用于早产儿的三层定位枕对生理参数和睡眠-觉醒状态的影响：随机对照试验。
The Effects of a Three-Stair Positioning Pillow Used for Preterm Infants on Physiologic Parameters and Sleep-Wakefulness Status: Randomized Controlled Trial.
作者信息
Bozdag Fatma, Balci Serap
机构信息
Author Affiliations: Department of Child Health and Diseases Nursing, Health Sciences of Faculty, Harran University, Sanlıurfa, Turkey (Dr Bozdag); and Department of Child Health and Diseases Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, İstanbul, Turkey (Dr Balci).
出版信息
J Perinat Neonatal Nurs. 2025;39(3):275-283. doi: 10.1097/JPN.0000000000000867. Epub 2025 Jul 22.
BACKGROUND
It is important to provide the necessary sleep for the growth of preterm infants in the neonatal intensive care unit. The purpose of this study was to determine the effect of 3-stair positioning pillows (TSPPs) developed for preterm infants with postnatal age 28 to 35 weeks on physiologic parameters and sleep-wakefulness status.
METHODS
This research was conducted as a randomized controlled experimental study. The CONSORT flowchart was used in the implementation of the randomized controlled trial. The preterm infants in the experimental group were placed in the prone position with TSPPs, whereas the preterm infants in the control group were followed in the routine prone position given in the neonatal intensive care unit. Preterm infants were followed for a total of 3 hours.
RESULTS
The sample of the study consisted of 60 preterm infants (experiment group = 30; control group = 30) who were hospitalized in the neonatal intensive care unit and met the selection criteria. Compared with the infants in the control group, the preterm infants in the experimental group were determined to have significantly lower heart rates, higher oxygen saturations, lower respiratory rates, longer sleep durations, and shorter wakefulness times ( P < .001).
CONCLUSION
It was found that positioning preterm infants using TSPP had positive effects on physiological parameters (heart rate, oxygen saturation, and respiratory rate) and sleep-wakefulness status in favor of the experimental group.
IMPLICATIONS FOR PRACTICE
It is recommended to use a TSPP that supports the prone position to improve the physiologic parameters and sleep-wakefulness status of preterm infants in the neonatal intensive care unit. Larger studies need to be conducted utilizing longer follow-up protocols. Examining the effectiveness of TSPPs with different positioning materials in preterm infants is needed.
背景
在新生儿重症监护病房为早产儿的生长提供必要的睡眠很重要。本研究的目的是确定为出生后28至35周的早产儿开发的三层定位枕（TSPP）对生理参数和睡眠-觉醒状态的影响。
方法
本研究作为一项随机对照实验研究进行。随机对照试验的实施采用了CONSORT流程图。实验组的早产儿使用TSPP俯卧位放置，而对照组的早产儿按照新生儿重症监护病房常规的俯卧位进行护理。对早产儿共随访3小时。
结果
该研究样本包括60名在新生儿重症监护病房住院且符合入选标准的早产儿（实验组 = 30；对照组 = 30）。与对照组婴儿相比，实验组的早产儿心率显著更低、血氧饱和度更高、呼吸频率更低、睡眠时间更长且觉醒时间更短（P <.001）。
结论
发现使用TSPP为早产儿定位对生理参数（心率、血氧饱和度和呼吸频率）和睡眠-觉醒状态有积极影响，实验组情况更佳。
对实践的启示
建议使用支持俯卧位的TSPP来改善新生儿重症监护病房早产儿的生理参数和睡眠-觉醒状态。需要利用更长的随访方案进行更大规模的研究。有必要研究不同定位材料的TSPP对早产儿的有效性。
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