Effectiveness of cling wrap upon hypothermia in newborns

Jane Amirtha, Sanjeevi (2013) Effectiveness of cling wrap upon hypothermia in newborns. Masters thesis, Apollo College of Nursing, Chennai.

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Abstract

An Experimental Study to Assess the Effectiveness of Cling Wrap upon Hypothermia in Newborns in Neonatal Intensive Care Unit at Selected Hospitals, Chennai. OBJECTIVES: 1. To assess the level of hypothermia before and after use of cling wrap in control and experimental group of newborns. 2. To determine the effectiveness of cling wrap, by comparing the level of hypothermia, before and after the use of cling wrap in control and experimental group of newborns. 3. To determine the care givers level of satisfaction, regarding use of cling wrap in experimental group of newborns. 4. To find out the association between selected neonatal variables and the level of hypothermia before and after the use of cling wrap in control and experimental group of newborns. The conceptual framework for this study was developed on the basis of Roy’s Adaptation Model which was modified for the present study. The study variables were hypothermia and cling wrap. An extensive review of literature and guidance by experts formed the foundation to the development of neonatal variables proforma, temperature observation record sheet and rating scale on the care giver’s level of satisfaction about cling wrap. An experimental design was adopted for this study. The present study was conducted in Fortis Malar Hospital, Chennai. A sample size of 60 who met the inclusion criteria were chosen, in that 30 were assigned to control group and 30 to experimental group through systematic random sampling. The data collection tools were validated and the reliability was established through test-retest and split half technique. The researcher used validated tool for collecting data. After the pilot study, the data for the main study was collected using neonatal variable proforma, temperature observation record sheet to assess the level of hypothermia and caregiver’s satisfaction rating scale on the level of satisfaction about Cling wrap. The main data collection was done after determining the feasibility and practicability through pilot study. Cling wrap is one of the physiological interventions that involve use of a thin polyethylene sheet used to cover over the bassinet from below the neck till the foot end of a neonate to prevent hypothermia and is changed over a period of six hours or whenever the integrity of the cling wrap is lost. Effectiveness of using cling wrap was measured based on the maintenance of temperature at 36.5-37.5 degree celsius in neonates. Newborn’s temperature was measured by checking the axillary temperature using mercury thermometer once in every four hours for three consecutive days. Cling wrap was administered only to the experimental group. The level of satisfaction on administration of cling wrap was assessed by using the caregiver’s satisfaction rating scale for the experimental group of newborns. Then the collected data was tabulated and analyzed using descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: • Majority of newborns had gestational age of 34-40 weeks (46.7%, 53.3%), were males( 50, 56.7%) , with an APGAR between 8-10 (63.3%, 80%), and birth weight of 2.5-3.5 kg (50%, 66.7%), in control and experimental group respectively. • Majority of newborns in the experimental group had moderate hypothermia (86.7%) before use of cling wrap whereas after the use of cling wrap there was no hypothermia in the experimental group (100%). Therefore it is attributed to the effectiveness of cling wrap. • The difference in mean and standard deviation of the level of hypothermia before the use of cling wrap (M=33.84, 33.84 & SD=1.97, 1.53) between the control and experimental groups is not statistically significant (p<0.001), whereas after the use of cling wrap, there is a difference in the mean and standard deviation of the level of hypothermia (M=34.26, 36.59 & SD=1.63, 0.145) between the control and experimental groups of newborns. So the null hypothesis Ho1 was rejected. • Majority of the caregivers were highly satisfied (87%) with use of cling wrap. This shows that the use of cling wrap was highly effective in reducing hypothermia among newborns in NICU. • There was significant association between neonatal variables such as gestational age (χ2=12.94,15.39, df=2) (p<0.05), APGAR (χ2=17.74,23.07, df=2) ( p<0.01) and pretest level of hypothermia in control and experimental group of newborns. So the null hypothesis Ho2 is partially rejected with regard to gestational age and APGAR. • There was significant association between neonatal variables such as gestational age (χ2=4.04, df=2) (p<0.05), APGAR (χ2=12.9, df=2) (p<0.01) and posttest level of hypothermia in control group of newborns. So the null hypothesis Ho2 is partially rejected with regard to gestational age and APGAR. Whereas there was no association between neonatal variables and posttest level of hypothermia in experimental group of newborns. RECOMMENDATIONS: 1. Future study with larger sample size and a matched control will help in reducing the bias. 2. A similar study can be conducted in other settings such as community centres and peripheral hospitals. 3. A study involving newborns less than 30 weeks will be useful to standardise medical practice in developing countries. 4. A comparitive study can be conducted on effectiveness of cling wrap with other thermoregulation therapies upon thermal balances. 5. A study can be conducted to assess the level of knowledge among nurses regarding thermal balance.

Item Type: Thesis (Masters)
Additional Information: 30116612
Uncontrolled Keywords: Effectiveness ; cling wrap ; hypothermia ; newborns.
Subjects: NURSING > Paediatric Nursing
Depositing User: Subramani R
Date Deposited: 02 Jan 2019 03:13
Last Modified: 02 Jan 2019 07:31
URI: http://repository-tnmgrmu.ac.in/id/eprint/10306

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