Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial
Background: The aim of this study was to investigate the effect of bedding preterm infants in nests on their motor behaviors in a neonatal intensive care unit (NICU) in Iran.<br />Methods: In this randomized controlled trial, 44 clinically stable preterm infants, admitted to the NICU, were rec...
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Mashhad University of Medical Sciences
2020-08-01
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doaj-70f81ed13e6d4995bd0b3d33dcca2a342021-08-02T11:38:51ZengMashhad University of Medical SciencesIranian Journal of Neonatology2251-75102322-21582020-08-01113647010.22038/ijn.2020.42355.170315713Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical TrialZahra Eskandari0Naiemeh Seyedfatemi1Hamid Haghani2Amir Almasi-Hashiani3Parisa Mohagheghi4Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, IranCenter for Nursing Care Research, Iran University of Medical Sciences, Tehran, IranSchool of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IranDepartment of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran Traditional and Complementary Medicine Research Center, Arak University of Medical Sciences, Arak, IranSchool of Medicine, Iran University of Medical Sciences, Tehran, IranBackground: The aim of this study was to investigate the effect of bedding preterm infants in nests on their motor behaviors in a neonatal intensive care unit (NICU) in Iran.<br />Methods: In this randomized controlled trial, 44 clinically stable preterm infants, admitted to the NICU, were recruited and randomly divided into two groups of control and intervention. The routine of the unit was to take care of infants on a flat mattress. The intervention was a U-shaped cloth nest in which the intervention group was bedded for 7 days. The control group consisted of infants who were normally cared without any boundaries. All infants were videotaped before and on the last day of the intervention. The motor behaviors, as defined in the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) sheet, were analyzed in each of the films.<br />Results: To compare the number of total extensor motor behaviors between the two groups, the change score in each group was calculated and compared between the two groups. The mean change scores in the intervention and control groups were -21.36±13.5 and 2.32±7.9, respectively. Accordingly, nesting significantly reduced the occurrence of unstable behaviors in the intervention group, compared to that in the control group (P<0.001).<br />Conclusion: According to the findings, supporting the preterm infant body even by accessible materials could enhance their neurodevelopmental strengths and motor behavior stabilities.http://ijn.mums.ac.ir/article_15713_248233832bfc2d7d7b3e7e7e95a774b0.pdfinfants behaviorsintensive care unitsneonatalnestingpositioningpremature infant |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zahra Eskandari Naiemeh Seyedfatemi Hamid Haghani Amir Almasi-Hashiani Parisa Mohagheghi |
spellingShingle |
Zahra Eskandari Naiemeh Seyedfatemi Hamid Haghani Amir Almasi-Hashiani Parisa Mohagheghi Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial Iranian Journal of Neonatology infants behaviors intensive care units neonatal nesting positioning premature infant |
author_facet |
Zahra Eskandari Naiemeh Seyedfatemi Hamid Haghani Amir Almasi-Hashiani Parisa Mohagheghi |
author_sort |
Zahra Eskandari |
title |
Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial |
title_short |
Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial |
title_full |
Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial |
title_fullStr |
Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial |
title_full_unstemmed |
Effect of Nesting on Extensor Motor Behaviors in Preterm Infants: A Randomized Clinical Trial |
title_sort |
effect of nesting on extensor motor behaviors in preterm infants: a randomized clinical trial |
publisher |
Mashhad University of Medical Sciences |
series |
Iranian Journal of Neonatology |
issn |
2251-7510 2322-2158 |
publishDate |
2020-08-01 |
description |
Background: The aim of this study was to investigate the effect of bedding preterm infants in nests on their motor behaviors in a neonatal intensive care unit (NICU) in Iran.<br />Methods: In this randomized controlled trial, 44 clinically stable preterm infants, admitted to the NICU, were recruited and randomly divided into two groups of control and intervention. The routine of the unit was to take care of infants on a flat mattress. The intervention was a U-shaped cloth nest in which the intervention group was bedded for 7 days. The control group consisted of infants who were normally cared without any boundaries. All infants were videotaped before and on the last day of the intervention. The motor behaviors, as defined in the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) sheet, were analyzed in each of the films.<br />Results: To compare the number of total extensor motor behaviors between the two groups, the change score in each group was calculated and compared between the two groups. The mean change scores in the intervention and control groups were -21.36±13.5 and 2.32±7.9, respectively. Accordingly, nesting significantly reduced the occurrence of unstable behaviors in the intervention group, compared to that in the control group (P<0.001).<br />Conclusion: According to the findings, supporting the preterm infant body even by accessible materials could enhance their neurodevelopmental strengths and motor behavior stabilities. |
topic |
infants behaviors intensive care units neonatal nesting positioning premature infant |
url |
http://ijn.mums.ac.ir/article_15713_248233832bfc2d7d7b3e7e7e95a774b0.pdf |
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