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IRCT20210109049974N1 IRCT 2023-02-11 Shahid Beheshti University of Medical Sciences Comparison of kangaroo mother care and tactile-kinesthetic stimulation on weight gain of late preterm infants in hospitalized in neonatal intensive care units. Comparison of kangaroo mother care and tactile-kinesthetic stimulation on weight gain of late preterm infants in hospitalized in neonatal intensive care units in the Mousavi hospital affiliated to Zanjan University of Medical Sciences. 2020. :A Randomized Clinical Trial. 2021-03-21 anticipated 80 Complete https://irct.ir/trial/54290 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The function of random numbers was used to randomize and assign people to groups; Randomization using Excel software is as follows: First, in one column, the groups are entered as A, B, c and below; Because the number of samples in each group is set to 30 (including sample loss), therefore, 30, B, A c should be entered in order. In the opposite column, random numbers are generated using the RAND command. In the next step, using the sort command, the generated random numbers are sorted from small to large or vice versa, which changes the order of the groups, i.e. c A, B. Using the new order, people are assigned to different groups. N/A Maternal kangaroo care and kinetic tactile stimulation. Intervention 1: The first intervention group: in the tactile-kinetic stimulation intervention group, late preterm infants will receive tactile-kinetic stimulation three times a day (morning, noon, night) for 15 minutes for 7 days. This intervention will be performed by mothers on babies in three 5-minute stages. The stages of the intervention will be as follows:- The first stage: (touch stage) which was done in the palm position and relatively strong tactile stimuli applied by the palms of the baby's mother on the baby's head, neck, shoulders and back It was found that these stimulations lasted for 5 seconds in each turn of tactile stimulation and the duration of this stage was 5 minutes. The firmness that is applied by the palms of the baby's mother on the forehead, cheeks, chest, abdomen, upper and lower limbs, palms and feet of the baby. This stage should last 5 minutes. The third stage: (Kinetic stage) This stage of tactile stimulation will be done in the open arch position and includes passive movements of bending and straightening the upper limbs in the shoulder and elbow joints and the lower limbs in It is the location of the hip, knee and ankle joints. These passive movements will be performed 5 times in each joint, each movement will last 2 seconds and the total time for this step will be 5 minutes. Intervention 2: The second intervention group: In the mother's kangaroo care intervention group, the late preterm babies will be placed on the mother's chest by the relevant nurse for 7 days and 3 times a day for 60 minutes, and there will be skin contact between the mother and the baby. The nude that is in a stable physiological condition will be established. Intervention 3: Control group: In this research, the control group will be late premature babies who are hospitalized in the neonatal intensive care unit and receive the usual nursing interventions. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Soheila Mirloo
Alley of culture, Sepehr residential complex, phase 2, block 6, 7th floor, unit 3
Zanjan Iran (Islamic Republic of) 4519949858 +98 24 3352 9480 mirlous08@gmail.com Shahid Beheshti University of Medical Sciences scientific Lida Nick Farid
Tehran - Vali Asr St. - Niayesh Intersection - in front of Shahid Rajaei Heart Hospital - School of Nursing and Midwifery
Tehran Iran (Islamic Republic of) 1985717443 +98 21 8865 5366 l.nikfarid@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Fetal age 34-37 weeks Hemodynamic stability Feeding through the digestive system (oral or digestive tube) with breast milk or formula Staying in the neonatal intensive care unit for at least one week Birth of a singleton Iranian nationality The presence of the biological mother, who is literate and willing and able to perform interventions correctly in the hospital 238 days 259 days Both Discharge the baby before the end of the intervention Transfer to another department before the end of the intervention Having a diagnosis of genetic, cardiac, respiratory, central nervous system problems (acquired and congenital) The need for any surgery Having a history of intrauterine growth retardation History of substance abuse in the mother Other Other Other The first intervention group: in the tactile-kinetic stimulation intervention group, late preterm infants will receive tactile-kinetic stimulation three times a day (morning, noon, night) for 15 minutes for 7 days. This intervention will be performed by mothers on babies in three 5-minute stages. The stages of the intervention will be as follows:- The first stage: (touch stage) which was done in the palm position and relatively strong tactile stimuli applied by the palms of the baby's mother on the baby's head, neck, shoulders and back It was found that these stimulations lasted for 5 seconds in each turn of tactile stimulation and the duration of this stage was 5 minutes. The firmness that is applied by the palms of the baby's mother on the forehead, cheeks, chest, abdomen, upper and lower limbs, palms and feet of the baby. This stage should last 5 minutes. The third stage: (Kinetic stage) This stage of tactile stimulation will be done in the open arch position and includes passive movements of bending and straightening the upper limbs in the shoulder and elbow joints and the lower limbs in It is the location of the hip, knee and ankle joints. These passive movements will be performed 5 times in each joint, each movement will last 2 seconds and the total time for this step will be 5 minutes. The second intervention group: In the mother's kangaroo care intervention group, the late preterm babies will be placed on the mother's chest by the relevant nurse for 7 days and 3 times a day for 60 minutes, and there will be skin contact between the mother and the baby. The nude that is in a stable physiological condition will be established. Control group: In this research, the control group will be late premature babies who are hospitalized in the neonatal intensive care unit and receive the usual nursing interventions. Weight. Timepoint: Before study, during study, after study. Method of measurement: Digital baby measuring scales. Shahid Beheshti University of Medical Sciences Approved 2020-11-15 Ethics Committee of Shahid Beheshti University of Medical Sciences no.3,7th floor,block6,The residential complex of Farhang Town sepehr, Zanjan Zanjan Iran (Islamic Republic of)