The Effect of Nursing Care Based on Kolcaba Comfort Theory in the Delivery Room

NCT ID: NCT07148570

Last Updated: 2025-08-29

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-25

Study Completion Date

2025-12-11

Brief Summary

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Newborns may experience pain, stress, and physiological changes during and after birth. Appropriate nursing care during this period can reduce negative effects by increasing the baby's comfort. Kolbaba's Comfort Theory aims to provide holistic care by supporting physical, psychological, environmental, and sociocultural comfort. This study aims to investigate the effects of nursing interventions based on Kolcaba's theory on pain, comfort, crying duration, and physiological parameters (heart rate, respiratory rate, SpO₂, body temperature, etc.) in noenates delivered vaginally. The findings aim to reveal the contribution of comfort-focused approaches in noenates care to clinical outcomes.

Detailed Description

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Newborns may experience pain, stress, and physiological changes during and after birth. Appropriate nursing care during this period can reduce negative effects by increasing the baby's comfort. Kolbaba's Comfort Theory aims to provide holistic care by supporting physical, psychological, environmental, and sociocultural comfort. This study aims to investigate the effects of nursing interventions based on Kolcaba's theory on pain, comfort, crying duration, and physiological parameters (heart rate, respiratory rate, SpO₂, body temperature, etc.) in noenates delivered vaginally. The findings aim to reveal the contribution of comfort-focused approaches in noenates care to clinical outcomes.

Kolcaban's Comfort Theory for Care in the Delivery Room

Intervention Group:

1\. Physical sub-dimension; 2. Psychospiritual comfort sub-dimension: White noise playback; skin-to-skin contact; gentle touch; 3. Sociocultural comfort sub-dimension: Family-centered care (providing contact with parents), respect for cultural practices; 4. Care will be provided in accordance with the Environmental Comfort sub-dimension..

Research Population and Sample: The study will be conducted on newborns born vaginally in the maternity ward and whose parents are eligible and agree to participate in the study. Sample: This study will be conducted on newborns selected on a voluntary basis, meeting the inclusion criteria, gestational age 38-42 weeks, 2500-4000 g, and an Apgar score ≥7. Sample Size: The number determined by power analysis, e.g., 60 infants (30 experimental, 30 control).

Study Inclusion Criteria: The baby was born vaginally; the gestational age was 38 weeks or older; the baby had no congenital anomalies; the baby had a Power (1-β err prob); the baby was breathing spontaneously; the baby did not require oxygen support; the baby was a singleton; the baby had an Apgar score between 7 and 10 at the 1st and 5th minutes; The first invasive procedure was the administration of vitamin K and hepatitis B vaccine; the same researcher performed the intramuscular injection on each baby; no assistive equipment was used during birth; and the family agreed to participate in the study.

Conditions

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Comfort Pain

Keywords

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Kolcaba Comfort Theory pain Delivery room

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Experimental, randomised controlled, single-blind study
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Investigators

Study Groups

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Experimental: Participant group

During the implementation process, neonates in the experimental group will receive care in line with Kolcaba's comfort theory throughout their stay in the intensive care unit..

Group Type EXPERIMENTAL

Nursing Care Based on Kolcaba's Comfort Theory

Intervention Type OTHER

Delivery Room Nursing Care Based on Kolcaba's Comfort Theory

Control group

In this study, the control group will receive standard care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Nursing Care Based on Kolcaba's Comfort Theory

Delivery Room Nursing Care Based on Kolcaba's Comfort Theory

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Vaginal delivery newborns in the delivery room
* Spontaneous vaginal delivery
* Stable condition (APGAR ≥7 at 5 minutes)
* No congenital anomalies
* Gestational age ≥37 weeks
* Birth weight ≥2500g
* No maternal sedation/analgesia in last 4 hours
* No neonatal resuscitation required

Exclusion Criteria

* Preterm infants (\<37 weeks)
* Maternal fever (\>38°C) or chorioamnionitis
* Major congenital anomalies
* Need for NICU admission
* Maternal general anesthesia
Minimum Eligible Age

0 Hours

Maximum Eligible Age

4 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Yuzuncu Yıl University

OTHER

Sponsor Role collaborator

Cukurova University

OTHER

Sponsor Role lead

Responsible Party

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Fahri AŞKAN

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Yuzuncu Yıl University

Van, TUŞBA, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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fahri askan, PhD

Role: CONTACT

Phone: +9 04322251180

Email: [email protected]

Facility Contacts

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yuzuncu yıl university van yuzuncu yıl university university, PhD

Role: primary

Other Identifiers

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FASKAN

Identifier Type: -

Identifier Source: org_study_id