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Nesting with Fixation and Position to Facilitate Quiet Sleep and Oxygen Saturation on Low-Birth Weight Infants

Reisy Tane1, Yeni Rustina1, Fajar Tri Waluyanti1

  • 1a Faculty of Nursing , Universitas Indonesia , Depok , Indonesia.

Comprehensive Child and Adolescent Nursing
|June 14, 2019
PubMed

Insights

Nesting with fixation and specific positions significantly improve quiet sleep and oxygen saturation in low-birth weight (LBW) infants. The prone position was most effective for promoting sleep and stable oxygen levels in LBW infants.

Area of Science:

  • Neonatal care
  • Infant physiology
  • Sleep studies

Background:

  • Low-birth weight (LBW) infants often experience challenges with sleep-wake cycles and physiological instability.
  • Developing effective interventions is crucial for improving outcomes in LBW infants.

Purpose of the Study:

  • To evaluate the impact of nesting with fixation and different positions on the sleep-awake status of LBW infants.
  • To assess the effect of these interventions on physiological functions, specifically oxygen saturation.

Main Methods:

  • A crossover study design was employed with 19 LBW infants in a Jakarta hospital.
  • Interventions included nesting with fixation in prone (NFPP) or quarter prone (NFQP) positions, nesting without fixation in a quarter prone position (NQP), and a control group.

Main Results:

  • Significant improvements in quiet sleep and oxygen saturation were observed in the NFPP and NFQP groups compared to the control.
  • The NFPP method demonstrated the greatest efficacy in facilitating quiet sleep and stable SaO2.
  • NFQP served as a viable alternative intervention for LBW infants.

Conclusions:

  • Nesting with fixation, particularly in the prone position, is highly effective for enhancing quiet sleep and physiological stability (SaO2) in LBW infants.
  • The NFQP intervention also offers benefits and can be considered as an alternative.
  • The study underscores the importance of implementing nesting with fixation techniques in neonatal care for LBW infants.

Keywords:
LBWnesting with fixationoxygen saturationphysiological functionsleep-awake

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