Edraki Mitra, Paran Maryam, Montaseri Sedigheh, Razavi Nejad Mostajab, Montaseri Zohre
Community Based Psychiatric Care Research Center, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Science, Shiraz, Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
J Caring Sci. 2014 Jun 1;3(2):83-91. doi: 10.5681/jcs.2014.009. eCollection 2014 Jun.
Maintaining body temperature and reducing stress are important challenges in bathing preterm infants. Swaddle bathing, which includes in itself the principles of developmental care, can be used as a low-stress and appropriate bathing method for premature infants. Given the limitations of the researches carried out on this bathing method, the present study was conducted with the aim of comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants.
In this randomized clinical trial study, 50 premature infants hospitalized in Neonatal Intensive Care Unit (NICU) who were eligible for the study were divided by random allocation into two experimental and control groups. The infants in the experimental group were bathed using the swaddle bathing method and the infants in the control group were bathed using the conventional bathing method. Body temperature was measured 10 minutes before and 10 minutes after the bath. To record the crying, the infants' faces were filmed during the bath. The data were analyzed using chi-squared test, independent t-test, paired t-test and Mann-Whitney U test.
The mean temperature loss was significantly less in the swaddle-bathed newborns compared to the conventionally-bathed newborns. Furthermore, crying time was significantly less in the experimental group than in the control group.
Given the positive effect of swaddled bathing in maintaining body temperature and reducing stress, it can be used as an appropriate bathing method in NICU.
维持体温和减轻压力是给早产儿洗澡时面临的重要挑战。襁褓式洗澡本身包含发育照护原则，可作为一种低压力且适合早产儿的洗澡方法。鉴于针对这种洗澡方法的研究存在局限性，本研究旨在比较襁褓式和传统洗澡方法对早产儿体温和哭闹时长的影响。
在这项随机临床试验研究中，将新生儿重症监护病房（NICU）中符合研究条件的50名早产儿随机分为两个实验组和对照组。实验组的婴儿采用襁褓式洗澡方法，对照组的婴儿采用传统洗澡方法。在洗澡前10分钟和洗澡后10分钟测量体温。为记录哭闹情况，在洗澡过程中拍摄婴儿的面部。使用卡方检验、独立样本t检验、配对t检验和曼-惠特尼U检验对数据进行分析。
与传统洗澡的新生儿相比，襁褓式洗澡的新生儿平均体温下降明显更少。此外，实验组的哭闹时间明显少于对照组。
鉴于襁褓式洗澡在维持体温和减轻压力方面的积极作用，它可作为NICU中一种合适的洗澡方法。
