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The effect of simulative heartbeat nest used in preterm new-borns on vital signs, pain, and comfort in Turkey: A randomized controlled study

Creating a womb-like environment for the preterm infant is vital to reduce the stress caused by stimuli and facilitate optimal neurological-behavioral development. This randomized-controlled study aimed to determine the effect of simulative heartbeat nest use on vital signs, pain level, and comfort...

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Published in:Journal of pediatric nursing 2022-01, Vol.62, p.e170-e177
Main Authors: Karadag, Ozge Eda, Kerimoglu Yildiz, Gizem, Akdogan, Ridvan, Yildiz, Suzan, Hakyemez Toptan, Handan
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description Creating a womb-like environment for the preterm infant is vital to reduce the stress caused by stimuli and facilitate optimal neurological-behavioral development. This randomized-controlled study aimed to determine the effect of simulative heartbeat nest use on vital signs, pain level, and comfort in preterms. The study population consisted of 52 (experiment: 25, control: 27) preterms hospitalized in a university hospital's neonatal intensive care unit between May–November 2018. Before the application, preterms in both groups were evaluated with PIPP and Comfort scales. The experiment group was monitored in the nest with a heart beating device for 15 min. The control group was observed in the nest without the device for 15 min. Their heartbeats and oxygen saturation were recorded. After the application, preterms in both groups were re-evaluated with PIPP and Comfort scale. There was no statistically significant difference between the groups in terms of gestation week, age, birth weight and height, HB, SaO2, PIPP, and Comfort Scale total scores before and after the application (p > .05). However, the mean SaO2 increased significantly during the application (p 
doi_str_mv 10.1016/j.pedn.2021.10.003
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This randomized-controlled study aimed to determine the effect of simulative heartbeat nest use on vital signs, pain level, and comfort in preterms. The study population consisted of 52 (experiment: 25, control: 27) preterms hospitalized in a university hospital's neonatal intensive care unit between May–November 2018. Before the application, preterms in both groups were evaluated with PIPP and Comfort scales. The experiment group was monitored in the nest with a heart beating device for 15 min. The control group was observed in the nest without the device for 15 min. Their heartbeats and oxygen saturation were recorded. After the application, preterms in both groups were re-evaluated with PIPP and Comfort scale. There was no statistically significant difference between the groups in terms of gestation week, age, birth weight and height, HB, SaO2, PIPP, and Comfort Scale total scores before and after the application (p &gt; .05). However, the mean SaO2 increased significantly during the application (p &lt; .003) in the experiment group; and that the PIPP total score decreased statistically significantly (p: 0.001) after the application. The comfort scale total score averages of the preterms in both groups decreased statistically significantly after the application (experiment:p &lt; .01; control:p &lt; .05). Preterms in both groups had similar indicators. The nests that create heartbeat provide positive outcomes, such as the standard nests'. •NICU nurses are responsible for determining neurodevelopmental levels of preterms.•Nurses should use various initiatives to support the preterms' neurodevelopment.•The application has positive effects on the neurodevelopmental care of preterms.•The application reduced the stress parameters of preterms.•The application can be used by nurses to support neurodevelopment of preterms.</description><identifier>ISSN: 0882-5963</identifier><identifier>EISSN: 1532-8449</identifier><identifier>DOI: 10.1016/j.pedn.2021.10.003</identifier><identifier>PMID: 34702595</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Comfort ; Developmental care ; Heart Rate ; Heartbeat ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; NICU ; Pain ; PIPP ; Preterm ; Turkey ; Vital Signs</subject><ispartof>Journal of pediatric nursing, 2022-01, Vol.62, p.e170-e177</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. 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However, the mean SaO2 increased significantly during the application (p &lt; .003) in the experiment group; and that the PIPP total score decreased statistically significantly (p: 0.001) after the application. The comfort scale total score averages of the preterms in both groups decreased statistically significantly after the application (experiment:p &lt; .01; control:p &lt; .05). Preterms in both groups had similar indicators. 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subjects Comfort
Developmental care
Heart Rate
Heartbeat
Humans
Infant
Infant, Newborn
Infant, Premature
NICU
Pain
PIPP
Preterm
Turkey
Vital Signs
title The effect of simulative heartbeat nest used in preterm new-borns on vital signs, pain, and comfort in Turkey: A randomized controlled study
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