Effects of a supportive care bundle on sleep variables of preterm infants during hospitalization

doi:10.1002/nur.21865

機構典藏 > College of Sciences > Graduate Institute & Department of Mathematics > Journal Article > Item 987654321/115977

Please use this identifier to cite or link to this item: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/115977

Title:	Effects of a supportive care bundle on sleep variables of preterm infants during hospitalization
Authors:	Hsiang‐Yun Lan;Luke Yang;Kao-Hsian Hsieh;Ti Yin;Yue-Cune Chang;Jen-Jiuan Liaw
Keywords:	actigraphy;preterm infants;sleep variables;supportive care bundle;neonatal care
Date:	2018-04-20
Issue Date:	2019-03-14 12:11:00 (UTC+8)
Abstract:	Sleep is important for preterm infants' brain development, but they are frequently exposed to painful procedures in the neonatal intensive care unit (NICU) that disturb their sleep cycle and affect their growth. The purpose of this study was to examine the prolonged effects of a supportive care bundle (modulation of the infants' states, non‐nutritive sucking, facilitated tucking, and oral sucrose feeding) on preterm infants' sleep variables (sleep efficiency, total sleep time, sleep latency, and frequency of wake bouts) during hospitalization. The team recruited 65 preterm infants (gestational age at birth 28‐36 weeks, average birth weight 1,652 g) from a Level III NICU at a medical center in Taiwan. Infants were randomly assigned to one of two treatment conditions to be administered while receiving intrusive procedures: (1) control condition (usual care, including routine procedures, positioning, and gentle touch); or (2) intervention condition in which the supportive care bundle was added to usual care. Sleep variables were measured using actigraphy for a baseline of three continuous days on the 6th to 8th days after birth and again for 3 continuous days when infants weighed ≧1,950 g. Two forms of generalized estimating equation analyses with control of significant covariates were used for data analysis. The supportive care bundle not only significantly increased sleep efficiency and total sleep time but also significantly decreased duration of sleep latency and frequency of wake bouts. These results provide evidence to support the incorporation of the supportive care bundle into NICU clinical practice during intrusive procedures.
Relation:	Research in Nursing & Health 41(3), p.281-291
DOI:	10.1002/nur.21865
Appears in Collections:	[Graduate Institute & Department of Mathematics] Journal Article

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