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Positioning Preterm Newborns for Cardiorespiratory Stability A Global Insight Shamkhi, Haneen Abdul Hussein; Shawq, Adraa Hussein
Academia Open Vol 9 No 2 (2024): December
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.9.2024.9063

Abstract

This study assessed the effects of supine, prone, and right lateral positioning on the cardiorespiratory indicators of preterm newborns using a randomized controlled trial with 60 participants. Measurements of heart rate, respiratory rate, and oxygen saturation were taken before and after the application of these positions over three days. Results indicated significant improvements in all cardiorespiratory parameters in the intervention groups (p = 0.000), while the control group showed no significant changes. The findings suggest that strategic positioning can be an effective part of developmental care in neonatal intensive care units, enhancing the stabilization of vital functions in preterm newborns. Highlights: Strategic Positioning: Enhances cardiorespiratory stability in preterm newborns. Methodological Rigor: Employs a robust randomized controlled trial. Practical Implications: Recommends routine NICU positioning strategies. Keywords: Preterm Newborns, Cardiorespiratory Stabilization, NICU, Positioning Strategies, Randomized Controlled Trial.
The Effects of Music Interventions on Children's Pain Severity and Anxiety during Dressing Changes in Iraq: A Randomized Controlled Trial Shawq, Adraa Hussein; Al-Musawi, Khatam Matsher; Kalel, Myasar Jasim; Mahmod, Ahmed Ali
Jurnal Keperawatan Soedirman Vol 20 No 1 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.1.13100

Abstract

Daily dressing changes cause distress and pain for victims of burn injuries. The study aimed to determine the effect of music in reducing the pain and anxiety of thermally burned children during routine dressing changes. This quantitative study employed a randomized controlled trial design. The participants comprised 80 children at the Specialized Burns Hospital, in Baghdad, Iraq who were divided into two groups. The intervention group were exposed to three generic musical pieces (children’s music, nature sounds, and classical music) for 10-15 minutes. The researchers used the Objective Pain Scale, State-Trait Anxiety Inventory, and physiological parameters to measure the children’s responses immediately before the dressing change and five minutes after, over seven days. The paired t-test and independent t-test were used to compare the means between the control and intervention groups. The mean values for the pain, anxiety, and physiological parameters before the procedure in both groups showed no significant differences (p > 0.01). The intervention group revealed significant statistical differences after being played music in all study parameters for pre- and post-dressing (p < 0.01), except for the blood pressure parameter. The music intervention alleviated children’s pain, anxiety, respiration, and pulse measurements when undergoing dressing changes.