The Effect of Bath Applied in Two Different Sequences on Stress Level and Physiological Parameters in Term Babies

NCT ID: NCT06166485

Last Updated: 2024-01-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

104 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-18

Study Completion Date

2023-09-21

Brief Summary

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In this study, the bath applied to term babies in two different orders (first washing the body and lastly the head, and the classical method in which the whole body is washed starting from the head first), the babies' stress level, physiological parameters (body temperature, pulse, respiration, O2 saturation), procedure time (time of bathing). ) was planned to determine its effect on the calming time of babies.

The effects of two different bathing methods given to healthy and term babies on the babies' stress level, physiological parameters (body temperature, pulse, respiration, O2 saturation), procedure time (bathing time), and calming time of the babies will be compared.

Detailed Description

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The researcher will briefly talk about the scope and content of the research by meeting with the parents of babies who meet the selection criteria to apply the first bath of term and healthy babies before discharge, at the earliest 6 hours after birth.

Healthy, term newborns will be divided into two groups, one group will be washed from body to head, and the other group will be washed from head to body, which is the traditional method. In the study, the stress levels of babies will be obtained by observing the newborns independently by two different observer nurses before, after and after the procedure, using the "Newborn Stress Scale", at the 5th, 15th and 30th minutes. Physiological parameters of the babies will be evaluated before the procedure, during the procedure, and at the 1st, 5th and 15th minutes after the procedure. Bathing will be done by the same person (researcher) for all babies in both the experimental and control groups.

Pulse oximeter and stopwatch will be used to measure physiological parameters (heart rate, oxygen saturation, calming time).

Conditions

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Newborn

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

This study was planned as a randomized controlled experimental study. Computer-assisted randomization will be used to create groups (https://www.randomizer.org/). Power analysis was performed using the G\*Power (v3.1.9) program to determine the sample size. The power of the study is expressed as 1-β (β = probability of type II error) and in general, studies must have 80% power.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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1st group babies where the head is washed first and then the whole body

The effects of washing the head first and then the whole body on the physiological parameters (oxygen level, pulse, body temperature, calming time, stress level) of the first group babies will be examined.

Group Type ACTIVE_COMPARATOR

take a bath

Intervention Type OTHER

The effects of two different bathtub bath methods on physiological parameters will be compared in babies divided into 2 different groups.

2nd group babies, where the whole body is washed first and the head is washed last.

The effects on the physiological parameters (oxygen level, pulse, body temperature, calming time, stress level) of the second group of babies, where the whole body is washed first and the head last, will be examined.

Group Type ACTIVE_COMPARATOR

take a bath

Intervention Type OTHER

The effects of two different bathtub bath methods on physiological parameters will be compared in babies divided into 2 different groups.

Interventions

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take a bath

The effects of two different bathtub bath methods on physiological parameters will be compared in babies divided into 2 different groups.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* The baby's body weight is between 2.5 - 4 kg
* The baby's Apgar score is \>7
* The baby does not have any health problems
* Their parents agree to participate in the study
* Having a healthy term baby.

Exclusion Criteria

* Meconium aspiration etc. washed immediately after birth for various reasons,
* Having various health problems,
* Their parents did not agree to participate in the study,
* Low birth weight and premature babies
Minimum Eligible Age

37 Weeks

Maximum Eligible Age

42 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Istanbul University - Cerrahpasa

OTHER

Sponsor Role lead

Responsible Party

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Ayşe Dilan Koçak

Midwife

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Istanbul University-Cerrahpaşa

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Huang Y, Zhou L, Abdillah H, Hu B, Jiang Y. Effects of swaddled and traditional tub bathing on stress and physiological parameters of preterm infants: A randomized clinical trial in China. J Pediatr Nurs. 2022 May-Jun;64:e154-e158. doi: 10.1016/j.pedn.2021.11.028. Epub 2021 Dec 23.

Reference Type BACKGROUND
PMID: 34953663 (View on PubMed)

Kusari A, Han AM, Virgen CA, Matiz C, Rasmussen M, Friedlander SF, Eichenfield DZ. Evidence-based skin care in preterm infants. Pediatr Dermatol. 2019 Jan;36(1):16-23. doi: 10.1111/pde.13725. Epub 2018 Dec 12.

Reference Type BACKGROUND
PMID: 30548578 (View on PubMed)

Fernandez D, Antolin-Rodriguez R. Bathing a Premature Infant in the Intensive Care Unit: A Systematic Review. J Pediatr Nurs. 2018 Sep-Oct;42:e52-e57. doi: 10.1016/j.pedn.2018.05.002. Epub 2018 May 18.

Reference Type BACKGROUND
PMID: 29779763 (View on PubMed)

Moser WJ, Bilka KR, Vrouwe SQ, Glick JC, Ramaiah V. Running water while bathing is a risk factor for pediatric scald burns. Burns. 2023 Nov;49(7):1714-1718. doi: 10.1016/j.burns.2023.03.014. Epub 2023 Mar 23.

Reference Type BACKGROUND
PMID: 37193613 (View on PubMed)

Ar I, Gozen D. Effects of Underrunning Water Bathing and Immersion Tub Bathing on Vital Signs of Newborn Infants: A Comparative Analysis. Adv Neonatal Care. 2018 Dec;18(6):E3-E12. doi: 10.1097/ANC.0000000000000484.

Reference Type BACKGROUND
PMID: 30507829 (View on PubMed)

Tasdemir HI, Efe E. The effect of tub bathing and sponge bathing on neonatal comfort and physiological parameters in late preterm infants: A randomized controlled trial. Int J Nurs Stud. 2019 Nov;99:103377. doi: 10.1016/j.ijnurstu.2019.06.008. Epub 2019 Jun 21.

Reference Type BACKGROUND
PMID: 31442786 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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IstanbulUCEdu

Identifier Type: -

Identifier Source: org_study_id

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