{"title":"改良的轻柔触碰(GHT)提高低出生体重婴儿的血氧饱和度:在印度尼西亚中爪哇一家私立和公立医院进行的一项研究","authors":"Agi Yulia Riadini, A. Suwandono, Runjati Runjati","doi":"10.35898/GHMJ-31265","DOIUrl":null,"url":null,"abstract":"Background: Low birth weight (LBW) care in hospitals often causes discomfort and stress which affect changes in physiological function. Modification of gentle human touch with the left lateral position is described as a treatment for developmental care that supports the comfort and supportive position of the lungs which is expected to have a positive effect on oxygen saturation and respiratory frequency for infants.Aims: This study aimed to find the effect of gentle human touch modification with a left lateral position on oxygen saturation in LBW infants.Methods: This study used a quasi-experimental design study. The population in this study was 36 LBW babies who received care, selected at a private and public hospital in Central Java, Indonesia, using a consecutive sampling technique. The infants were then divided equally to: (i) a group who received a standard human touch given at the hospital, with a supine position (control), and (ii) a group where the infants have been provided with a modified gentle human touch with left lateral position (intervention). The statistical test used was Mann Whitney and Wilcoxon test.Results: From this study, it is acknowledged that modification gentle human touch with the left lateral position was more effective in increasing oxygen saturation than the control group when viewed from clinical changes. The oxygen saturation levels after intervention reached 98 to 99%. However, from the statistical analysis, it has been noted that the mean difference between the two groups is not significantly different at a level of 0.05.Conclusions: A modified gentle human touch with the left lateral position proposed in this study presents a positive contribution to the oxygen saturation of low birth weight infants. Thus, the findings may recommend the modification as a procedure in a hospital care unit for low birth weight infants at hospitals or at home. Keywords: Gentle human touch, Left lateral position, Low birth weight babies, Oxygen saturation.","PeriodicalId":12698,"journal":{"name":"GHMJ (Global Health Management Journal)","volume":"17 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"A modified gentle human touch (GHT) to increase oxygen saturation levels on low birth weight infants: A study at a Private and Public Hospital in Central Java, Indonesia\",\"authors\":\"Agi Yulia Riadini, A. Suwandono, Runjati Runjati\",\"doi\":\"10.35898/GHMJ-31265\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Low birth weight (LBW) care in hospitals often causes discomfort and stress which affect changes in physiological function. Modification of gentle human touch with the left lateral position is described as a treatment for developmental care that supports the comfort and supportive position of the lungs which is expected to have a positive effect on oxygen saturation and respiratory frequency for infants.Aims: This study aimed to find the effect of gentle human touch modification with a left lateral position on oxygen saturation in LBW infants.Methods: This study used a quasi-experimental design study. The population in this study was 36 LBW babies who received care, selected at a private and public hospital in Central Java, Indonesia, using a consecutive sampling technique. The infants were then divided equally to: (i) a group who received a standard human touch given at the hospital, with a supine position (control), and (ii) a group where the infants have been provided with a modified gentle human touch with left lateral position (intervention). The statistical test used was Mann Whitney and Wilcoxon test.Results: From this study, it is acknowledged that modification gentle human touch with the left lateral position was more effective in increasing oxygen saturation than the control group when viewed from clinical changes. The oxygen saturation levels after intervention reached 98 to 99%. However, from the statistical analysis, it has been noted that the mean difference between the two groups is not significantly different at a level of 0.05.Conclusions: A modified gentle human touch with the left lateral position proposed in this study presents a positive contribution to the oxygen saturation of low birth weight infants. Thus, the findings may recommend the modification as a procedure in a hospital care unit for low birth weight infants at hospitals or at home. 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引用次数: 1
摘要
背景:低出生体重(LBW)在医院的护理经常引起不适和压力,影响生理功能的变化。温和的人的触摸与左侧位置的修改被描述为一种治疗发育护理,支持舒适和支持的位置的肺,预计对氧饱和度和呼吸频率的婴儿有积极的影响。目的:本研究旨在探讨左侧体位轻触改良对LBW婴儿血氧饱和度的影响。方法:采用准实验设计研究。本研究的人口是36名在印度尼西亚中爪哇的一家私立和公立医院接受护理的低体重婴儿,采用连续抽样技术。然后将婴儿平均分为:(i)一组接受医院给予的标准人体触碰,仰卧位(对照组);(ii)一组婴儿接受改良的轻柔人体触碰,左侧侧卧位(干预)。统计检验采用Mann Whitney and Wilcoxon检验。结果:从临床变化来看,左侧体位的温和触碰比对照组更有效地提高了血氧饱和度。干预后血氧饱和度达到98% ~ 99%。然而,从统计分析中可以看出,两组的平均差异在0.05的水平上没有显著性差异。结论:在本研究中提出的一种改良的温柔的左侧体位人触对低出生体重儿的血氧饱和度有积极的贡献。因此,研究结果可能会推荐在医院或家中对低出生体重婴儿的医院护理部门进行修改。关键词:温柔触碰,左侧卧位,低出生体重儿,血氧饱和度。
A modified gentle human touch (GHT) to increase oxygen saturation levels on low birth weight infants: A study at a Private and Public Hospital in Central Java, Indonesia
Background: Low birth weight (LBW) care in hospitals often causes discomfort and stress which affect changes in physiological function. Modification of gentle human touch with the left lateral position is described as a treatment for developmental care that supports the comfort and supportive position of the lungs which is expected to have a positive effect on oxygen saturation and respiratory frequency for infants.Aims: This study aimed to find the effect of gentle human touch modification with a left lateral position on oxygen saturation in LBW infants.Methods: This study used a quasi-experimental design study. The population in this study was 36 LBW babies who received care, selected at a private and public hospital in Central Java, Indonesia, using a consecutive sampling technique. The infants were then divided equally to: (i) a group who received a standard human touch given at the hospital, with a supine position (control), and (ii) a group where the infants have been provided with a modified gentle human touch with left lateral position (intervention). The statistical test used was Mann Whitney and Wilcoxon test.Results: From this study, it is acknowledged that modification gentle human touch with the left lateral position was more effective in increasing oxygen saturation than the control group when viewed from clinical changes. The oxygen saturation levels after intervention reached 98 to 99%. However, from the statistical analysis, it has been noted that the mean difference between the two groups is not significantly different at a level of 0.05.Conclusions: A modified gentle human touch with the left lateral position proposed in this study presents a positive contribution to the oxygen saturation of low birth weight infants. Thus, the findings may recommend the modification as a procedure in a hospital care unit for low birth weight infants at hospitals or at home. Keywords: Gentle human touch, Left lateral position, Low birth weight babies, Oxygen saturation.