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Study aim
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A comparison between effect of environmental and behavioral Intervention on sleep cycle of infants in NICU
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Design
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In this prospective crossover clinical trial, 40 preterm infants with fetal age of 32 to 36 weeks Infants randomly divide into two groups include environmental-behavioral intervention and behavioral -environmental intervention. Then each course of study includes: control course, first intervention and second intervention have held in 2 hours.
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Settings and conduct
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this study is prospective crossover clinical trial. Sampling was from July 22nd, 2016 to December 21st, 2016 in Alzahra Institute dependent on Isfahan University of Medical Science.
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Participants/Inclusion and exclusion criteria
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Fetal age 32 to 24 weeks , neonatal age of 1-20 days, self-breathing without support, no congenital defect and no abnormal neurologic finding , no usage of addictive drugs by mother in pregnancy, no sedative therapy in last 24 hours, impossible to do kangaroo mother care or limitation to use it or mother unwilling or absence, no diarrhea, no infant rehospitalization, APGAR>4 , every 2 hours feeding
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Intervention groups
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Environmental intervention : in Environmental intervention course, we decrease the light and turn off extra lamps and noises reduce by inserting earplugs in infant’s ears.
behavioral intervention: In behavioral intervention course, we make a fetal position for infants by ward tools and Avoiding any not necessary manipulation.
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Main outcome variables
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three different courses has significant differences in time of sleep.