Ignite Creation Date:
2024-05-06 @ 5:00 PM
Last Modification Date:
2024-10-26 @ 2:20 PM
Study NCT ID:
NCT05165004
Status:
COMPLETED
Last Update Posted:
2021-12-21
First Post:
2021-11-25
Brief Title:
Effect of Kangaroo Mother Care Versus Hammock Positioning
Sponsor:
Alexandria University
Organization:
Alexandria University
Study Overview
Official Title:
Effect of Kangaroo Mother Care Versus Hammock Positioning on Physiological Indices and Behavioral Organization Among Preterm Neonates A Humanized Nursing Approach
Status:
COMPLETED
Status Verified Date:
2021-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
Kangaroo
Brief Summary:
Aim
This study aimed to investigate the effect of kangaroo mother care KMCversus hammock positioning HP on physiological indices and behavioral organization among preterm neonates
Hypotheses
Preterm neonates who receive KMC exhibit more stable physiological indices and behavioral organization state than those who do not
Preterm neonates who receive HP exhibit more stable physiological indices and behavioral organization state than those who do not
Preterm neonates who receive KMC exhibit more stable physiological indices and behavioral organization state than those who receive HP
This study aimed to investigate the effect of kangaroo mother care KMCversus hammock positioning HP on physiological indices and behavioral organization among preterm neonates
Hypotheses
Preterm neonates who receive KMC exhibit more stable physiological indices and behavioral organization state than those who do not
Preterm neonates who receive HP exhibit more stable physiological indices and behavioral organization state than those who do not
Preterm neonates who receive KMC exhibit more stable physiological indices and behavioral organization state than those who receive HP
Detailed Description:
A quasi-experimental pre-posttests research design was carried out at the Neonatal Intensive Care Unit NICU of Specialized University Hospital A sample of 90 preterm neonates were randomly assigned into three equal groups The preterm neonates in the control group received the routine care of the NICU which entails encircling the neonate in a fetal position using rolled towel inside the incubator
For the KMC group
Researchers contacted the mother a day before applying KMC and advised her to take shower and abstain from using perfumes before attending to the NICU On days of KMC application the researchers asked the mother to remove the upper clothes in a private room and put on an open-front gown and mask The mother was assisted to sit in a comfortable chair with a soft backrest and footrest to prevent fatigue Then the preterm neonate was carefully put naked except for the head and diaper area on the mothers bare chest with flexed arms and legs as in froglike position and the head was turned sideways The researchers wrapped and secured the mothers gown and put a blanket on the neonates back to ensure neonatal thermal insulation The mother was instructed to support the neonates bottom with the right hand while supporting the head and neck with the other hand
For HP group
Researchers made a hammock by using a rectangular cotton cloth with ropes that passed through the circular openings of the incubator and tied on the upper part of it After one hour of feeding the preterm neonate was placed in a supine fetal position in the hammock where the head was supported in a neutral midline position by using rolled towel without neck hyperflexion or hyperextension Moreover the spine of the preterm neonate was supported while arms and knees were flexed
Kangaroo mother care and HP were performed in the morning shift for one hour from 10 am till 11 am on three consecutive days Behavioral states of preterm neonates were assessed in the three groups four times during the intervention at fixed intervals in order to minimize the measurement errors due to fluctuations in their behavioral states In case of incidental neonatal distress the intervention was discontinued After one hour of applying KMC or HP the preterm neonates were placed in the incubator as the routine NICU care Finally neonates physiological indices and behavioral states in the three groups were recorded after 15 min from the intervention using tools III Data were collected over 12 months from March 2020 till the end of February 2021
For the KMC group
Researchers contacted the mother a day before applying KMC and advised her to take shower and abstain from using perfumes before attending to the NICU On days of KMC application the researchers asked the mother to remove the upper clothes in a private room and put on an open-front gown and mask The mother was assisted to sit in a comfortable chair with a soft backrest and footrest to prevent fatigue Then the preterm neonate was carefully put naked except for the head and diaper area on the mothers bare chest with flexed arms and legs as in froglike position and the head was turned sideways The researchers wrapped and secured the mothers gown and put a blanket on the neonates back to ensure neonatal thermal insulation The mother was instructed to support the neonates bottom with the right hand while supporting the head and neck with the other hand
For HP group
Researchers made a hammock by using a rectangular cotton cloth with ropes that passed through the circular openings of the incubator and tied on the upper part of it After one hour of feeding the preterm neonate was placed in a supine fetal position in the hammock where the head was supported in a neutral midline position by using rolled towel without neck hyperflexion or hyperextension Moreover the spine of the preterm neonate was supported while arms and knees were flexed
Kangaroo mother care and HP were performed in the morning shift for one hour from 10 am till 11 am on three consecutive days Behavioral states of preterm neonates were assessed in the three groups four times during the intervention at fixed intervals in order to minimize the measurement errors due to fluctuations in their behavioral states In case of incidental neonatal distress the intervention was discontinued After one hour of applying KMC or HP the preterm neonates were placed in the incubator as the routine NICU care Finally neonates physiological indices and behavioral states in the three groups were recorded after 15 min from the intervention using tools III Data were collected over 12 months from March 2020 till the end of February 2021
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None