Yenidoğanlarda uygulanan masaj ve ayak refleksolojisinin uyku üzerine etkisi
Küçük Resim Yok
Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu araştırma prematüre bebeklere uygulanan masaj ve ayak refleksolojisinin uyku üzerine etkisini incelemek amacıyla yapılmıştır. Materyal ve Metot: Araştırma randomize kontrollü deneysel tasarımda yapılmıştır. Araştırmanın evrenini İç Anadolu Bölgesinde yer alan bir hastanenin Yenidoğan Yoğun Bakım Ünitesine yatan 30-37 gestasyonel haftada olan prematüre bebekler oluşturmaktadır. Araştırmanın örneklemini Masaj grubu (n=36), Ayak refleksoloji grubu (n=36) ve Kontrol grubu (n=36) olmak üzere 108 prematüre bebek oluşturmuştur. Veriler yenidoğan takip formu ve aktigrafi kullanılarak toplanmıştır. Masaj ve Ayak refleksolojisi gruplarına iki gün ard arda günde 2 defa (Sabah:07.00-09.00 ve Akşam:19.00-21.00) 15 dakika uygulama periyodu şeklinde toplamda 4 uygulama yapılmıştır. Kontrol grubuna rutin hemşirelik bakımı dışında herhangi bir girişim uygulanmamıştır. Her grupta ön test ve son test uygulamaları ile yenidoğanların 24 saatlik uykuları aktigrafi ile değerlendirilmiştir. Bulgular: Masaj grubunda yer alan prematüre bebeklerin uyku süresi uygulama öncesine (251 dk) ve kontrol grubuna göre (272 dk) artarken ayak refleksoloji grubunun uyku süresi uygulama öncesine (268 dk) ve kontrol grubuna göre (266 dk) artmıştır (p<0.001). Uyku verimliliği ise uygulama sonrası kontrol grubuna göre daha fazla artarak masaj grubunda %73'e, ayak refleksoloji grubunda %71.8'e yükselmiştir (p<0.001). Ayrıca uygulama sonrası masaj ve ayak refleksoloji grubunda uyanma sayısı ile uyanıklık süresinde kontrol grubuna göre istatistiksel olarak anlamlı bir azalma olmuştur (p<0.001). Sonuç: Araştırma sonucunda, prematüre bebeklerde masaj ve ayak refleksoloji uygulamasının uyku süresi ile uyku verimliliğini arttırdığı, uyanıklık süresi ve uyanıklık sayısını azalttığı tespit edilmiştir ve uyku yönetiminde etkili non-farmokolojik yöntemler olduğu bulunmuştur. Anahtar Kelimeler: Yenidoğan, masaj, ayak refleksoloji, uyku
Aim: This study was conducted to investigate the effects of massage and reflexology on sleep in premature infants. Material and Method: The research was conducted in a randomized controlled experimental design. The population of the study consists of premature infants at 30-37 weeks of gestation who were admitted to the neonatal intensive care unit of a hospital in the Central Anatolia region. The sample of the study consisted of 108 premature infants: Massage group (n = 36), Foot reflexology group (n = 36), and Control group (n = 36). Data were collected using the neonatal follow-up form and actigraphy. The massage and reflexology groups received a total of 4 applications on two consecutive days, twice a day (morning: 07:00-09:00 and evening: 19:00-21:00) in a 15-minute application period. The control group received no intervention other than routine care. In each group, pre-test and post-test applications were performed and the 24-hour sleep of the newborns was evaluated by actigraphy. Results: The sleep duration of the premature infants in the massage group increased compared to the pretreatment group (251 min) and the control group (272 min), while the sleep duration of the foot reflexology group increased compared to the pretreatment group (268 min) and control group (266 min) (p<0.001). Sleep efficiency increased more than the control group after the intervention and increased to 73% in the massage group and 71.8% in the foot reflexology group (p<0.001). In addition, there was a statistically significant decrease in the number of awakenings and wakefulness time in the massage and foot reflexology group after the application compared to the control group (p<0.001). Conclusion: As a result of the study, massage and foot reflexology were found to increase sleep duration and sleep efficiency, decrease wake time and number of awakenings, and were found to be effective non-pharmacological methods of sleep management in premature infants. Keywords: Newborn, massage, foot reflexology, sleep
Aim: This study was conducted to investigate the effects of massage and reflexology on sleep in premature infants. Material and Method: The research was conducted in a randomized controlled experimental design. The population of the study consists of premature infants at 30-37 weeks of gestation who were admitted to the neonatal intensive care unit of a hospital in the Central Anatolia region. The sample of the study consisted of 108 premature infants: Massage group (n = 36), Foot reflexology group (n = 36), and Control group (n = 36). Data were collected using the neonatal follow-up form and actigraphy. The massage and reflexology groups received a total of 4 applications on two consecutive days, twice a day (morning: 07:00-09:00 and evening: 19:00-21:00) in a 15-minute application period. The control group received no intervention other than routine care. In each group, pre-test and post-test applications were performed and the 24-hour sleep of the newborns was evaluated by actigraphy. Results: The sleep duration of the premature infants in the massage group increased compared to the pretreatment group (251 min) and the control group (272 min), while the sleep duration of the foot reflexology group increased compared to the pretreatment group (268 min) and control group (266 min) (p<0.001). Sleep efficiency increased more than the control group after the intervention and increased to 73% in the massage group and 71.8% in the foot reflexology group (p<0.001). In addition, there was a statistically significant decrease in the number of awakenings and wakefulness time in the massage and foot reflexology group after the application compared to the control group (p<0.001). Conclusion: As a result of the study, massage and foot reflexology were found to increase sleep duration and sleep efficiency, decrease wake time and number of awakenings, and were found to be effective non-pharmacological methods of sleep management in premature infants. Keywords: Newborn, massage, foot reflexology, sleep
Açıklama
Sağlık Bilimleri Enstitüsü, Hemşirelik Ana Bilim Dalı, Çocuk Sağlığı ve Hastalıkları Hemşireliği Bilim Dalı
Anahtar Kelimeler
Hemşirelik, Nursing
