Objective To compare the effects of swaddle bathing and tub bathing on the physiological measurements and behavioral stress of mid-late preterm infants in neonatal intensive care unit (NICU), in order to provide reference for providing better care for preterm infants. Methods Totally 80 mid-late premature infants hospitalized in NICU in Jiangyin People's Hospital from April to September 2019 were enrolled in this prospective study.The participants were randomly assigned into control group (n=40) and experiment group (n=40).The control received conventional tub bathing, while the experiment group was given swaddled bathing with single layer of towel.The bath duration time, procedure and care were the same in the two groups.The physiological parameters of body temperature,heart rate (HR), respiration, SPO2 and crying time before and after bath between the two groups were recorded and compared.Pre-bath and post-bath stress levels in both groups were compared by using the Newborn Infant Pain Scale (NIPS). Results Body temperature and SPO2 value of the premature infants in experiment group just after the bath were significantly higher than those in control group (t=8.538, 3.180,P<0.05).Either HR or respiratory frequency in the control group was significantly higher than those in experiment group (t=6.335, 3.328,P<0.05).Crying time was significantly shorter in the experiment group than that in the control group [(17.45±4.91)s vs.(59.03±24.93)s, t=10.349, P<0.05).And NIPS scores of the premature infants in experiment group after bath decreased at a statistically significant level compared with the control group (0.98±0.92 vs.1.83±1.08,t=3.783, P<0.05). Conclusion Given the positive effect of swaddled bathing in maintaining physiological condition and reducing stress, it can be used as an appropriate bathing method in NICU.
Key words
swaddle bathing /
tub bathing /
mid-late premature infants /
pressure /
physiological parameters
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