INTERVENTION: HYDROTHERAPY
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Vignochi C et al.; 2010; Brazil(20Vignochi C, Teixeira PP, Nader SS. Effect of aquatic physical therapy on pain and state of sleep and wakefulness among stable preterm newborns in neonatal intensive care units. Rev Bras Fisioter. 2010;14(3):214-20. https://doi.org/10.1590/S1413-35552010000300013 https://doi.org/10.1590/S1413-3555201000...
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Assess the effects of hydrotherapy on improving sleep quality and reducing pain in PTNB. |
Uncontrolled clinical trial; Level III |
12 PTNB; NICU; NFCS + physiological parameters |
Hydrotherapy; 10 minutes; 37°C |
Lower pain scores, HR, RR and longer sleep time. |
Barbosa LPC et al.; 2015; Brazil(10Barbosa LPC, Carneiro EM, Wefoort V. Impact of hydrotherapy in hospitalized newborns. Fisioter Br. 2015;16(3):207-11. https://doi.org/10.33233/fb.v16i3.76 https://doi.org/10.33233/fb.v16i3.76...
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Assess the impact of hydrotherapy on newborns admitted to hospital. |
Quasi-experimental study; Level III |
10 newborns >72 hours old; NICU; NIPS + physiological parameters |
Hydrotherapy; 10 minutes; 37 and 38°C |
Greater reduction in pain score, RR and HR. |
Tobinaga WCO et al.; 2016; Brazil(8Tobinaga WCO, Marino CL, Abelenda VLB, Sá PM, Lopes AG. Short-Term Effects of Hydrokinesiotherapy in Hospitalized Preterm Newborns. Rehabil Res Pract. 2016;9285056. https://doi.org/10.1155/2016/9285056 https://doi.org/10.1155/2016/9285056...
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Investigate the effects of hydrotherapy on salivary cortisol, hemodynamics and pain level in PTNB. |
Quasi-experimental study; Level III |
15 PTNB; NICU; NIPS + physiological parameters + endocrine parameters |
1 hydrotherapy session; 10 minutes; 37°C |
There were no significant changes in the pain score, but there was a reduction in HR, RR and salivary cortisol level |
Novakoski KRM et al.; 2018; Brazil(9Novakoski KRM, Valderramas SR, Israel VL, Yamaguchi B, Andreazza MG. Back to the liquid environment: effects of aquatic physiotherapy intervention performed on preterm infants. Rev Bras Cineantropom Hum. 2018;20(6):566-75. https://doi.org/10.5007/1980-0037.2018v20n6p566 https://doi.org/10.5007/1980-0037.2018v2...
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Analyze the effects of hydrotherapy on pain and physiological variables in clinically stable PTNB. |
Quasi-experimental study; Level III |
22 PTNB; NICU; NFCS + physiological parameters |
Hydrotherapy; 10 minutes; 36 and 37.5°C |
Lower pain score immediately and after 10 minutes and lower HR. |
Cecconello BW et al; 2021; Brazil(21Cecconello BW, Borba EO, Lisboa DDJ, Cecconello WW. Effect of hydrotherapy in pain and vital signs of preterm newborns in a neonatal ICU. Rev Inspirar [Internet]. 2021 [cited 2023 Jan 15] 21(3):1-13. Available from: https://inspirar.com.br/wpcontent/uploads/2021/10/716-2018.pdf https://inspirar.com.br/wpcontent/upload...
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Assess the effect of hydrotherapy on pain and vital signs of PTNB in the ICU. |
Observational study; Level VI |
54 medical records of PTNB; NICU; NFCS + physiological parameters |
Hydrotherapy; 10 minutes; 36.5 and 37.5°C |
Significant reduction in pain score, HR, RR and MAP. |
INTERVENTIONS: IMMERSION BATH, SWADDLED OR “FIRST BATH”
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Ceylan SS, et al.; 2018; Turkey(16Novakoski KRM, Valderramas SR, Israel VL, Yamaguchi B, Andreazza MG. Back to the liquid environment: effects of aquatic physiotherapy intervention performed on preterm infants. Rev Bras Cineantropom Hum. 2018;20(6):566-75. https://doi.org/10.5007/1980-0037.2018v20n6p566 https://doi.org/10.5007/1980-0037.2018v2...
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Determine the effects of sponge baths and swaddle baths on pain, crying time, and physiological variables. |
Randomized clinical trial; Level II |
35 PTNB; NICU; ALPS-Neo + physiological parameters |
Immersion bath with swaddling; Between 3.8 ± 0.6 minutes; 37.5±0.8°C |
Lower pain score, HR, RR, crying time and stress score in swaddled bath. |
Gunay U, et al; 2018; Turkey(23Gunay U, Coskun D. The effect of tub bathing on the newborns’ pain: a randomized clinical trial. Int J Car Sci[Internet]. 2018 [cited 2023 15 Jan];11(2):1132-41. Available from: http://internationaljournalofcaringsciences.org/docs/56_-gunay_original_10_2.pdf http://internationaljournalofcaringscien...
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Assess the difference between the pain of newborns who took a bath and those who did not. |
Randomized clinical trial; Level II |
70 newborns >28 weeks, with moderate or severe pain; 35 in the CG and IG; NICU; NIPS + physiological parameters |
Immersion bath compared to no intervention; Between 2-3 minutes; 37 and 38°C |
Greater reduction in pain score, HR and RR in the immersion bath. |
Tasdemir HI, et al. 2019; Turkey(22Tasdemir HI, Efe E. The effect of tub bathing and sponge bathing on neonatal comfort and physiological parameters in late preterm infants: a randomized controlled trial. Int J Nurs Stud. 2019;99:103377. https://doi.org/10.1016/j.ijnurstu.2019.06.008 https://doi.org/10.1016/j.ijnurstu.2019....
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Assess the effectiveness of bath and sponge baths on the physiological parameters and comfort of late PTNB. |
Randomized clinical trial; Level II |
120 PTNB (34-36 weeks); NICU; COMFORTneo + physiological parameters scale |
(Immersion) bath Average of 3.74 minutes; 37 and 38°C |
Significant reduction in pain score and HR in immersion bath. |
Lima RO, et al.; 2020; Brazil(14Lima RO, Estevam LD, Leite FMC, Almeida MVS, Nascimento L, Amorim MHC, et al. Nursing intervention-first bath of the newborn: a randomized study on neonatal behavior. Acta Paul Enferm. 2020;33:e-APE20190031. https://doi.org/10.37689/acta-ape/2020AO0031 https://doi.org/10.37689/acta-ape/2020AO...
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Compare the nursing intervention “First bath” with the “Institutional standard operating procedure (SOP) bath” on neonatal behavior. |
Randomized controlled clinical trial; Level II |
33 TNB, with 15 in the CG and 18 in the IG; Rooming-in; NIPS + physiological parameters |
Infant’s first bath versus standard operating procedure bath; 14 minutes; 38°C |
Lower pain score, HR and RR after the first bath intervention. |