Toque terapêutico: influência nos parâmetros vitais de recém-nascidos

Abstract

Objective>:To compare vital signs before and after the therapeutic touch observed in hospitalized newborns in neonatal intensive care unit.Methods:This was a quasi-experimental study performed at a neonatal intensive care unit of a municipal hospital, in the city of São Paulo (SP), Brazil. The sample included 40 newborns submitted to the therapeutic touch after a painful procedure. We evaluated the vital signs, such as heart and respiratory rates, temperature and pain intensity, before and after the therapeutic touch.Results:The majority of newborns were male (n=28; 70%), pre-term (n=19; 52%) and born from vaginal delivery (n=27; 67%). Respiratory distress was the main reason for hospital admission (n=16; 40%). There was a drop in all vital signs after therapeutic touch, particularly in pain score, which had a considerable reduction in the mean values, from 3.37 (SD=1.31) to 0 (SD=0.0). All differences found were statistically significant by the Wilcoxon test (p<0.05).Conclusion:The results showed that therapeutic touch promotes relaxation of the baby, favoring reduction in vital signs and, consequently in the basal metabolism rate.

A rapid evidence assessment of recent therapeutic touch research

“…For example, three of the studies scoring a 5 in the GSRS (indicating a medium weight of evidence) demonstrated no effect of TT (Busch et al, 2012;Johnston et al, 2013;Madrid et al, 2010;Younus et al, 2014). In the few studies that explored similar populations (pain in preterm infants) in the same year, the higher quality study found no difference using TT (Johnston et al, 2013), while the lower quality study reported positive results (Ramada et al, 2013).…”

“…Of the two pre/post-test experiments, both were small Brazilian studies. One that examined pain in infants in an intensive care unit (Ramada et al, 2013), and the other TT in chronic pain patients (Marta et al, 2010). Both claimed positive results, and yet provided weak theoretical justification for their hypotheses, used diverse sets of patients and had small sample sizes (less than 40).…”

First Brazilian recommendation on physiotherapy with sensory motor stimulation in newborns and infants in the intensive care unit

“…Recommendation: tactile stimulation is recommended to reduce stress, assessed by urine cortisol level, and applied using the gentle human touch (GHT) intervention; ( 8 ) reduce pain intensity, as assessed by the Neonatal Infant Pain Scale (NIPS) and changes in heart rate (HR) and respiratory rate (RR) associated with pain stimuli, using the therapeutic touch (TT) intervention; ( 9 ) and improve sleep state, as assessed by the Anderson Behavioral State Scale (ABSS) after the GHT intervention and the Yakson protocol. ( 10 ) The clinical indicators classified by GRADE are shown in table 1 .…”

Effects of Baby Massage in Reducing Body Temperature after Combined Diptheri Pertussis Tetanus/Hepatitis B Immunization

“…The results of this study are similar to the results of other studies, namely toddlers are vulnerable to changes in vital signs, namely there is a decrease in vital signs in newborns before and after being given touch therapy with an average value showing a decrease, effective touch therapy provides benefits. relaxation thereby reducing the basal metabolic rate and decreasing vital signs [17].…”