Effects of swaddle and tub bathing methods on behavioral responses in preterm neonates / 中国实用护理杂志

ABSTRACT

Objective To compare effect of swaddle bathing and tub bathing on neonatal behavior state, and improve the safety and comfort of newborn infants. Methods This was a prospective non-randomized control study. From February 2016 to September 2017, a total of 110 neonates were divided into swaddle bathing group or tub bathing group, each group including 55 cases. Neonates in swaddle bathing group received swaddle bathing after discharge, while neonates in tub bathing group received tub bathing. Behavior state in the process of bathing and temperature before and after bathing were compared. Results In swaddle bathing group, 85.5％ (47/55) of neonates kept quiet during the bathing process, which was significantly higher than 56.4％(31/55) in the tub bathing group (χ2=11.282, P<0.01). 30.9％(17/55) of neonates in swaddle group were crying, significantly lower than 50.9％ (28/55) in tub bathing group (χ2=4.550, P<0.05). Duration of neonatal grasp reflex, crying time (seconds), and neonatal body temperature after bathing was (2.3±0.4) points,2(0,7)s and (36.49±0.02)℃in swaddle bathing group, and (7.9±0.5) points, 6 (5,10) s and (36.38±0.03)℃in tub bathing group, and the difference was significant(t=4.366, 2.910, Z=3.534, P<0.01). Conclusions Swaddle bathing can promote neonatal behavior state in the process of bathing and reduce neonatal the feeling of fear. Moreover, it could help keep warm more effectively.