Comparison of Coconut and Sunflower Oil Application in Preserving Babies' Skin Integrity
Condition: Skin Care
Study type: Interventional

Summary: 
      This study was planned to examine the effects of coconut and sunflower oils applied to the
      skin of newborns on the daily fluid intake and output of the baby, the weight gain/decrease
      status and skin integrity.
    

Detailed description: 
      Although there is no consensus on the use of products in daily skin care to maintain the skin
      integrity of newborns, many products are used. These products; mustard, sunflower, sesame,
      coconut, olive, soybean, palm oils, ointment (Auqophor), cream (Eucerin) and moisturizers. It
      is stated that these products prevent skin drying and fissures, maintain skin integrity, and
      reduce transepidermal fluid loss (Vaseline).

      Sunflower oil accelerates the maturation of the skin barrier, there is less weight loss in
      newborns younger than 35 weeks of gestation who are massaged with sunflower oil compared to
      the control group, the incidence of nosocomial infections in newborns who receive skin care
      with sunflower oil is lower than the control group, sunflower oil protects the newborn from
      infections, olive oil, more effective than oils such as soybean oil and mustard oil; In
      another study, it was determined that skin care applied to preterm newborns with sunflower
      oil reduced mortality by 26%, the duration of hospitalization was shorter in newborns treated
      with sunflower oil than the control group, and regular use of moisturizers had no effect on
      the incidence of infection. Recently, it has been reported that topical application of
      coconut oil is safe and feasible in very preterm infants and has beneficial effects on skin
      condition and recovery of infants. In a systematic review of randomized studies evaluating
      the effects of topical coconut oil in preterm infants, it was emphasized that in general,
      transepidermal fluid loss and infection rate were reduced in infants in the coconut oil
      group, the growth and skin integrity of the infants were better, and no significant side
      effects were experienced. In a study comparing coconut and carrot oils, it was stated that
      the skin flora and barrier function were better in babies using coconut oil.

      Comparison of the application of Coconut and Sunflower Oil in the preservation of skin
      integrity, the amount of fluid ingested/extracted daily, and weight gain/decrease in infants
      hospitalized in the Neonatal Intensive Care Unit.
    

Intervention name(s): Coconut oil skin care group
Intervention type(s): Other
Intervention description(s): No special technique was used for sample selection, random sample selection will be made. In the evaluation made according to the large effect size, the number of samples determined for Power: 0.80, :0.20 and :0.05 was determined as 66, with a minimum of 22 for each group. Calculations were made in computer environment using Power analysis (G*Power 3.1.9.2) program. Random selection method will be used while creating research groups. Coconut oil, sunflower oil and control groups will be formed according to the order of admission to the unit. E.g; Coconut oil is planned for the first hospitalized newborn, sunflower oil for the second newborn, and third hospitalized newborn control group. This order will be repeated until a sufficient number of cases is reached when the newborns are included in the groups.
Other intervention name(s): sunflower oil skin care group
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized Controlled Trial
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: Coconut oil; Sunflower oil; neonatal; Neonatal Intensive Care Unit; skin care