Nazal cpap uygulama sırasında terapötik dokunma ve anne sesinin ağrı ve konfor üzerine etkisinin incelenmesi
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Dosyalar
Tarih
2020
Yazarlar
Dergi Başlığı
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Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Araştırma preterm yenidoğanlarda nazal cpap uygulama sırasında terapötik dokunma ve anne sesinin ağrı ve konfor üzerine etkisini incelemek amacıyla yapıldı. Materyal ve Metot: Araştırma Nisan 2019- Ağustos 2020 tarihleri arasında Gaziantep Cengiz Gökçek Kadın Doğum ve Çocuk Hastanesi, yenidoğan yoğun bakım ünitelerinde nazal cpap alan 28-37 haftalık 124 preterm yenidoğanda randomize kontrollü olarak yapıldı. Bebeklere anne sesi, terapötik dokunma, anne sesi + terapötik dokunma uygulandı. Kontrol grubundaki bebeklere herhangi bir girişim uygulanmadı. İşlem öncesi, sırası ve sonrası NIPS Ağrı puanı ve PBKÖ puanı ölçüldü. Veriler " Girişim Takip Formu' na " araştırmacı tarafından kaydedildi. Verileri değerlendirmede yüzdelik, ANOVA, ki kare testi kullanıldı. Bulgular: Preterm yenidoğanlarda uygulanan terapötik dokunma, anne sesi ve anne sesi+terapötik dokunma gruplarının nazal cpap uygulama sırasında ve sonrasında NIPS ağrı ve PBKÖ puan ortalamaları kontrol grubuna göre istatistiksel olarak önemli düzeyde düşük olduğu bulunmuştur (p<0.05). İşlem sırasında ve sonrasında terapötik dokunma ve anne sesi+terapötik dokunma gruplarının benzer NIPS ağrı ve PBKÖ puan ortalamalarına sahip olduğu farkın anne sesi ve kontrol grubundan ve işlem öncesinden kaynaklandığı bulunmuştur. Nazal cpap uygulama sırasında ve sonrasında NIPS ağrı ve PBKÖ puan ortalamalarına sırasıyla terapötik dokunma, anne sesi+terapötik dokunma ve anne sesi etki etmiştir. Sonuç: Çalışmada nazal cpap alan pretermlerde uygulanan anne sesi, terapötik dokunma, anne sesi+ terapötik dokunma uygulamalarının nazal cpap uygulama sırasında ve sonrasında oluşan ağrıyı azaltmada ve bebeğin konforunu artırmada etkili olduğu bulundu. Yapılan uygulamaların pozitif etkilerinden dolayı yenidoğan bakımında kullanılabileceği düşünüldü. Anahtar Kelimeler: Nazal cpap, terapötik dokunma, anne sesi, ağrı, konfor
Aim: The aim of this study was to examine the effect of terapoutic touch and mother voice on preterms with nazal cpap. Materials and Methods: The research was carried out between April 2019 and August 2020 in the 28-37 weeks in the 124 preterm newborns of Gaziantep Cengiz Gökçek Gynecology and Child Hospital where newborn intensive care units received nazal cpap. The newborns that met the study criteria from the specified phase formed the sample of the study. The newborns were given a mother voice, teraupeutic touch and mother voice+ terapeutic touch by the preterm mothers and researcher. No other procedures were administered to the infants in the control group. Pain and comfort level values of the infants were measured using Neonatal infant pain scale (NIPS) and prematüre infant comfort scale before procedures, during procedures and after procedures. The data was recorded by the researcher " Trial Follow- up Form". In the evaluation of the data were used frequency distributions, ANOVA, chi square test. Results: The NIPS pain score and PBKÖ score mean avarege of therapeutic touch, mother voice+therapeutic touch and mother voice in preterm neonates during and after nasal cpap procedures were found to be statistically significantly lower than the control group score avareges (p<0.05). Therapeutic touch and maternal voice+ therapeutic touch groups have similar NIPS pain score and PBKÖ mean scores during and after the procedure. The difference was found to be due to the mother voice and the control group and before the procedure. Therapeutic touch, mother voice+ therapeutic touch and mother voice were found to be effective in NIPS pain score and PBKÖ mean scores during and after nasal cpap procedures, respectively. Conclusions: This study found that there was a significant difference between the pain and comfort levels, the duration of receiving nazal cpap and after procedures were effective in decreasing pain levels and increasing comfort levels. It was thought that due to the possitive effects of the applications could be used in neonatal care. Keywords: Nasal cpap, therapeutic touch, mother voice, pain, comfort level
Aim: The aim of this study was to examine the effect of terapoutic touch and mother voice on preterms with nazal cpap. Materials and Methods: The research was carried out between April 2019 and August 2020 in the 28-37 weeks in the 124 preterm newborns of Gaziantep Cengiz Gökçek Gynecology and Child Hospital where newborn intensive care units received nazal cpap. The newborns that met the study criteria from the specified phase formed the sample of the study. The newborns were given a mother voice, teraupeutic touch and mother voice+ terapeutic touch by the preterm mothers and researcher. No other procedures were administered to the infants in the control group. Pain and comfort level values of the infants were measured using Neonatal infant pain scale (NIPS) and prematüre infant comfort scale before procedures, during procedures and after procedures. The data was recorded by the researcher " Trial Follow- up Form". In the evaluation of the data were used frequency distributions, ANOVA, chi square test. Results: The NIPS pain score and PBKÖ score mean avarege of therapeutic touch, mother voice+therapeutic touch and mother voice in preterm neonates during and after nasal cpap procedures were found to be statistically significantly lower than the control group score avareges (p<0.05). Therapeutic touch and maternal voice+ therapeutic touch groups have similar NIPS pain score and PBKÖ mean scores during and after the procedure. The difference was found to be due to the mother voice and the control group and before the procedure. Therapeutic touch, mother voice+ therapeutic touch and mother voice were found to be effective in NIPS pain score and PBKÖ mean scores during and after nasal cpap procedures, respectively. Conclusions: This study found that there was a significant difference between the pain and comfort levels, the duration of receiving nazal cpap and after procedures were effective in decreasing pain levels and increasing comfort levels. It was thought that due to the possitive effects of the applications could be used in neonatal care. Keywords: Nasal cpap, therapeutic touch, mother voice, pain, comfort level
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Belpınar, A. (2020). Nazal cpap uygulama sırasında terapötik dokunma ve anne sesinin ağrı ve konfor üzerine etkisinin incelenmesi, Yayınlanmış Yüksek Lisans Tezi, İnönü Üniversitesi.
