Caregiving and positioning effects on preterm infant states over 24 hours in a neonatal unit in Taiwan†
Article first published online: 7 DEC 2011
Copyright © 2011 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 35, Issue 2, pages 132–145, April 2012
How to Cite
Liaw, J.-J., Yang, L., Lo, C., Yuh, Y.-S., Fan, H.-C., Chang, Y.-C. and Chao, S.-C. (2012), Caregiving and positioning effects on preterm infant states over 24 hours in a neonatal unit in Taiwan. Res. Nurs. Health, 35: 132–145. doi: 10.1002/nur.21458
The investigators wish to express their deepest appreciation to all of the participants and their parents in this study. We acknowledge the National Science Council of Taiwan, ROC for grant support (NSC 97-2314-B-016-020-MY2 (097M0234)). We would also like to extend our thanks to Dr. Evelyn Thoman, faculty member at the University of Washington School of Nursing, for teaching us how to observe infant states. Finally, we offer special thanks for assistance from the nurses in the neonatal unit at Tri-Service General Hospital.
- Issue published online: 4 MAR 2012
- Article first published online: 7 DEC 2011
- Manuscript Accepted: 10 NOV 2011
- preterm infants;
- non-nutritive sucking;
In this prospective, descriptive study, we used a repeated-measures design to explore the 24-hour effects of caregiving and positioning on preterm infants' states and the factors associated with state changes. Thirty preterm infants (gestational age 27.6–36.1 weeks) were observed for 3 days in the neonatal intensive care unit to record six states: quiet sleep (QS), active sleep, transition, active awake, quiet awake, and fussy or crying. The occurrences of QS increased when infants received no caregiving, social interaction, non-nutritive sucking (NNS), and were laterally positioned. However, QS significantly decreased and fussy or crying state increased when infants received routine and intrusive caregiving. These results suggest that caregiving, NNS, and positioning should be appropriately provided to facilitate infants' sleep, and reduce fussiness or crying. © 2011 Wiley Periodicals, Inc. Res Nurs Health 35:132–145, 2012