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Preterm infants' biobehavioral responses to caregiving and positioning over 24 hours in a neonatal unit in Taiwan
Author(s) -
Liaw JenJiuan,
Yang Luke,
Hua YiMing,
Chang PeiWen,
Teng Chi Chen,
Li ChiaChi
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.21499
Subject(s) - intrusiveness , supine position , medicine , oxygen saturation , gestational age , pediatrics , psychology , developmental psychology , pregnancy , anesthesia , chemistry , organic chemistry , biology , oxygen , genetics
This prospective, descriptive study used a repeated‐measures design to explore preterm infants' biobehavioral responses to 24‐hour neonatal caregiving and positioning, and the factors associated with changes in their biobehavioral responses. Thirty preterm infants (gestational age 27.6–36.1 weeks) were observed for 3 days to record biobehavioral responses. Infants' disorganized behaviors increased as caregiving intrusiveness and supine positioning increased. Social interactions did not lead to increases in infants' disorganized behaviors, but to increased regulatory behaviors. Non‐nutritive sucking (NNS), and prone positioning reduced occurrences of infant disorganized behaviors. Routine caregiving increased instability of oxygen saturation, but lateral and prone positioning improved physiological stability. Clinicians can appropriately provide NNS, positioning, and social interactions to promote biobehavioral stability. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:634–646, 2012