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Preterm infant thermal responses to caregiving differ by incubator control mode
1Department of Family and Child Nursing, University of Washington, Seattle, WA 98195-7262, USA.
Objective:
To determine the influence of caregiving on preterm infant and incubator temperature and to investigate incubator control mode in thermal responses to caregiving.
Study Design:
The intensive within-subject design involved continuous recording of infant and incubator temperature and videotaping throughout a 24-hour period in 40 hospitalized preterm infants. Temperature at care onset was compared with care offset, and 5, 10, 15, and 20 minutes following care offset using ANOVA-RM.
Results:
Following caregiving, infant and incubator temperature differed significantly over time by incubator control mode. In air servo-control, infant temperature tended to decrease after caregiving, while in skin servo-control infant temperature remained relatively stable. With caregiving, incubator temperature remained consistent in air servo-control and increased in skin servo-control.
Conclusions:
The temperature effects of caregiving should be considered relative to maintenance of thermoneutrality and unintentional thermal stimulation.
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