Çınar Nursan, Yalnızoğlu Çaka Sinem, Uslu Yuvacı Hilal
Department of Pediatric Nursing, Faculty of Health Science, Sakarya University, Sakarya, Turkey.
Department of Obstetrics and Gynecology, Faculty of Medicine, Sakarya University, Sakarya, Turkey.
Jpn J Nurs Sci. 2020 Oct;17(4):e12363. doi: 10.1111/jjns.12363. Epub 2020 Aug 25.
The aim of this study is to compare the effect of two different bathing methods training given during pregnancy on the mother's experience, satisfaction and newborn's physiological and behavioral parameters during the first bathing of the newborn at home.
A mixed methods research was used in this study. The groups were determined as swaddled bathing (SB) (n = 31) and tub bathing (TB) (n = 31). After training given to the groups, the first bath of the newborn in both groups was built by the mothers. The body temperature, heart rate, oxygen saturation, respiration rate, crying times, stress parameters of the newborns and mother satisfaction in both groups were evaluated. The open-ended questions were used to determine mothers' experiences.
There was a statistically significant difference between the groups in terms of oxygen saturation, respiration rate, crying time, face/forehead grimacing, unrest and maternal satisfaction. Four categories and 14 subcategories made up the qualitative part of the study which includes the experiences of the mother about two different bathing methods. "The feelings and worries of the mothers about first bathing" refers to the participants in both groups how they feel during the first bathing; "Positive aspects of this method compared to other bath method" and "Negative aspects of this method compared to other bath method" refers to positive and negative aspects of different bathing methods applied to groups; "Difference between the applied bathing method and other methods" refers to differences they observed when compared to other bathing methods. The mothers in the SB group had less fear of drowning hazard and injuring the newborn, and the fear of uneasiness and the newborn slipping down from hands were more frequent in the TB group.
It was determined that both bath methods reduced body temperature, the SB method decreased the stress of newborns and had a positive effect on mother satisfaction and experience.
本研究旨在比较孕期给予的两种不同沐浴方法训练对母亲体验、满意度以及新生儿在家中首次沐浴时的生理和行为参数的影响。
本研究采用混合方法研究。将研究组分为襁褓式沐浴（SB）组（n = 31）和盆浴（TB）组（n = 31）。在对两组进行训练后，两组新生儿的首次沐浴均由母亲完成。评估了两组新生儿的体温、心率、血氧饱和度、呼吸频率、哭闹次数、应激参数以及母亲的满意度。采用开放式问题来确定母亲的体验。
两组在血氧饱和度、呼吸频率、哭闹时间、面部/额头 grimacing、不安程度和母亲满意度方面存在统计学显著差异。该研究的定性部分由四个类别和14个子类别组成，其中包括母亲对两种不同沐浴方法的体验。“母亲对首次沐浴的感受和担忧”指的是两组参与者在首次沐浴时的感受；“与其他沐浴方法相比该方法的积极方面”和“与其他沐浴方法相比该方法的消极方面”指的是应用于两组的不同沐浴方法的积极和消极方面；“所应用的沐浴方法与其他方法之间的差异”指的是与其他沐浴方法相比他们观察到的差异。SB组的母亲对溺水危险和伤害新生儿的恐惧较小，而TB组中对不安和新生儿从手中滑落的恐惧更为常见。
确定两种沐浴方法均能降低体温，SB方法降低了新生儿的应激，并对母亲满意度和体验产生了积极影响。
