- •The comfort of preterm infants was the best in prone position, although the comfort levels were not low enough to require a pain relief intervention in any of the four positions.
- •Four positions (prone, supine, right lateral and left lateral) given to preterm infants treated with NCPAP did not affect the infant's cardiorespiratory stabilization
- •The preterm infant's diagnosis, the time waited for the baby to stabilize after the positioning and the time the infant was kept in the same position were determinant regarding the effect of the position on the heart rate and respiration
The purpose of the study is to investigate the effect of four body positions (supine, prone, left lateral, right lateral) on cardiorespiratory stabilization and comfort in preterm infants receiving Nasal Continuous Positive Airway Pressure (NCPAP).
Design and methods
In the study conducted as a randomized crossover design, the sample was composed of 20 preterm infants receiving NCPAP therapy. At each change of position, the baby was allowed to stabilize for 15 min, and heart rate and oxygen saturation values were recorded every 10 min for the next 60 min. The comfort levels of the infants in each position were evaluated at 30th and 60th minutes using the Premature Infant Comfort Scale.
At the end of the study, it was determined that there was no statistically significant difference between heart rate (p = .83), respiratory rate (p = .90) and oxygen saturation (p = .15) of the infants in terms of their positions. When the mean comfort scores of the preterm infants were compared in terms of position, it was found that there was a difference between the positions (p < .01). According to the scale evaluation, the highest comfort level of the infants was in the prone position, which was followed by right lateral, supine and left lateral positions.
Prone position was the most comfortable for preterm infants. However, comfort levels of preterm infants were also high enough in other positions so that no intervention is needed. In order to ensure comfort and cardiorespiratory stabilization, any of the four body positions can be chosen.
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Published online: July 15, 2020
Accepted: June 24, 2020
Received in revised form: May 24, 2020
Received: August 15, 2019
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