Freitas Patrícia de, Marques Silvia Rezende, Alves Taisy Bezerra, Takahashi Juliana, Kimura Amélia Fumiko
School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
Department of Maternal-Infant and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2014 Aug;48 Spec No:178-83. doi: 10.1590/S0080-623420140000600025. Epub 2014 Aug 1.
Objective To verify the effect of bathing on the body temperature of preterm infants (PTI). Method Systematic review conducted in the following bibliographic electronic sources: Biblioteca Virtual em Saúde/Lilacs (BVS), Cumulated Index of Nursing and Allied Health Literature (CINAHL), Cochrane Library, Google Scholar, PubMed, SCOPUS and Web of Science, using a combination of search terms, keywords and free terms. The review question was adjusted to the PICO acronym (Patient/population, Intervention, Control/comparative intervention, Outcome). The selected publications were evaluated according to levels of evidence and grades of recommendation for efficacy/effectiveness studies, as established by the Joanna Briggs Institute. Results Eight hundred and twenty four (824) publications were identified and four studies met the inclusion criteria, of which three analyzed the effect of sponge baths and the effect of immersion baths. Conclusion Sponge baths showed a statistically significant drop in body temperature, while in immersion baths the body temperature remained stable, although they studied late preterm infants.
目的 验证沐浴对早产儿体温的影响。方法 在以下电子文献来源中进行系统评价:虚拟健康图书馆/拉丁美洲及加勒比地区健康科学文献数据库(BVS)、护理及相关健康文献累积索引(CINAHL)、考克兰图书馆、谷歌学术、PubMed、Scopus和科学引文索引,使用搜索词、关键词和自由词的组合。将综述问题调整为PICO首字母缩写词(患者/人群、干预措施、对照/比较干预措施、结局)。根据乔安娜·布里格斯研究所制定的疗效/有效性研究的证据水平和推荐等级,对所选出版物进行评估。结果 共识别出824篇出版物,四项研究符合纳入标准,其中三项分析了擦浴的效果和浸浴的效果。结论 擦浴显示体温有统计学意义的下降,而浸浴时体温保持稳定,尽管这些研究针对的是晚期早产儿。