Talakoub Sedigheh, Shahbazifard Zahra, Armanian Amir Mohamad, Ghazavi Zohreh
Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Pediatric and Neonatal Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan, University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2015 May-Jun;20(3):322-6.
After the umbilical cord is cut, premature neonates face numerous problems including hypothermia. With regard to serious complications of hypothermia and incapability of conventional methods in preservation of neonates' temperature after admission, the researcher decided to conduct a study on the effects of two polyethylene covers in prevention of hypothermia among premature neonates.
This clinical trial was conducted on 96 neonates aged 28-32 weeks that randomly allocated, by drawing of lots, to three 32-subject groups as follows: Intervention group 1 (a plastic bag cover and a cotton hat), intervention group 2 (a plastic bag cover and a plastic hat), and a control group receiving routine care. Data were analyzed by descriptive and inferential statistics through SPSS V.14.
Mean axillary temperatures in intervention groups 1 and 2 were different after admission and 1 and 2 h later, but this difference was not significant and the mean axillary temperature increased with time. Mean axillary temperature in the control group showed no significant difference at these time points and it did not increase with time. The mean temperatures in preterm infants were significantly higher in the intervention groups after admission and 1 and 2 h after birth, compared to the control group. Mean axillary temperature in intervention group 2 was significantly higher than in intervention group 1.
Usage of a plastic bag cover and a plastic hat (with no risk of hyperthermia) is more effective in preventing hypothermia among neonates aged 28-32 weeks, compared to usage of a plastic bag cover and a cotton hat.
脐带剪断后，早产儿面临诸多问题，包括体温过低。鉴于体温过低的严重并发症以及常规方法在新生儿入院后维持体温方面的无能为力，研究人员决定开展一项关于两种聚乙烯覆盖物对预防早产儿体温过低效果的研究。
本临床试验对96名28 - 32周龄的新生儿进行，通过抽签随机分为三个每组32名受试者的组：干预组1（塑料袋覆盖物和棉帽）、干预组2（塑料袋覆盖物和塑料帽）以及接受常规护理的对照组。通过SPSS V.14软件进行描述性和推断性统计分析数据。
干预组1和干预组2入院后及1小时和2小时后的平均腋温有所不同，但差异不显著，且平均腋温随时间升高。对照组在这些时间点的平均腋温无显著差异，且未随时间升高。与对照组相比，干预组早产儿入院后及出生后1小时和2小时的平均体温显著更高。干预组2的平均腋温显著高于干预组1。
与使用塑料袋覆盖物和棉帽相比，使用塑料袋覆盖物和塑料帽（无体温过高风险）在预防28 - 32周龄新生儿体温过低方面更有效。
