The beneficial effects of the hammock positioning on preterm newborn infants admitted to the neonatal intensive care unit
DOI:
https://doi.org/10.17696/2318-3691.28.1.2021.1708Keywords:
nfant; Newborn; Infant; Premature; Patient Positioning; Physical Therapy ModalitiesAbstract
Introduction: Preterm newborn infants (PTNB) admitted to neonatal intensive care are exposed to several factors that lead to excessive stimulation leading to stress. Proper positioning can minimize harmful effects in these patients. Objective: To analyze the effects of the hammock positioning on the vital signs and pain level of PTNB. Methods: This was a retrospective, descriptive study carried out at the Hospital Universitário Regional dos Campos Gerais, in the city of Ponta Grossa, Paraná State, using data collected from October 2014 to November 2015. Data were included from a control spreadsheet used by physiotherapists, the Neonatal Infant Pain Scale, to monitor vital signs and pain, ofpreterm newborn infants positioned in a hammock. We studied 20 preterm newborns infants admitted to the neonatal intensive care unit. Data was collected just before and 30 min after hammock positioning. Heart rate (HR) and respiratory rate (RR), peripheral oxygen saturation, and pain were analyzed before and after hammock positioning. There was a significant reduction in heart rate, 160 (18.6) bpm and after 142.7 (11.9) bpm (p <0.001), and respiratory rate before 46.2 (8.5) ipm and after 42,7 (7.9) ipm (p <0.05), and pain level before 1 (0-2,5) points and after 0 (0-0) point (p <0.001), and increased saturation peripheral oxygen 96.98% (2.08) and after positioning 98.56% (1.04) (p <0.001). Conclusion: Hammock positioning reduces heart rate, respiratory rate, and pain level and increases peripheral oxygen saturation. Therefore, it is an ideal positioning for PTNB.References
Pinto EF, Silva IL, Cardoso F, Beresford H. O estresse no neonato pré-termo: uma reflexão axiológica acerca de possíveis influências dos fatores sensório-ambientais em unidades de terapia intensiva neonatal. Fit Perf J [periodic na Internet]. 2008 [acesso em: 2017 abr 29];7(5):345-51.DOI: /10.3900/fpj.7.5.345.e.
Azevedo VMGO, David RB, Xavier CC. Cuidado mãe canguru em recém-nascidos pré-termo sob suporte ventilatório:avaliação dos estados comportamentais. RevBras Saúde MaternInfant [periódico na Internet]. 2011; [acesso em: 2017 abr 03];11(2):133-138.DOI: http://dx.doi.org/10.1590/S1519-38292011000200004
Farias GRB. Análise dos comportamentos de aproximação e retraimento de pré-termos de risco evidenciados em uma unidade de terapia intensiva neonatal [dissertação]. Belém: Universidade Federal do Pará. Centro de Filosofia e Ciências Humanas, Programa de Pós-Graduação em Teoria e Pesquisa do Comportamento; 2006.
Zarem C, Crapnell T, Tiltges L, Madlinger L, Reynolds L, Lukas K, et al. Neonatal nurses’ and therapists’ perceptions of positioning for preterm infants in the neonatal intensive care unit. Neonatal Netw [periódico na Internet]. 2013 [acesso em: 2016 set 25];32(2):110-6. DOI: http://dx.doi.org/10.1891/0730-0832.32.2.110.
Silva APP, Formiga CKMR. Perfil e características do trabalho dos fisioterapeutas atuantes em unidade de terapia intensiva neonatal na cidade de Goiânia – GO. Rev Movimenta. 2010;3(2):62-8.
Lino LH, Coelho PG, Fonseca FLA, Filipini R. Os benefícios da rede de balanço em incubadoras utilizadas em recém-nascidos na UTI neonatal: uma estratégia de humanização. Enfermagem Rev. 2015;18(1):88-100.
Bezerra IFD, Torres VB, Lopes JM, Baroni MP, Pereira SA.Assessment of the influence of the hammock on neuromotor development in nursingfull-term infants. J Human Growth Develop. 2014;24(1):106-11.
Guinsburg R, Cuenca MC.A linguagem da dor no recém-nascido [monografia na Internet]. São Paulo: Sociedade Brasileira de Pediatria; 2010 [acesso em 2016 Jun 9]. Disponível em: http://www.sbp.com.br/pdfs/doc_linguagem-da-dor-out2010.pdf
Knobel E. Condutas no paciente grave. 3 ed. São Paulo: Atheneu; 2006.
Prado C, Vale LA. Fisioterapia neonatal e pediátrica. Barueri: Manole; 2012.
Jesus VR, Oliveira PMN, Azevedo VMGO. Effects of hammock positioning in behavioral status, vital signs, and pain in preterms: a case series study. Braz J Phys Ther [periodico na Internet]. 2018 [acesso em: 2020 mar 14];22(4):304-9. DOI: https:/doi.org/10.1016/j.bjpt.2018.03.002.
Keller A, Arbel N, Merlob P, Davidson S. Neurobehavioral and autonomic effects of hammock positioning in infants with very low birth weight. Pediatr Phys Ther [periodic na Internet]. 2003 [acesso em: 2016 jul 23];15(1):3-7. doi: 10.1097/01.PEP.0000049507.48347.26
Bottos M, Pettenazzo A, Giancola G, Stefani D, Pettena G, Viscolani B, et al. The effect of a ‘containing’ position in a hammock versus the supine position on the cutaneous oxygen level in premature and term babies.Early Hum Dev [periodic na Internet]. 1985 [acesso em: 2016 ago 15];11(3-4):265-73. DOI: https://doi.org/10.1016/0378-3782(85)90080-5
Zanardo V, Trevisanuto D, Dani C, Bottos M, Guglielmi, Cantarutti F. Oxygen saturation in premature neonates with bronchopulmonry dysplasia in a hammock. BiolNeonate [periódico na Internet].1995 [acesso em: 2016 jul 23];67(1):54-8. DOI: https://doi.org/10.1159/000244143
Fernandes PTS. A influência do posicionamento em “hammock” no desenvolvimento neuromotor de recém-nascidos pré-termo [dissertação]. Uberaba: Universidade Federal do Triângulo Mineiro; 2011.
Formiga CKMR, Pedrazzani ES, Tudella E. Intervenção precoce em bebês de risco. São Paulo: Atheneu; 2010.
Nicolau CM, Pigo JDC, Bueno M. Falcão MC. Avaliação da dor em recém-nascidos prematuros durante a fisioterapia respiratória. RevBras Saúde MaternInfant [periódico na Internet]. 2008 [acesso em: 2016 ago 17];8(3): 285-90. http://dx.doi.org/10.1590/S1519-38292008000300007.
Veja JM, Luque A, Sarmento GJV, Moderno LFO. Tratado de fisioterapia hospitalar: assistência integral ao paciente. São Paulo: Atheneu; 2012.
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