COMPARISON OF CLUSTERED CARE WITH THREE AND FOUR PROCEDURES ON BEHAVIORAL RESPONSES OF PRETERM INFANTS: RANDOMIZED CROSSOVER CLINICAL TRIAL

Preterm infants hospitalized in the Neonatal Intensive Care Unit (NICU) are
under repeated stress, and they are suffering from sleep deprivation. In this respect, one of
recommended strategies is clustered care. On the other hand, direct observation of infant behaviors has
been emphasized at time of nursing care. The aim of this study was to compare the behavioral
responses in preterm infants in clustered care with three and four noninvasive procedures.
Materials & Methods: This study was a randomized crossover clinical trial performed in NICU of AlZahra teaching hospital, Tabriz, Iran in 2013. Thirty one preterm infants were studied at 32 weeks age
by clustered care with three and four procedures, and observable behavioral symptoms were assessed.
The analysis of data was done with the use of STATA 10 software at 0.05 significant level.
Results: The findings showed that mean of behavioral symptoms indicated stability in before, during
and after of clustered care with three procedures, and it was 1.48, 2.03, 2.45 respectively, and four
procedures 2.68, 4.23, 2.87 and behavioral symptoms indicative stress of three procedures were 2.06,
2.52, 1.97 and four procedures 2.97, 4.03, 3.03. Significant differences were not found in before and
after phases between two interventions but it was significant during phase (P=0.035).
Conclusion: Although clustered care with three procedures can be assumed more acceptable, clustered
care with four procedures is shown acceptable too, both of them could be recommended for preterm
infants