Jeyamoni, D (2018) A Study to Assess the Effectiveness of Clustered Care on Physiological Parameters, Stress Level and Comfort among Preterm Newborn admitted in NICU in Tertiary Care Settings, Coimbatore. Masters thesis, PSG College of Nursing, Coimbatore.
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Abstract
BACKGROUND: Preterm newborns are under different procedures as a part of their care in the Neonatal Intensive Care Unit. The percentage of preterm deliveries born at 32 to 36 weeks gestation has risen steadily over the last 2 decades. Reduction of preterm newborn’s stress, promotion of their comfort, and maintaining normal physiological parameters (Heart rate, Respiratory rate, and oxygen saturation) is pivotal. In order to reduce the stress clustered care is recommended. OBJECTIVE: The main objective of the study was to assess the effectiveness of clustered care on physiological parameters, stress and comfort level among preterm newborn. METHODS: A Quasi experimental multiple time series design with repeated institution of treatment was adopted .Forty preterm newborn were selected by purposive sampling method. In this 20 preterm newborn on phototherapy and another 20 for preterm care were provided clustered care. The study was conducted in Level II NICU. The demographic data were collected from medical records. The effect of clustered care was evaluate on stress, physiological parameters, and comfort level through modified NISS scale, pulse oxymeter and modified comfort score. Pretest was assessed 3 times for one day. Then the posttest was assessed thrice in a day for three days. RESULTS: The finding showed there was no significant difference in mean of Heart rate before and after cluster care with four to six procedures. There was significant difference in Respiratory Rate and Oxygen saturation (SpO2) with p < 0.001 for both the groups. The comfort score for alertness ranged from slightly asleep 2 (2-2) state to deeply asleep 1 (1-1) and from anxious state 3 (3-4) to calm state1 (1-1) and in Physical movement from frequent slight movement 3 (2-3) to no movement 1 (1-1) significant difference was found in comfort level for both the groups (p < 0.001). The NISS score before and after clustered care for three days was statistically significant for both groups (p < 0.001). CONCLUSION: The study concludes clustered care on preterm newborn helps to reduce the stress and improve the comfort level thereby the normal physiological parameters were maintained.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.301615801 |
| Uncontrolled Keywords: | Preterm newborn, Phototherapy, Physiological Parameters, Comfort, Clustered care. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 28 Sep 2019 16:54 |
| Last Modified: | 28 Sep 2019 16:57 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11604 |
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