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    Comparison of two different Nasal Interfaces used in Non-Invasive Respiratory support in terms of Neonate comfort
    (Malawi Medical Journal, 2024) Deveci M.F.; Dag Y.S.; Alagoz M.; Yasar S.; Yayan E.H.; Gokce I.K.; Ozdemir R.
    Background Non-Invasive Ventilation (NIV) is the first choice approach in neonates with sufficient respiratory effort that require respiratory support. The type of nasal interface used in NIV affects both efficacy and patient comfort. The aim of this study is to investigate the effects of different nasal interfaces used in NIV support on neonatal patient comfort. Methods Our study evaluated patients who received NIV support for 24 hours. The patients were randomly divided into two groups according to the type of nasal interface used, which were RAM cannula and short binasal prong (SBP). The patients’ demographic and clinical data were noted. Their sleep was monitored for 24 hours with an actigraphy device. Results A total of 82 patients were evaluated. The sleep efficiency in the RAM cannula group was significantly higher (respectively, 65.7% [10.22-95.25] vs. 57.81% [2.49-77], p=0.004). Although not statistically significant, the neonates in the RAM cannula group exhibited longer total sleep time (respectively, 10.4 ± 4.28 hours vs. 9.02 ± 3.73 hours, p=0.161). Comparison of heart rates and respiratory rates indicate that the patients in the RAM cannula group were more comfortable. Conclusions Our study found that infants who received NIV support through a RAM cannula experienced more efficient sleep. Holistic approaches in neonatal intensive care units are vital for better neurodevelopmental outcomes in newborns. Although non-invasive, the interface used in NIV should also be a part of this holistic approach. © 2024 Kamuzu University of Health Sciences.
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    The effect of massage, wipe bathing and tub bathing on physiological measurements of late premature newborns: A randomized controlled trial
    (Elsevier Ltd, 2022) Suna Dağ Y.; Yayan E.H.; Özdemir R.
    Objective: The aim of this randomized experimental study is to analyze the effect of massage, wipe bathing and tub bathing on physiological measurements of late premature newborns. Design: and Methods: This randomized experimental study was conducted on 192 newborns at the gestational week of 34 or higher in the neonatal intensive care unit of a university hospital. The researchers applied massage (n: 48), tub bathing (n: 48), and wipe bathing (n: 48) to the newborns. The control group (n: 48) received no intervention except for the routine clinical practices. The newborns' physiological measurements before, immediately after and 30 min after the interventions were taken and recorded on the “Newborn Follow-up Form.” The newborns’ physiological measurements were assessed by independent evaluators who were blinded to the purpose of the study at different phases across the massage, wipe bathing and tub bathing protocols. The statistical analysis was performed using percentages, means, repeated analysis, variance analysis, Bonferroni analysis. Results: No difference was found in the massage, wipe bathing, tub bathing and control groups' mean physiological measurements (pulse, respiration, oxygen saturation, blood pressure, body temperature) (p > 0.05). © 2021
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    The effects of massage and white noise on physiological parameters of preterm infants: A randomized controlled research
    (Elsevier Ltd, 2023) Düken M.E.; Yayan E.H.; Arslan Z.
    Purpose: The present research was conducted to find out the effects of massage and white noise on physiological parameters in preterm infants. Material-method: While each preterm infant in the massage group was given massage by the researcher in the morning and evening for three days, the infants in the white noise group listened to white noise in the morning and evening for three days. Standard nursing care was provided for three days in the control group. Physiological parameters of the preterm infants in all of the groups on the first, second and third days were recorded by the researcher before the procedure. Following the interventions to preterm infants by the researcher, peak heart rate, respiratory rate and oxygen saturation data were recorded. Results: Significant difference was found between the first, second and third day peak heart rate, respiratory rate and oxygen saturation values of the preterm infants in the massage and white noise group when compared with the control group. No significant difference was found between the white noise and massage group. In the temporal analysis of the massage and white noise group, a decrease was found in peak heart rate and respiratory rate, while an increase was found in oxygen saturation values. Conclusion: Massage and white noise were found to be effective on physiological parameters of preterm infants. It was found that in the neonatal intensive care unit, nurses can prefer massage or white noise methods in healing physiological parameters of preterm infants. © 2023 Neonatal Nurses Association