Preterm infants' biobehavioral responses to caregiving and positioning over 24?hours in a neonatal unit in Taiwan
2012
This prospective, descriptive study used a repeated-measures
design to explore preterm infants� biobehavioral responses to 24-hour neonatal caregiving and positioning, and the factors associated with changes
in their biobehavioral responses. Thirty preterm infants (gestational
age 27.6�36.1 weeks) were observed for 3 days to record biobehavioral
responses. Infants� disorganized behaviors increased as caregiving intrusiveness and supine positioning increased. Social interactions did not lead
to increases in infants� disorganized behaviors, but to increased regulatory
behaviors. Non-nutritive sucking (NNS), and prone positioning reduced
occurrences of infant disorganized behaviors. Routine caregiving increased
instability of oxygen saturation, but lateral and prone positioning
improved physiological stability. Clinicians can appropriately provide
NNS, positioning, and social interactions to promote biobehavioral
stability.
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