Effects of therapeutic touch in preterm infants receiving nasal CPAP: A pilot trial
DOI:
https://doi.org/10.15649/cuidarte.2356Keywords:
Therapeutic Touch, Infant, Premature, Continuous Positive Airway Pressure, Adaptation, Child Development, Neonatal NursingAbstract
Introduction: Premature newborns have an immature cardiorespiratory system that hinders adaptation to the extrauterine environment. This leads to multiple complications which require interventions to improve ventilation and gas exchange, like oxygenating using therapeutic support devices such as continuous positive airway pressure or CPAP. Objective: To determine the effect of therapeutic touch on preterm newborns’ adaptation to CPAP. Materials and methods: This is a quasi-experimental study, with a sample of 13 PTNB who underwent therapeutic touch for 15 minutes in 2 daily sessions (6 am and 8 pm), with pre- and post-assessment of NOC “Preterm Infant Organization.” Descriptive analysis was performed. Results: The participants were allocated to the control group and the intervention group in a similar way. Pre- and post-intervention changes were observed, but especially in the hand posture indicator, with a difference between both groups of 0.74 with a p-value of 0.006. Conclusions: The practice of therapeutic touch with RNPT receiving nasal CPAP allows for improving the comfort of the RNPT through physiological and neurobehavioral indicators.
How to cite this article: Valero Cárdenas Zayda Katherine, Santisteban Pérez Diego Fernando, Fernández Solano Dayana Katherine, Ojeda Olarte Anny Natalia, Carreño Porras Silvia Juliana, Villamizar Carvajal Beatriz, Sánchez Rodríguez Javier Mauricio. Efectos del tacto terapéutico en el recién nacido prematuro con CPAP nasal: una prueba piloto. Revista Cuidarte. 2022;13(3):e2356. http://dx.doi.org/10.15649/cuidarte.2356
References
Rodríguez Sánchez JR, Aguayo Cuevas C, Galdames Cabrera L. Desarrollo del conocimiento de enfermería, en busca del cuidado profesional. Relación con la teoría crítica. Rev Cubana Enferm. 2017; 33 (3). https://repositorio.uc.cl/xmlui/bitstream/handle/11534/37271/Desarrollo%20del%20conocimiento%20de%20enfermeri%CC%81a,%20en%20busca%20del%20cuidado%20profesional.%20relacio%CC%81n%20con%20la%20teori%CC%81a%20cri%CC%81tica.pdf
Daus M. Enfermería neonatal, intervención y estimulación temprana: un camino conjunto para el cuidado del crecimiento y el desarrollo. Enfermería Neonatal. 2017; 9(23): 21-26. https://www.researchgate.net/publication/325631445_Enfermeria_neonatal_intervencion_y_estimulacion_temprana_un_camino_conjunto_para_el_cuidado_del_crecimiento_y_el_desarrollo
Canizzaro CM, Paladino MA. Fisiología y fisopatología de la adaptación neonatal. Anest. Analg. Reanim. 2011; 24(2): 59-74. http://www.scielo.edu.uy/pdf/aar/v24n2/v24n2a04.pdf
OMS. Nacimientos prematuros. 2018. https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth
López-García B, Antonio Ávalos N, Gómez Díaz NB. Incidencia de prematuros en el Hospital General Naval de Alta Especialidad 2015-2017. Rev Sanid Milit. 2018; 72(1): 19-23. http://www.scielo.org.mx/pdf/rsm/v72n1/0301-696X-rsm-72-01-19.pdf
Mendoza LA, Claros DI, Mendoza LI, Arias MD, Peñaranda CB. Epidemiología de la prematuridad, sus determinantes y prevención del parto prematuro. Rev Chil Obstet Ginecol. 2016;81(4): 330-342. https://scielo.conicyt.cl/pdf/rchog/v81n4/art12.pdf
Vargas AP, Torra-Barajas OL, Jácome-Pérez N, Ramírez CJ. Prevalencia del trastorno succión-deglución en neonatos pretérmino nacidos en el Hospital Universitario de Santander durante. 2016. MÉDICAS UIS. 2017; 30(3): 73-81. http://www.scielo.org.co/pdf/muis/v30n3/0121-0319-muis-30-03-00073.pdf
Reyes MC, Restrepo NC, Alfonso O, Niño ME. Complicaciones respiratorias y metabólicas de los niños recién nacidos pretérmino tradío hospitalizados en la unidad de recién nacidos de la clínica universitaria Colombia entre 2011 y 2014. Revista Medica Sanitas. 2018; 21(3): 103-109. https://revistas.unisanitas.edu.co/index.php/rms/article/view/347
Sellán MC, Sellán A. Cuidados neonatales en enfermería. España: Elsevier; 2017. https://books.google.com.co/books?hl=es&lr=&id=MvSfDgAAQBAJ&oi=fnd&pg=PP1&dq=Cuidados+neonatales+en+enfermer%C3%ADa.&ots=2qtvR3EWN-&sig=AQCutPJMytkgiXyRF6b1WrrZeq8#v=onepage&q=Cuidados%20neonatales%20en%20enfermer%C3%ADa.&f=false
Pupo L, Maceo SE, Alonso RM, Amador R, Sánchez K, Santa Cruz MI. Caracterización de la ventilación neonatal en el Servicio de Neonatología del Hospital Ginecobstétrico de Guanabacoa. Rev Chil Obstet Ginecol. 2017; 43(1). http://scielo.sld.cu/pdf/gin/v43n1/gin05117.pdf
Sánchez AM, Elorza D, Pérez J. Ventilación mecánica no invasiva. Presión positiva continua en la vía aérea y ventilación nasal. An Peadiatr Contin. 2009; 7(1): 16-23. https://www.elsevier.es/es-revista-anales-pediatria-continuada-51-pdf-S1696281809704469
Fernández ER. Cuidados centrados en el Neurodesarrollo del recién nacido prematuro hospitalizado. Rev. Enferm. CyL. 2016; 8(1): 61-70. http://www.revistaenfermeriacyl.com/index.php/revistaenfermeriacyl/article/view/177
Sánchez-Rodríguez G, Quintero-Villegas LJ, Rodríguez-Camelo G, Nieto-Sanjuanero A, Rodríguez-Balderrama I. Disminución del estrés del prematuro para promover su neurodesarrollo: nuevo enfoque terapéutico. Med. Univer. 2010; 12 (48): 176-180. https://www.elsevier.es/en-revista-medicina-universitaria-304-pdf-X1665579610559233
Sun Y, Zhang J, Chen X, Yang Y, Qiu J, Lu K-y, et al. Effectiveness of Gentle Human Touch for Pain Control During Examination for Retinopathy of Pre-maturity: A Randomized Controlled Trial. Front. Pediatr. 2020; 8. https://doi.org/10.3389/fped.2020.608378
BB Bijari, Iranmanesh S, Eshghi F, Baneshi MR. Gentle Human Touch and Yakson: The Effect on Preterm's Behavioral Reactions. ISRN Nur. 2012 Jun 25. https://dx.doi.org/10.5402%2F2012%2F750363
Fatollahzade M, Parvizy S, Kashaki M, Haghani H, Alinejad-Naeini M. The effect of gentle human touch during endotracheal suctioning on procedural pain response in preterm infant admitted to neonatal intensive care units: a randomized controlled crossover study. J. Matern-Fetal Neonatal Med. 2020, pp 1-7. https://doi.org/10.1080/14767058.2020.1755649
Herrington CJ, Chiodo LM. Human Touch Effectively and Safely Reduces Pain in the Newborn Intensive Care Unit. Pain Manag Nurs. 2014; 15(1): 107-115. https://doi.org/10.1016/j.pmn.2012.06.007
Sánchez Rodríguez JM, Villamizar Carvajal B, Valero Cárdenas ZK, Santisteban Pérez DF, Fernandez Solano KD, Ojeda Olarte AN, et al. Study Data-set: Effects of therapeutic touch in preterm infants receiving nasal CPAP: A pilot trial. Figshare. 2022. https://doi.org/10.6084/m9.figshare.20440587.v2
Whitley, JA, Rich BL. A double-blind randomized controlled pilot trial examining the safety and efficacy of therapeutic touch in premature infants. Adv Neonatal Care. 2008; 8(6): 315-333. https://doi.org/10.1097/01.anc.0000342764.71864.28
Harrison LL, Williams AK, Berbaum ML, Stem JT, Leeper J. Physiologic and behavioral effects of gentle human touch on preterm infants. Res Nurs Health. 2000; 23(6):435-446. https://doi.org/10.1002/1098-240X(200012)23:6%3C435::AID-NUR3%3E3.0.CO;2-P
Gaspardo CM, Chimello JT, Cugler TS, Martinez FE, Linhares MBM. Pain and tactile stimuli during arterial puncture in preterm neonates. IASP. 2008; 140(1): 58-64. https://doi.org/10.1016/j.pain.2008.07.004
Asadollahi M, Jabraeili M, Mahallei M, Asgari M, Ebrahimi S. Effects of Gentle Human Touch and Field Massage on Urine Cortisol Level in Premature Infants: A Randomized, Controlled Clinical Trial. Int. J. Caring Sci. 2016; 5(3): 187-194. https://pubmed.ncbi.nlm.nih.gov/27752484/#:~:text=Conclusion%3A%20Although%20the%20massage%20with,of%20stress%20in%20preterm%20infants.
Maharani Y, Suwondo A, Sri T, Hadisaputro S, Fatmasari D, Djamaluddin I. The impact of gentle human touch in increasing baby weight, body temperature and pulse stability on preterm baby. BNJ. 2017 3(4):307-315. http://dx.doi.org/10.33546/bnj.153
Dur S, Caglar S, Yildiz NU, Dogan P, Varal IG. The effect of Yakson and Gentle Human Touch methods on pain and physiological parameters in preterm infants during heel lancing. Intensive Crit. Care Nurs. 2020; 61. https://doi.org/10.1016/j.iccn.2020.102886
De la peña I, Ochoa M, Baquero H, Acosta-Reyes J. Índice de perfusión periférica en la UCI neonatal: una respuesta a la monitorización no invasiva del recién nacido crítico. Perinatol Reprod Hum. 2017; 31(2): 85-90. https://doi.org/10.1016/j.rprh.2017.10.015
Published
How to Cite
Issue
Section
Categories
Altmetrics
Downloads
License
Journal Cuidarte, scientific publication of open access, is licensed under a Creative Commons Attribution (CC BY-NC), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Any other form of use such as reproduction, transformation, public communication or distribution, for profit, requires the prior authorization of the University of Santander UDES.
The names and e-mail addresses entered in the Journal Cuidarte will be used exclusively for the purposes stated by this magazine and will not be available for any other purpose or other person.
The articles published in the Journal Cuidarte represent the criteria of their authors and do not necessarily constitute the official opinion of the University of Santander UDES.
