The Effect of Diaper Change Position on Preterm Infants
Condition: Infant, Premature, Diseases
MeSH terms: Infant, Premature, Diseases
Study type: Interventional

Summary: 
      The purpose of this study is to determine the effect of diaper change position on neonatal
      comfort and heart rate, respiratory rate and oxygen saturation in preterm infants.
    

Detailed description: 
      This study was planned as a randomized controlled prospective trial until reaching the entire
      sample group specified in the Neonatal Intensive Care Units (NICU) in a private hospital that
      has other branches in Istanbul.

      During the data collection process, two methods will be applied to preterm infants during
      diaper change.

      In the control group of the study, diaper change will be performed after the legs of the
      babies are brought to extension, and in the experimental group, the diaper change will be
      performed after the legs of the babies are brought closer to the abdomen by maintaining their
      flexion. Data on the babies' heart rate, respiratory rate, oxygen saturation and comfort
      level will be collected using the Premature Infant Comfort Scale before, during, immediately
      after and 3 minutes after the procedure.

      The researchers will collect the data by using a form that questions individual
      characteristics and includes records of heart rate, respiratory rate and oxygen saturation
      and Premature Infant Comfort.
    

Intervention name(s): Control (Extended leg position) Group; Experimental (Legs are flexed toward abdomen) Group
Intervention type(s): Procedure; Procedure
Intervention description(s): Common procedure steps -Legal representatives of the infants will sign an informed consent form. Materials (soap, napkin, non-sterile gloves, diaper, wet cotton towels for newborns, waste container, diaper change mat) will be prepared.
Hands will be washed and gloves will be worn. Tapes of the infant's dirty diaper will be opened.
For the Control Group
-The infant will be grasped on the legs, the legs will be given extension position and lifted up.
The dirty diaper will be folded in two and the perineum area will be wiped with a wet cotton towel from the front to the back.
The infant's feet will be freed. The dirty diaper will be removed and thrown into the general waste bin. The used gloves will be removed.
The infant's legs will be given in extension position and a clean diaper will be placed under them.
Tapes of the clean diaper will be fastened. Hands will be washed after the procedure Data will be collected before, during, after and 3 minutes after application.; Procedure steps for the Experimental Group
Common procedure steps
The infant will be grasped on the legs; the legs will be kept in the flexion position and approached toward the abdomen.
The dirty diaper will be folded in two and the perineum area will be wiped with a wet cotton towel from the front to the back.
The infant's feet will be freed.
The dirty diaper will be removed and thrown into the general waste bin. The used gloves will be removed and thrown into the medical waste bin.
The infant's legs will be kept in the flexion position and a clean diaper will be placed under them. A bottom care plan will be applied in line with the treatment plan, if necessary.
Tapes of the clean diaper will be fastened.
Hands will be washed after the procedure.
Data will be collected immediately before, during, immediately after and 3 minutes after the end of application.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: preterm; diaper change; comfort; position