Effect of Care Package on Duration of Stay and Physiological Parameters in Non-invasive Mechanical Ventilation

Summary

Temporary tachypnea of the newborn can be improved with minimal respiratory support and nursing care given to babies within the first 72 hours of life. Nursing care practices; It includes pain management, aspiration, moistening and warming of the airways, skin care, nutrition, body temperature regulation, positioning and chest physiotherapy practices.

Physiotherapy practices, when applied in accordance with the criteria, can reduce the newborn's respiratory problems and shorten the hospital stay. Although it has been reported that chest physiotherapy practices have a clinically positive effect on newborns, studies in this field are insufficient.

Nowadays, the concept of care package is frequently used, especially in areas where nursing care is very important, such as intensive care. Implementation of care packages in patient care increases the quality of care by ensuring standardization in the clinic. It also contributes to observing improvements in health practices. The positive results of the use of care packages in their application areas and the lack of care package application in babies monitored with temporary tachypnea of the newborn when the literature was scanned have led to the necessity of conducting studies in this field.

The study was planned as a semi-experimental (non-randomized) control group study to examine the effect of the care package applied to babies monitored with temporary tachypnea of the newborn in the neonatal intensive care unit on the duration of stay in noninvasive mechanical ventilation and physiological parameters.

Conditions

• Care

Interventions

BEHAVIORAL

The group to which a care package was applied in addition to the clinical routine care protocol)

Intervention Group: * Immediately after the newborn's admission to the intensive care unit, mechanical ventilation mode, physiological parameters, blood gas results and descriptive characteristics of the baby were recorded in the "Data Collection and Daily Monitoring Form". * In addition to the routine care practices of the clinic (every 3 hours / 8 times a day), the newborn's temporary tachypnea care package was applied. Postural drainage, percussion and vibration were applied 4 times a day for an average of 10-15 minutes. * Mechanical ventilation mode and physiological parameters were recorded one hour after 4 daily maintenance applications. * Blood gas parameters were evaluated immediately before and 1 hour after the newborn was separated from mechanical ventilation. * Physiological parameters were recorded again 1 hour after the first routine nursing care after the newborn was separated from mechanical ventilation.

Sponsors & Collaborators

• Okan University

  lead OTHER

Principal Investigators

• Gülzade Uysal, Assoc. Dr · Okan Üniversitesi

Study Design

Allocation

NON_RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

36 Weeks

Max Age

41 Weeks

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2022-01-30

Primary Completion

2023-10-30

Completion

2023-12-31

Countries

• Turkey (Türkiye)

Study Locations