İnfantil kolikli bebeklerde terapötik dokunmanın kolik semptomları üzerine etkisi: Randomize kontrollü çalışma.
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2021
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info:eu-repo/semantics/openAccess
Özet
Bu çalışma infantil kolikli bebeklere uygulanan terapötik dokunmanın bebeklerin infant kolik ölçek puanına, ağlama ve uyku süresine etkisini belirlemek amacıyla yapılmıştır. Bu çalışma tek kör, ön test-son test, paralel grup, randomize kontrollü deneysel tasarımda yürütülmüştür. Çalışma, Karaman Eğitim ve Araştırma Hastanesinde Ekim 2019-Mayıs 2021 tarihleri arasında yürütülmüştür. Çalışma grubunu Çocuk Hastalıkları polikliniğinde infantil kolik tanısı alan, yaşları 4 ile 12 hafta arasında olan toplam 64 bebek (Girişim n=32 ve Kontrol n=32) oluşturmuştur. Örneklem seçiminde tabakalı randomizasyon yöntemi kullanılmıştır. Girişim grubuna iki hafta boyunca rutin bakıma ilaveten haftada üç gün toplam altı kez terapötik dokunma uygulanmıştır. Kontrol grubu ise rutin bakım almıştır. Veriler Anne-bebek Bilgi Formu, İnfant Kolik Ölçeği (İKÖ), Ağlama Süresi Kayıt Formu ve Uyku Süresi Kayıt Formu ile toplanmıştır. Bebekler iki hafta takip edilmiştir. Tüm bebeklere İKÖ ilk karşılaşmada, ilk haftanın ve ikinci haftanın sonunda olmak üzere üç kez doldurulmuştur. Ağlama ve uyku süreleri 14 gün boyunca anneler tarafından kayıt edilmiştir. Veriler ortalama±s.sapma, medyan, Ki-kare, Fisher's Exact testi, Bağımsız iki örnek t testi, Mann-Whitney U testi, Eşli iki örnek t testi, Wilcoxon testi, Tekrarlı ölçümlerde iki yönlü varyans analizi, Friedman testi ile analiz edilmiştir. İstatistiksel anlamlılık düzeyi p<0,05 olarak kabul edilmiştir. Çalışmada girişim grubundaki bebeklerin İKÖ toplam puan ortalamasının birinci haftanın sonunda kontrol gurubuna göre daha düşük olduğu, gruplar arası farkın istatistiksel olarak anlamlı olduğu ve etki büyüklüğünün yüksek düzeyde olduğu belirlenmiştir (U=179,0; p<0,001; d=1,348; %95 CI=0,805-1,891). Benzer şekilde ikinci haftanın sonunda da girişim grubundaki bebeklerin İKÖ toplam puan ortalamasının kontrol gurubuna göre daha düşük olduğu, gruplar arası farkın istatistiksel olarak anlamlı olduğu ve etki büyüklüğünün yüksek düzeyde olduğu saptanmıştır (U=4,5; p<0,001; d=3,252; %95 CI=2,505-3,999). Girişim grubundaki bebeklerin 14 günlük ağlama süresinin ortalamalarının kontrol grubundaki bebeklere göre daha düşük olduğu ve farkın istatistiksel olarak anlamlı olduğu bulunmuştur (p<0,001). Çalışmada grup ve zamanın ağlama süreleri üzerine ortak etkisi (grup*zaman etkileşimi) incelendiğinde grup zaman etkileşimi anlamlı fark olduğu ve girişim grubu ağlama sürelerinin zamana göre anlamlı derecede düştüğü saptanmıştır (F=57,097; ŋp2=0,461; p<0,001). Girişim grubundaki bebeklerin 14 günlük uyku süresinin ortalamalarının kontrol grubundaki bebeklere göre daha yüksek olduğu ve farkın istatistiksel olarak anlamlı olduğu belirlenmiştir (p<0,001). Çalışmada grup ve zamanın uyku süreleri üzerine ortak etkisi (grup*zaman etkileşimi) incelendiğinde grup zaman etkileşimi anlamlı fark olduğu ve girişim grubu uyku sürelerinin zamana göre anlamlı derecede yükseldiği saptanmıştır (F=17,884; ŋp2=0,211; p<0,001). Sonuç olarak terapötik dokunma uygulamasının infantil kolikli bebeklerde infant kolik ölçek puanı ile ağlama süresinin azalmasında ve uyku süresinin artmasında etkili olduğu bulunmuştur. Kolik semptomlarının azaltılmasındaki yüksek etki gücü nedeniyle terapötik dokunma uygulamasının kolikli bebeklerde kullanılması önerilmiştir. Bu çalışma Clinical Trials veri tabanına kayıtlıdır (NCT04286737).
This study was conducted to determine the effect of therapeutic touch applied to babies with infantile colic on infant colic scale score, crying and sleep time. This study was conducted in a single blind, pre test-post test, parallel group, randomized controlled experimental design. The study was conducted in Karaman Training and Research Hospital between October 2019 and May 2021. The study group consisted of a total of 64 infants (Intervention n=32 and Control n=32), aged between 4 and 12 weeks, diagnosed with infantile colic in the Pediatrics outpatient clinic. The stratified randomization method was used in sample selection. In addition to routine care for two weeks, the intervention group received a total of six therapeutic touches three days a week. The control group received routine care. The data were collected using the Mother-infant Information Form, the Infant Colic Scale (ICS), the Crying Time Registration Form and the Sleep Time Registration Form. Babies were followed for two weeks. ICS was completed three times for all babies, at the first encounter, at the end of the first week and at the end of the second week. Crying and sleeping times were recorded by the mothers for 14 days. The data were analyzed by mean±s. Deviation, median, Chi-square, Fisher's Exact test, Independent two sample t test, Mann-Whitney U test, Paired two sample t test, Wilcoxon test, Two-way analysis of variance in repeated measures, Friedman test. Statistical significance level was accepted as p<0.05. In the study, it was determined that the mean ICS total score of the babies in the intervention group was lower than the control group at the end of the first week, the difference between the groups was statistically significant and the effect size was high(U=179.0; p<0.001; d=1.348; 95% CI=0.805-1.891). Similarly, at the end of the second week, it was found that the mean ICS total score of the babies in the intervention group was lower than the control group, the difference between the groups was statistically significant and the effect size was high(U=4.5; p<0.001; d=3.252; 95% CI = 2.505-3.999). It was found that the mean 14-day crying time of the babies in the intervention group was lower than the babies in the control group and the difference was statistically significant(p<0.001). When the joint effect of group and time on crying times (group*time interaction) was examined in the study, it was found that there was a significant difference in group time interaction and the intervention group crying times decreased significantly compared to time(F=57.097; ŋp2=0.461; p=0.000). It was determined that the mean 14-day sleep time of the babies in the intervention group was higher than the babies in the control group and the difference was statistically significant (p<0.001). When the joint effect of group and time on sleep times (group*time interaction) was examined in the study, it was found that there was a significant difference in group time interaction and the intervention group sleep times increased significantly compared to time(F =17.884; ŋp2=0.211; p=0.000). In conclusion, it has been proven that therapeutic touch application is effective in decreasing crying time with infant colic scale score and increasing sleep time in infants with infantile colic. Because of its high potency in reducing colic symptoms, therapeutic touch application has been suggested to be used in infants with colic. This study is registered in the Clinical Trials database (NCT04286737).
This study was conducted to determine the effect of therapeutic touch applied to babies with infantile colic on infant colic scale score, crying and sleep time. This study was conducted in a single blind, pre test-post test, parallel group, randomized controlled experimental design. The study was conducted in Karaman Training and Research Hospital between October 2019 and May 2021. The study group consisted of a total of 64 infants (Intervention n=32 and Control n=32), aged between 4 and 12 weeks, diagnosed with infantile colic in the Pediatrics outpatient clinic. The stratified randomization method was used in sample selection. In addition to routine care for two weeks, the intervention group received a total of six therapeutic touches three days a week. The control group received routine care. The data were collected using the Mother-infant Information Form, the Infant Colic Scale (ICS), the Crying Time Registration Form and the Sleep Time Registration Form. Babies were followed for two weeks. ICS was completed three times for all babies, at the first encounter, at the end of the first week and at the end of the second week. Crying and sleeping times were recorded by the mothers for 14 days. The data were analyzed by mean±s. Deviation, median, Chi-square, Fisher's Exact test, Independent two sample t test, Mann-Whitney U test, Paired two sample t test, Wilcoxon test, Two-way analysis of variance in repeated measures, Friedman test. Statistical significance level was accepted as p<0.05. In the study, it was determined that the mean ICS total score of the babies in the intervention group was lower than the control group at the end of the first week, the difference between the groups was statistically significant and the effect size was high(U=179.0; p<0.001; d=1.348; 95% CI=0.805-1.891). Similarly, at the end of the second week, it was found that the mean ICS total score of the babies in the intervention group was lower than the control group, the difference between the groups was statistically significant and the effect size was high(U=4.5; p<0.001; d=3.252; 95% CI = 2.505-3.999). It was found that the mean 14-day crying time of the babies in the intervention group was lower than the babies in the control group and the difference was statistically significant(p<0.001). When the joint effect of group and time on crying times (group*time interaction) was examined in the study, it was found that there was a significant difference in group time interaction and the intervention group crying times decreased significantly compared to time(F=57.097; ŋp2=0.461; p=0.000). It was determined that the mean 14-day sleep time of the babies in the intervention group was higher than the babies in the control group and the difference was statistically significant (p<0.001). When the joint effect of group and time on sleep times (group*time interaction) was examined in the study, it was found that there was a significant difference in group time interaction and the intervention group sleep times increased significantly compared to time(F =17.884; ŋp2=0.211; p=0.000). In conclusion, it has been proven that therapeutic touch application is effective in decreasing crying time with infant colic scale score and increasing sleep time in infants with infantile colic. Because of its high potency in reducing colic symptoms, therapeutic touch application has been suggested to be used in infants with colic. This study is registered in the Clinical Trials database (NCT04286737).
Açıklama
Doktora Tezi
Anahtar Kelimeler
İnfantil Kolik, Terapötik Dokunma, Ağlama Süresi, Uyku Süresi, Hemşire, Infantile Colic, Therapeutic Touch, Crying Time, Sleep Time, Nursing
Kaynak
WoS Q Değeri
Scopus Q Değeri
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Sayı
Künye
Ateş Beşirik, S. (2021). İnfantil kolikli bebeklerde terapötik dokunmanın kolik semptomları üzerine etkisi: Randomize kontrollü çalışma. (Yayımlanmamış doktora tezi). Necmettin Erbakan Üniversitesi, Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Konya.
