorda, R., Pozzoli, U., Beri, S., Menozzi, G., Tronick, E., Morandi, F., Mosca F., & Borgatti, R. (2016). Serotonin Transporter Gene (SLC6A4) Methylation associates with neonatal intensive care unit stay and 3-month-old temperament in preterm infants. Child Development, 87(1), 38–48. https://doi.org/10.1111/cdev.12492
  • Mooventhan, A., & Nivethitha, L. (2014). Scientific evidence-based effects of hydrotherapy on various systems of the body. North American Journal of Medical Sciences, 6(5), 199. https://doi.org/10.4103/1947-2714.132935
  • Nist, M. D., Harrison, T. M., & Steward, D. K. (2019). The biological embedding of neonatal stress exposure: A conceptual model describing the mechanisms of stress-induced neurodevelopmental impairment in preterm infants. Research in Nursing and Health, 42(1), 61–71. https://doi.org/10.1002/nur.21923
  • Šapina, M., Karmakar, C.K., Kramarić, K., Garcin, M., Adelson, P.D., Milas, K.,Piric, M., Brdaric, D., & Yearwood, J. (2018). Multi-lag tone-entropy in neonatal stress. Journal of the Royal Society Interface, 15(146), 20180420. https://doi.org/10.1098/rsif.2018.0420
  • So, H.S., You, M.A., Mun, J.Y., Hwang, M.J., Kim, H.K., Pyeon, S.J., Shin, M.Y., & Chang, B.H. (2014). Effect of trunk-to-head bathing on physiological responses in newborns. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(6), 742–751. https://doi.org/10.1111/1552-6909.12496
  • Suchy, C., Morton, C., Ramos, R. R., Ehrgott, A., Quental, M.M., Burridge, A., & Rutledge, D.N. (2018). Does changing newborn bath procedure alter newborn temperatures and exclusive breastfeeding? Neonatal Network, 37(1), 4–10. https://doi.org/10.1891/0730-0832.37.1.4
  • Tapia-Rombo, C. A., Morales-Mora, M., & Álvarez-Vázquez, E. (2003). Variations of vital signs, skin color, behavior and oxygen saturation ın premature neonates after sponge bathing possible complications. Revista de Investigacion Clinica, 55(4), 438–443. https://europepmc.org/article/med/14635609
  • Taşdemir, H. İ., & Efe, E. (2019). The effect of tub bathing and sponge bathing on neonatal comfort and physiological parameters in late preterm infants: A randomized controlled trial. International Journal of Nursing Studies, 99, 103377. https://doi.org/10.1016/j.ijnurstu.2019.06.008
  • Vinall, J., & Grunau, R. E. (2014). Impact of repeated procedural pain-related stress in infants born very preterm. Pediatric Research, 75(5), 584-587.
  • Yagi, M., & Yonei, Y. (2018). Glycative stress and skin aging. Glycative Stress Research, 5(1), 50–54. https://doi.org/10.24659/GSR.5.1_50
  • Şar, V., Öztürk, E., & İkikardeş, E. (2012). Validity and reliability of the Turkish version of childhood trauma questionnaire. Turkiye Klinikleri Journal of Surgical Medical Sciences, 32(4), 1054-1063.
  • Tirali, R. E., Oğuz, Y., & Soydan, S. S. (2014). Oral symptoms of child abuse and neglect. Journal of Dental Faculty of Atatürk University, 9, 154-157.
  • Tortamış Özkaya, B. (2020). Zorlayıcı yaşam olayları karşısında çocukları desteklemek. G. Kurt (Ed.). Çocuk ruh sağlığı. (p.287-288). Ankara: Nobel akademik publishing.
  • Turhan, E., Sangün, Ö., & İnandı, T. (2006). Child abuse and prevention in primary care. Sted, 15(9), 153.
  • Unicef (2010). Türkiye’de çocuk istismarı ve aile içi şiddet araştırması. Access address: https://www.unicef.org/turkiye/raporlar/t%C3%BCrkiyede-%C3%A7ocuk-istismari-ve-aile-i%C3%A7i-%C5%9Fiddet-ara%C5%9Ftirmasi-%C3%B6zet-raporu-2010 Access date: 27.03.2023.

The effect of bath on feeding, pain and physiological parameters of newborns

Year 2023, Volume: 4 Issue: 2, 46 - 51, 31.08.2023
https://doi.org/10.29228/anatoljhr.69146

Abstract

Aim: This study was conducted to examine the effect of bath on the nutrition, pain and physiological parameters of newborns.
Methods: This study was carried out with 100 randomly selected newborn with pain score 3 and above. The physiological parameters of the newborns, which were included in our study before the bath, 15 minutes (mins) after the bath, 30 mins and 60 mins, were examined the levels of nutrition and pain. Physiological measurements of newborns are recorded with the Newborn Follow-up Form and Neonatal Infant Pain Scale. In the analysis of the data, descriptive statistics analysis of variance and Bonferroni analysis were used.
Results: It was found that newborns' pain scores before and after the bath were gradually decreased within the first hour, according to repeated measurements of nutrition, the amount of nutrition of the newborn increased and the increase was at 30-60 mins after the bath. In addition, it was found that body temperature and saturations increased in the 30th and 60th mins of newborns after the bath and their pulse decreased in all measurements compared to the before bath (p˂0.05).
Conclusion: It was determined that the bathroom reduces the pain of newborns and increases the amount of nutrition in newborn intensive care units. In repeated measurements, it was found that the bathroom had positive effects on the physiological parameters of newborns. Nurses play an active role in reducing the pain of newborn babies and increasing their nutrition. Therefore, nurses should establish evidence-based methods, guidelines and protocols for bathing newborns.

References

  • Afsar, F. S. (2010). Physiological skin conditions of preterm and term neonates. Clinical and Experimental Dermatology, 35(4), 346–350. https://doi.org/10.1111/j.1365-2230.2009.03562.x
  • Aguiar Da Silva, H., Candia Da Silva, K., De Oliveira, M., Reco, N., Santos Costa, A., Dos De, D., & Merey, F. (2017). Efeitos fisiológicos da hidroterapia em balde em recém-nascidos prematuros. Efeitos Fisiológicos Da Hidroterapia Em Balde Em Recém-Nascidos Prematuros, 28(3), 309–315. https://doi.org/10.11606/issn.2238-6149.v28i3p309-315
  • Akdovan, T. (1999). Evaluation of pain in healthy newborns, examining the effect of pacifier giving and cuddling [Master's thesis], Marmara University.
  • Ar, I., & Gözen, D. (2018). Effects of underrunning water bathing and immersion tub bathing on vital signs of newborn infants. Advances in Neonatal Care, 18(6), E3–E12. https://doi.org/10.1097/ANC.0000000000000484
  • Bryanton, J., Walsh, D., Barrett, M., & Gaudet, D. (2004). Tub bathing versus traditional sponge bathing for the newborn. Journal of Obstetric, Gynecologic & Neonatal Nursing, 33(6), 704–712. https://doi.org/10.1177/0884217504270651
  • Çaka, S. Y., & Gözen, D. (2018). Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. Journal for Specialists in Pediatric Nursing, 23(1), e12202. https://doi.org/10.1111/jspn.12202
  • Ceylan, S. S., & Bolışık, B. (2018). Effects of swaddled and sponge bathing methods on signs of stress and pain in premature newborns: Implications for evidence-based practice. Worldviews on Evidence-Based Nursing, 15(4), 296–303. https://doi.org/10.1111/wvn.12299
  • Darmstadt, G. L., & Dinulos, J. G. (2000). Neonatal skin care. Pediatric Clinics of North America, 47(4), 757–782. https://doi.org/10.1016/S0031-3955(05)70239-X
  • Edraki, M., Paran, M., Montaseri, S., Razavi Nejad, M., & Montaseri, Z. (2014). Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: A randomized clinical trial. Journal of Caring Sciences, 3(2), 83–91. https://doi.org/10.5681/jcs.2014.009
  • Gao, H., Li, M., Gao, H., Xu, G., Li, F., Zhou, J., & Jiang, H. (2018). Effect of non-nutritive sucking and sucrose alone and in combination for repeated procedural pain in preterm infants: A randomized controlled trial. International Journal of Nursing Studies, 83, 25–33. https://doi.org/10.1016/j.ijnurstu.2018.04.006
  • Gebuza, G., Kaźmierczak, M., & Leńska, K. (2022). The effects of kangaroo mother care and music listening on physiological parameters, oxygen saturation, crying, awake state and sleep in infants in NICU. Journal of Maternal-Fetal & Neonatal Medicine, 35(19), 3659-3669. https://doi.org/10.1080/14767058.2020.1836619
  • da Fonseca Filho, G. G., Passos, J. O. S., de Almeida, V. A., de Aquino Ribeiro, C. M., de Souza, J. C., de Araújo Silva, G. F., ... & Pereira, S. A. (2017). Thermal and cardiorespiratory newborn adaptations during hot tub bath. International Archives of Medicine, 10(85), 1-6. https://doi.org/10.3823/2355
  • Günay, U., & Coşkun, D. (2018). The effect of tub bathing on the newborns’ pain: a randomized clinical trial - proquest. International Journal of Caring Sciences, 11(2), 1132–1140.
  • Howard, C., Powell, A. S., Pavlidis, E., Pavel, A., Finn, D., Allen, A., Olavarria-Ramirez, L., Clarke, G., Livingstone, V., Boylan, G. B., & Dempsey, E. M. (2020). No effect of a musical intervention on stress response to venepuncture in a neonatal population. Acta Paediatrica, 109(3), 511–517. https://doi.org/10.1111/apa.15018
  • Kuller, J. M. M. (2014). Update on newborn bathing. Newborn and Infant Nursing Reviews, 14(4), 166–170. https://doi.org/10.1053/j.nainr.2014.10.006
  • Lawrence, J., Alcock, D., McGrath, P., Kay, J., MacMurray, S. B., & Dulberg, C. (1993). The development of a tool to assess neonatal pain. Neonatal Network, 12(6), 59–66. https://doi.org/10.1016/0885-3924(91)91127u
  • Lee, H. K. (2002). Effects of sponge bathing on vagal tone and behavioural responses in premature infants. Journal of Clinical Nursing, 11(4), 510–519. https://doi.org/10.1046/j.1365-2702.2002.00594.x
  • Lund, C. (2016). Bathing and beyond. Advances in Neonatal Care, 16, S13–S20. https://doi.org/10.1097/ANC.0000000000000336
  • Medves, J. M., & O’Brien, B. (2004). The effect of bather and location of first bath on maintaining thermal stability in newborns. Journal of Obstetric, Gynecologic & Neonatal Nursing, 33(2), 175–182. https://doi.org/10.1177/0884217504263081
  • Montirosso, R., Provenzi, L., Fumagalli, M., Sirgiovanni, I., Giorda, R., Pozzoli, U., Beri, S., Menozzi, G., Tronick, E., Morandi, F., Mosca F., & Borgatti, R. (2016). Serotonin Transporter Gene (SLC6A4) Methylation associates with neonatal intensive care unit stay and 3-month-old temperament in preterm infants. Child Development, 87(1), 38–48. https://doi.org/10.1111/cdev.12492
  • Mooventhan, A., & Nivethitha, L. (2014). Scientific evidence-based effects of hydrotherapy on various systems of the body. North American Journal of Medical Sciences, 6(5), 199. https://doi.org/10.4103/1947-2714.132935
  • Nist, M. D., Harrison, T. M., & Steward, D. K. (2019). The biological embedding of neonatal stress exposure: A conceptual model describing the mechanisms of stress-induced neurodevelopmental impairment in preterm infants. Research in Nursing and Health, 42(1), 61–71. https://doi.org/10.1002/nur.21923
  • Šapina, M., Karmakar, C.K., Kramarić, K., Garcin, M., Adelson, P.D., Milas, K.,Piric, M., Brdaric, D., & Yearwood, J. (2018). Multi-lag tone-entropy in neonatal stress. Journal of the Royal Society Interface, 15(146), 20180420. https://doi.org/10.1098/rsif.2018.0420
  • So, H.S., You, M.A., Mun, J.Y., Hwang, M.J., Kim, H.K., Pyeon, S.J., Shin, M.Y., & Chang, B.H. (2014). Effect of trunk-to-head bathing on physiological responses in newborns. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 43(6), 742–751. https://doi.org/10.1111/1552-6909.12496
  • Suchy, C., Morton, C., Ramos, R. R., Ehrgott, A., Quental, M.M., Burridge, A., & Rutledge, D.N. (2018). Does changing newborn bath procedure alter newborn temperatures and exclusive breastfeeding? Neonatal Network, 37(1), 4–10. https://doi.org/10.1891/0730-0832.37.1.4
  • Tapia-Rombo, C. A., Morales-Mora, M., & Álvarez-Vázquez, E. (2003). Variations of vital signs, skin color, behavior and oxygen saturation ın premature neonates after sponge bathing possible complications. Revista de Investigacion Clinica, 55(4), 438–443. https://europepmc.org/article/med/14635609
  • Taşdemir, H. İ., & Efe, E. (2019). The effect of tub bathing and sponge bathing on neonatal comfort and physiological parameters in late preterm infants: A randomized controlled trial. International Journal of Nursing Studies, 99, 103377. https://doi.org/10.1016/j.ijnurstu.2019.06.008
  • Vinall, J., & Grunau, R. E. (2014). Impact of repeated procedural pain-related stress in infants born very preterm. Pediatric Research, 75(5), 584-587.
  • Yagi, M., & Yonei, Y. (2018). Glycative stress and skin aging. Glycative Stress Research, 5(1), 50–54. https://doi.org/10.24659/GSR.5.1_50
  • Şar, V., Öztürk, E., & İkikardeş, E. (2012). Validity and reliability of the Turkish version of childhood trauma questionnaire. Turkiye Klinikleri Journal of Surgical Medical Sciences, 32(4), 1054-1063.
  • Tirali, R. E., Oğuz, Y., & Soydan, S. S. (2014). Oral symptoms of child abuse and neglect. Journal of Dental Faculty of Atatürk University, 9, 154-157.
  • Tortamış Özkaya, B. (2020). Zorlayıcı yaşam olayları karşısında çocukları desteklemek. G. Kurt (Ed.). Çocuk ruh sağlığı. (p.287-288). Ankara: Nobel akademik publishing.
  • Turhan, E., Sangün, Ö., & İnandı, T. (2006). Child abuse and prevention in primary care. Sted, 15(9), 153.
  • Unicef (2010). Türkiye’de çocuk istismarı ve aile içi şiddet araştırması. Access address: https://www.unicef.org/turkiye/raporlar/t%C3%BCrkiyede-%C3%A7ocuk-istismari-ve-aile-i%C3%A7i-%C5%9Fiddet-ara%C5%9Ftirmasi-%C3%B6zet-raporu-2010 Access date: 27.03.2023.
There are 34 citations in total.

Details

Primary Language English
Subjects Neonatology
Journal Section Research Articles
Authors

Emriye Hilal Yayan 0000-0003-0075-4171

Yeliz Suna Dağ 0000-0002-4547-5494

Kübra Akcan 0000-0002-4322-1714

Sedef Seval Memiş This is me 0000-0001-7755-7462

Publication Date August 31, 2023
Published in Issue Year 2023 Volume: 4 Issue: 2

Cite

APA Yayan, E. H., Suna Dağ, Y., Akcan, K., Memiş, S. S. (2023). The effect of bath on feeding, pain and physiological parameters of newborns. Anatolian Journal of Health Research, 4(2), 46-51. https://doi.org/10.29228/anatoljhr.69146

Content of this journal is licensed under a Creative Commons Attribution NonCommercial 4.0 International License

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