Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Preterm Bebeklerde Masajın Vital Bulgular ve Büyüme Parametrelerine Etkisi: Yarı Deneysel Çalışma
Effects of Massage on Vital Signs and Growth Parameters in Preterm Infants: The Quasi-Experimental Study
Sultan ÇERİKAN AÇARa, Hatice BAL YILMAZb
aSağlık Bilimleri Üniversitesi Tepecik Eğitim ve Araştırma Hastanesi, Yenidoğan Yoğun Bakım Ünitesi, İzmir, Türkiye
bEge Üniversitesi Hemşirelik Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(3):648-58
doi: 10.5336/nurses.2021-86377
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, preterm bebeklerde masajın vital bulgular ve büyüme parametrelerine etkisini incelemektir. Gereç ve Yöntemler: Yarı deneysel türdeki çalışmada örneklem grubunu; gestasyonel yaşı 30-37 hafta olan, vücut ağırlığı 1.500 g ve üzeri olan, enteral beslenebilen 33 preterm bebek oluşturmuştur. Masaj grubundaki bebeklere 5 gün süreyle günde 2 kez 10-15 dk'lık hafif basınçlı bebek masajı uygulanmıştır. Bebeklerin vücut ağırlığı 5 gün boyunca; baş çevresi ve boy uzunluğu çalışmanın başlangıcı ve bitiminde ölçülüp kaydedilmiştir. Masaj grubundaki bebeklerin vital bulguları masaj öncesi, masaj sonrası 1 ve 10. dk'larda kaydedilmiştir. Önemlilik düzeyi p<0,05 kabul edilmiştir. Bulgular: Masaj grubundaki bebeklerin vücut ağırlığı artışı kontrol grubundaki bebeklerden anlamlı olarak daha yüksek bulunmuştur. Masaj grubundaki bebeklerin kalp atım hızı ve solunum sayısı masajdan sonra 1. dk'da artmış, 10. dk'da yeniden azalmıştır. Oksijen saturasyonu masajdan sonra 1 ve 10. dk'larda anlamlı olarak daha yüksek bulunmuştur. Masaj ve kontrol grubundaki bebeklerin boy uzunluğu, baş çevresi ve hastanede kalma sürelerinde anlamlı farklılık bulunmamıştır. Sonuç: Prematüre bebeklerde masaj auygulamasının vücut ağırlığını arttırdığı ve vital bulguları etkilediği belirlenmiştir.

Anahtar Kelimeler: Bebek; preterm; masaj; yaşam bulguları; büyüme
ABSTRACT
 Objective: This study was to investigate the effects of massage on vital signs and growth parameters in preterm infants. Material and Methods: In the quasi-experimental study, the sample group consisted 33 preterm infants with a gestational age of 30-37 weeks, a body weight of 1,500 grams and above and who could be fed enterally. Infants in the massage group were given a light pressure infant massage for 10-15 minutes twice a day for 5 days. Daily body weight of infants were measured and recorded for 5 days, head circumference and height were measured and recorded at the beginning and end of the study. Vital signs of the infants in the massage group were recorded massage before, one minute and ten minutes after the massage. Significance level was accepted p<0.05. Results: The body weight gain of the infants in the massage group was found to be significantly higher. The heart rate and respiratory rate of the infants in the massage group increased in the first minute after the massage and decreased again in the tenth minute. Oxygen saturation was found to be significantly higher in the first and tenth minutes after the massage. There was no significant difference in the length, head circumference and length of hospital stay of the massage and control group infants. Conclusion: It has been determined that massage application in preterm babies increases body weight and affects vital signs.

Keywords: Infant; preterm; massage; vital sings; growth
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