The influence of facilitated tucking on behavioral and physiological outcomes in premature neonates undergoing endotracheal suctioning: A randomized control trial
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Abstract
Background
Premature neonates in hospitals often endure significant discomfort and stress due to illnesses and invasive procedures. Facilitated tucking helps ease this distress, aiding in developing self-regulation skills for managing pain and stress. This study aimed to determine the influence of facilitated tucking on behavioral and physiological outcomes in premature neonates undergoing endotracheal suctioning. Design: A randomized control trial with two parallel groups. Method: Forty premature neonates receiving endotracheal suctioning were randomly allocated to two groups. The study group was positioned in facilitated tucking, while the control group received traditional care during suctioning, with 20 neonates in each group. Setting: Neonatal Intensive Care Unit of Kafrelsheikh University Hospital, Egypt, from December 2022 to May 2023. Three tools were used: Characteristics of Premature Neonates Assessment, Premature Neonates' Physiological Assessment, and Anderson Behavioral State Scale.
Results
Premature neonates in the study group exhibited greater physiological stability than the control group, with SpO2 (94.50 ± 1.19 vs. 94.15 ± 1.31), heart rate (151.00 ± 5.39 vs. 156.40 ± 1.54), and respiratory rate (49.60 ± 2.09 vs. 52.60 ± 2.96) at 2 min post-suction, all showing P < 0.001. No neonates in the study group showed restless activity or fussiness after suction, with significant differences in behavioral response between groups at 2 and 4 min post-suction across all three days (p < 0.001).
Conclusion
Facilitated tucking positively affects physiological and behavioral stability in premature neonates. Practice implications: the current research directs NICU nurses to include facilitated tucking in standard daily care during painful procedures for premature infants. As it assists premature neonates in developing self-regulation skills in managing pain and stress.
期刊介绍：
Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.
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