CPAP uygulanan yenidoğanlarda beyaz gürültü, ninni ve örgü ahtapotun yenidoğanların bazı sağlık parametrelerine etkisi
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Date
2022
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Maltepe Üniversitesi, Lisansüstü Eğitim Enstitüsü
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info:eu-repo/semantics/openAccess
Abstract
Çalışma CPAP uygulanan yenidoğanlarda beyaz gürültü, ninni ve örgü ahtapotun bazı sağlık parametrelerine (nabız, SPO2, konfor davranış ölçeği ve CPAP’tan çıkış süresi) belirlemek amacıyla randomize kontrollü olarak yapıldı. Araştırmanın evrenini Gaziosmanpaşa Üniversitesi Araştırma ve Uygulama Hastanesi Yenidoğan Yoğun Bakım Ünitesinde yatan, CPAP uygulanan yenidoğanlar oluşturdu. Evrenin örneklem sayısını müdahale ve kontrol gruplarının her birinde 32 hasta olmak üzere 128 hasta olarak belirlendi (%95 olasılıkla). Ancak çalışma süresince 109 bebeğe (Ahtapot=31, Ninni=26, Beyaz Gürültü=26, Kontrol=26) ulaşılabilmiş posthoc güç analizine göre etki gücü %96 olarak saptanmıştır. Randomizasyonu bilgisayarda yapılmıştır. Veriler, “Yenidoğan Tanıtıcı Bilgi Formu”,“Yenidoğan Konfor Davranış Ölçeği”,müzik çalar, tanışabilir desibel ölçüm cihazı kullanarak toplanmıştır. Araştırmanın yapılabilmesi için kurumlardan izin ve etik onay alınmıştır.“Verilerin değerlendirilmesinde kategori karşılaştırmalar yapılırken Ki Kare (?2) ve Fisher testleri kullanılmıştır.Normal dağılım gösteren (parametrik) değişkenler gruplar arasındaki değerlendirmede,bağımsız gruplarda; T testi kullanılmıştır.Normal dağılım göstermeyen (nonparametrik) gruplar arasındaki değerlendirmede, Mann Whitney U testi kullanılmıştır. Normal dağılım göstermeyen (nonparametrik) ölçümler kendi arasında değerlendirilirken Kruskal Wallis testi kullanılmıştır. İstatistiksel anlamlılıkta p<0,05 olarak kabul edilmiştir. Araştırmada elde edilen sonuçlara göre CPAP uygulanan yenidoğanlarlarda sırası ile ninninin, örgü ahtapotun ve beyaz gürültünün yenidoğan bebeğin nabzında yavaşlama yaptığı, konfor düzeyini artırdığı CPAP’te kalış süresinin kısalttığı saptanmıştır.
The study was conducted in a randomized controlled manner in order to determine some health parameters (pulse, SPO2, comfort behavior scale and exit time from CPAP) of white noise, lullaby and knitted octopus in newborns who underwent CPAP. The population of the study consisted of babies who were hospitalized in the Neonatal Intensive Care Unit of Gaziosmanpaşa University Research and Application Hospital and underwent CPAP. The sample size of the universe was determined as 128 patients (95% probability), 32 patients in each of the intervention and control groups. However, 109 babies (Octopus=31, Lullaby=26, White Noise=26, Control=26) were reached during the study, and the effect power was determined as 96% according to the posthoc power analysis. Randomization was done on the computer. Data were collected using “Newborn İnformation Form”, “Newborn Comfort Behavior Scale”, a music player, and a familiar decibel measuring device. Permission and ethical approval were obtained from the institutions in order to carry out the research. Chi-square (?2) and Fisher tests were used in the evaluation of the data while making category comparisons. T test was used. Mann Whitney U test was used in the evaluation between non-normally distributed (nonparametric) groups. Kruskal Wallis test was used when evaluating non-normally distributed (nonparametric) measurements. P<0.05 was accepted for statistical significance. According to the results obtained in the study, it was determined that lullaby, knitted octopus and white noise slowed the pulse of the newborn baby, increased the comfort level, and shortened the length of stay in CPAP, respectively.
The study was conducted in a randomized controlled manner in order to determine some health parameters (pulse, SPO2, comfort behavior scale and exit time from CPAP) of white noise, lullaby and knitted octopus in newborns who underwent CPAP. The population of the study consisted of babies who were hospitalized in the Neonatal Intensive Care Unit of Gaziosmanpaşa University Research and Application Hospital and underwent CPAP. The sample size of the universe was determined as 128 patients (95% probability), 32 patients in each of the intervention and control groups. However, 109 babies (Octopus=31, Lullaby=26, White Noise=26, Control=26) were reached during the study, and the effect power was determined as 96% according to the posthoc power analysis. Randomization was done on the computer. Data were collected using “Newborn İnformation Form”, “Newborn Comfort Behavior Scale”, a music player, and a familiar decibel measuring device. Permission and ethical approval were obtained from the institutions in order to carry out the research. Chi-square (?2) and Fisher tests were used in the evaluation of the data while making category comparisons. T test was used. Mann Whitney U test was used in the evaluation between non-normally distributed (nonparametric) groups. Kruskal Wallis test was used when evaluating non-normally distributed (nonparametric) measurements. P<0.05 was accepted for statistical significance. According to the results obtained in the study, it was determined that lullaby, knitted octopus and white noise slowed the pulse of the newborn baby, increased the comfort level, and shortened the length of stay in CPAP, respectively.
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Yenidoğan, Müzik terapi, Yenidoğanda konfor, CPAP uygulaması, Hemşirelik, Newborn, Music therapy, Newborn comfort, CPAP application, Nursing
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Erdoğan, N. B. (2022). CPAP uygulanan yenidoğanlarda beyaz gürültü, ninni ve örgü ahtapotun yenidoğanların bazı sağlık parametrelerine etkisi / The effects og white noise lullaby and knitted octopus on some health parameters of babies in CPAP applied newborns. (Yayımlanmamış Yüksek Lisans Tezi). Maltepe Üniversitesi, Lisansüstü Eğitim Enstitüsü, İstanbul.
