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Caregiving and positioning effects on preterm infant states over 24 hours in a neonatal unit in Taiwan
Author(s) -
Liaw JenJiuan,
Yang Luke,
Lo Chyi,
Yuh YeongSeng,
Fan HuengChuen,
Chang YueCune,
Chao ShihChing
Publication year - 2012
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.21458
Subject(s) - crying , neonatal intensive care unit , medicine , gestational age , quiet , sleep (system call) , pediatrics , prospective cohort study , psychology , developmental psychology , pregnancy , psychiatry , surgery , physics , quantum mechanics , biology , computer science , genetics , operating system
Abstract In this prospective, descriptive study, we used a repeated‐measures design to explore the 24‐hour effects of caregiving and positioning on preterm infants' states and the factors associated with state changes. Thirty preterm infants (gestational age 27.6–36.1 weeks) were observed for 3 days in the neonatal intensive care unit to record six states: quiet sleep (QS), active sleep, transition, active awake, quiet awake, and fussy or crying. The occurrences of QS increased when infants received no caregiving, social interaction, non‐nutritive sucking (NNS), and were laterally positioned. However, QS significantly decreased and fussy or crying state increased when infants received routine and intrusive caregiving. These results suggest that caregiving, NNS, and positioning should be appropriately provided to facilitate infants' sleep, and reduce fussiness or crying. © 2011 Wiley Periodicals, Inc. Res Nurs Health 35:132–145, 2012