임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제26권2호
  • /
  • Pages.232-239
  • /
  • 2020
  • /
  • 1598-9186(pISSN)
  • /
  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

폴리에틸렌 랩과 에어캡의 적용이 미숙아의 체온 유지에 미치는 효과

Comparison of the Effect of Applying Polyethylene Wrap and Aircap in Maintaining Body Temperature of Preterm Infants

  • Lee, Eun Sook (Department of Nursing, Wonkwang University Hospital) ;
  • Lee, Han Na (Department of Nursing, Wonkwang University Hospital) ;
  • Park, Ji Hyun (Department of Nursing Wonkwang University)
  • 투고 : 2020.03.31
  • 심사 : 2020.06.23
  • 발행 : 2020.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study was an quasi-experimental study to compare the effect of applying polyethylene wrap and aircap in maintaining body temperature of preterm infants. Methods: The participants were 51 preterm infants. Aircap was applied to the experimental group (n=23) and polyethylene wrap was applied to the control group (n=28) when the preterm infants admitted to neonatal intensive care unit. The data was collected at W hospital in J-province from June 2016 to May 2017. A total of 9 body temperature measurements were taken at 3 hours interval from 5 min to 24 hours after admission. Repeated measure ANOVA, independent t-test and χ2 test were conducted used with SPSS/WIN 24.0 Results: There were no significant difference in the homogeneity tests for general characteristics and dependent variables prior to the experiments (t=0.57, p=.566). There was a significant difference on body temperature of preterm infants over time (F=3.24, p=.020). There was no significant difference on body temperature between polyethylene wrap and aircap application groups (F=1.29, p=.261). The interaction between the group and the time was insignificant (F=1.51, p=.214). Conclusion: The findings demonstrated that both methods of applying polyethylene wrap and aircap on the body in preterm infants had effect in maintaining body temperature.

키워드

참고문헌

  1. Marques LF, Ribeiro RV, Rocha CR, Carreiro MA, Santiago LC. Care to the extreme premature: Minimum handling and humanization. Revista de Pesquisa: Cuidado e Fundamental Online. 2017;9(4):926-930. https://doi.org/10.9789/2175-5361.2017.v9i4.926-630
  2. Shafie H, Syed Zakaria SZ, Adli A, Shareena I, Rohana J. Polyethylene versus cotton cap as an adjunct to body wrap in preterm infants. Pediatrics International. 2017;59(7):776-780. https://doi.org/10.1111/ped.13285
  3. Ha YS, Lee JH, Kim SH, Kim SH, Kim SJ, Kim YY, et al. Child and adolescent nursing. Seoul: Shinkwang Publisher; 2019. p. 25-51.
  4. Biban P, Filipovic-Grcic B, Biarent D, Manzoni P. New cardiopulmonary resuscitation guidelines 2010: Managing the newly born in delivery room. Early Human Development. 2011;87(Suppl 1):S9-S11. https://doi.org/10.1016/j.earlhumdev.2011.01.002
  5. World Health Organization. Pregnancy, childbirth, postpartum and newborn care: A guide for essential practice. 3rd ed. Geneva: World Health Organization; 2015.
  6. Chitty H, Wyllie J. Importance of maintaining the newly born temperature in the normal range from delivery to admission. Seminars in Fetal Neonatal Medicine. 2013;18(6):362-368. https://doi.org/10.1016/j.siny.2013.08.002
  7. Korean Society of Neonatology. Manual of neonatal care. 3rd ed. Seoul: Korean Society of Neonatology; 2014. p. 58-59.
  8. Ahn YM, Sohn M, Kim NH, Kang NR, Kang SY, Jung EM. Hypothermia and related factors in high-risk infants: Child Health Nursing Research. 2017;23(4):505-514. https://doi.org/10.4094/chnr.2017.23.4.505
  9. de Almeida MF, Guinsburg R, Sancho GA, Rosa IR, Lamy ZC, Martinez FE, et al. Hypothermia and early neonatal mortality in preterm infants. Journal of Pediatrics. 2014;164(2):271-275. https://doi.org/10.1016/j.jpeds.2013.09.049
  10. Laptook AR, Salhab W, Bhaskar B. Admission temperature of low birth weight infants: Predictors and associated morbidities. Pediatrics. 2007;119(3):e643-e649. https://doi.org/10.1542/peds.2006-0943
  11. Knobel RB, Holditch-Davis D, Schwartz TA. Optimal body temperature in transitional extremely low birth weight infants using heart rate and temperature as indicators. Journal of Obstetric Gynecologic & Neonatal Nursing. 2010;39(1):3-14. https://doi.org/10.1111/j.1552-6909.2009.01087.x
  12. Vohra S, Reilly M, Rac VE, Bhaloo Z, Zayack D, Wimmer J, et al. Study protocol for multicentre randomized controlled trial of HeLP(Heat Loss Prevention) in the delivery room. Contemporary Clinical Trials. 2013;36(1):54-60. https://doi.org/10.1016/j.cct.2013.06.001
  13. Miller SS, Lee HC, Gould JB. Hypothermia in very low birth weight infants: Distribution, risk factors and outcomes. Journal of Perinatology. 2011;31(Suppl 1):S49-S56. https://doi.org/10.1038/jp.2010.177
  14. Aylott M. The neonatal energy triangle part 1: Metabolic adaptation. Paediatric Nursing. 2006;18(6):38-42. https://doi.org/10.7748/paed.18.6.38.s30
  15. Li S, Guo P, Zou Q, He F, Xu F, Tan L. Efficacy and safety of plastic wrap for prevention of hypothermia after birth and during NICU in preterm infants: A systematic review and meta-analysis. PLoS One. 2016;11(6):e0156960. https://doi.org/10.1371/journal.pone.0156960
  16. Oatley HK, Blencowe H, Lawn JE. The effect of coverings, including plastic bags and wraps, on mortality and morbidity in preterm and full-term neonates. Journal of Perinatology. 2016;36:S83-S89. https://doi.org/10.1038/jp.2016.35
  17. Research Institute of Korean Studies, Korea University. The Korea University Korean dictionary. Seoul: Research Institute of Korean Studies, Korea University; 2009. p. 31-59.
  18. Kim YB, Lee SY, Jeong BR. Analysis of the insulation effectiveness of the thermal insulator by the installation methods. Journal of Bio-environment. 2009:18(4):332-340.
  19. Doctor who saved his life with 'aircap'... born in 24 weeks [Internet]. Seoul: Insight; c2019 [cited 2019 Oct 02]. Available from: https://www.insight.co.kr/news/248826.
  20. Preterm [Internet]. Cheongju: Korea Centers for Disease Control and Prevention, Korean National Health Information Portal; c2016 [cited 2016 Dec 28]. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo /View.do?idx=3170.
  21. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191. https://doi.org/10.3758/BF03193146
  22. Hansen AR, Eichenwald EC, Stark AR, Martin CR. Cloherty and Stark's manual of neonatal care. 8th ed. Philadelphia(PA): Lippincott Williams & Wilkins; 2017. p. 158-171.
  23. Bailey J, Rose P. Axillary and tympanic membrane temperature recording in the preterm neonate: A comparative study. Journal of Advanced Nursing. 2001;34(4):465-474. https://doi.org/10.1046/j.1365-2648.2001.01775.x
  24. Bissinger RL, Annibale DJ. Thermoregulation in very low-birth-weight infants during the golden hour: Results and implications. Advances in Neonatal Care. 2010;10(5):230-238. https://doi.org/10.1097/ANC.0b013e3181f0ae63
  25. Talakoub S, Shahbazifard Z, Armanian AM, Ghazavi Z. Effect of two polyethylene covers in prevention of hypothermia among premature neonates. Iranian Journal of Nursing and Midwifery Research. 2015;20(3):322-326.
  26. Thomassen O, Færevik H, Osteras O, Sunde GA, Zakariassen E, Sandsund M. et al. Comparison of three different prehospital wrapping methods for preventing hypothermia: A crossover study in humans. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2011;19(1):41. https://doi.org/10.1186/1757-7241-19-41
  27. Sakata H, Walsh V, Chambers JP, Bridges J, Sano H. Effect of insulation with bubble wrap and an absorbent pad on heat loss in anaesthetised cats. New Zealand Veterinary Journal. 2020. Forthcoming https://doi.org/10.1080/00480169.2020.1776649
  28. Freeman S, Nelson M. The use of bubble wrap for the management of pre-hospital hypothermia. British Paramedic Journal. 2017;2(3):3-5. https://doi.org/10.29045/14784726.2017.2.3.3