Changes in physiological and behavioral parameters of preterm infants undergoing body hygiene: a systematic review

Abstract

RESUMENObjetivo: Determinar el efecto del baño en la temperatura corporal del recién nacido prematuro. Método: Revisión sistemática realizada en las fuentes bibliográficas electrónicas BVS, CINAHL, Cochrane Library, Google Scholar, PubMed, Scopus y Web of Science. Las búsquedas fueron realizadas mediante combinación de descriptores, palabras clave y términos libres y se ajustó la cuestión de la revisión a la estrategia PICO. Las publicaciones seleccionadas se evaluaron de acuerdo con los niveles de evidencia y grados de recomendación para los estudios de eficacia/efetividad establecidos por el Instituto Joanna Briggs. Resultados: Se identificaron 824 publicaciones y cuatro atendieron a los criterios de inclusión, de los cuales, tres analizaron el efecto del baño de esponja y uno el efecto del baño de inmersión. Conclusión: El baño de esponja mostró una disminución estadísticamente significativa en la temperatura corporal, en cuanto que el baño de inmersión, la temperatura corporal se mantuvo estable, aunque el estudio haya sido realizado con recién nacidos prematuros tardíos. DESCRIPTORES ABSTRACT Objective:To verify the effect of bathing on the body temperature of preterm infants (PTI). Method: Systematic review conducted in the following bibliographic electronic sources: Biblioteca Virtual em Saúde/Lilacs (BVS), Cumulated Index of Nursing and Allied Health Literature (CINAHL), Cochrane Library, Google Scholar, PubMed, SCOPUS and Web of Science, using a combination of search terms, keywords and free terms. The review question was adjusted to the PICO acronym (Patient/population, Intervention, Control/comparative intervention, Outcome). The selected publications were evaluated according to levels of evidence and grades of recommendation for efficacy/effectiveness studies, as established by the Joanna Briggs Institute. Results: Eight hundred and twenty four (824) publications were identified and four studies met the inclusion criteria, of which three analyzed the effect of sponge baths and the effect of immersion baths. Conclusion: Sponge baths showed a statistically significant drop in body temperature, while in immersion baths the body temperature remained stable, although they studied late preterm infants. DESCRIPTORSBaths Premature Body temperature Neonatal nursing Review

Effects of Swaddled and Sponge Bathing Methods on Signs of Stress and Pain in Premature Newborns: Implications for Evidence‐Based Practice

“…These practices include sponge bathing, small tub bathing, immersion tub bathing, and swaddled tub bathing (Kuller, 2014). In Brazil, it is reported that the cleansing technique most commonly adopted in NICU is immersion baths, followed by sponge bath (Freitas, Marques, Alves, Takahashi, & Kimura, 2014). Sponge baths were not recommended in the European round-table meeting (Blume-Peytavi et al, 2016).…”

Banho enrolado em bebês prematuros em unidade neonatal: a prática na perspectiva de enfermeiros

“…Além disso, a preocupação com a prevenção de estresse térmico também constou nos achados desta pesquisa. A esse respeito, a literatura enfatiza a necessidade de mais estudos de banhos de imersão, pois, ainda, não há consenso sobre a redução do estresse térmico com enrolamento (6,15) .…”

Bathing Method for Preterm Infants: A Systematic Review

“…One study was true experimental comparative research design [16], two articles were randomized clinical trial [14,15], two randomized crossover clinical trial [17,18]. The other study were two systematic review [23,24], one randomized controlled trial [25], one randomized crossover trial [19]. The articles focused on physiological instability for preterm infants based on to the type of bath, differenting bath type with sponge bath, conventional or immersion bath (in bath tub), and swaddle bath, [14, 16-18, 24, 25].…”

“…The behavioral responses or distress (discomfort) of bathing method for preterm infants according to the type of bath: sponge bath, conventional or immersion bath (in bath tub), and swaddle bath [14][15][16][17][18]. A systematic review of bathing method comparison (sponge bath, conventional or immersion bath (in bath tub), and swaddle bath) for preterm infants [23,24]. A description of the selected articles is given in Table 1.…”

“…The Infants who were tub bathed experienced significantly less variability in body temperature and overall were warmer 10 minutes and 30 minutes following the bath compared to infants who were sponge bathed (p = 0.024). [24] conducted a systematic review using PICO format with keywords engine search: baths, This systematic review showed that swaddle bath had a positive effect on physiological measurement and behavioral responses to preterm infants compared to conventional and sponge bath. [22] showed that bathing with swaddling method was more effective in maintaining the baby's body temperature.…”