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Masters Thesis | Pediatric Nursing | India | Volume 12 Issue 10, October 2023 | Rating: 5.3 / 10

Effectiveness of Nesting and Swaddling on Sleep and Selected Physiological Parameters among Hospitalized Low Birth Weight Neonates in Selected Hospitals in West Bengal

Sumona Ghosh

Abstract: Major challenges in first month after birth is maintenance of stable physiological parameters. Nesting & swaddling has a role in promotion of comfort and stabilization of physiological parameters. A study was undertaken to assess the Effectiveness of nesting and swaddling on sleep, heart rate, respiration & oxygen saturation among low birth weight neonates in NICU, Medical College & Hospital, Kolkata, WB. Clearance from institutional ethical committee was taken. Quasi experimental research design was adopted. From the population of LBW neonates, 60 samples (20 in each group) were selected by purposive sampling. Final data were collected from October to December 2019 using validated and reliable Record Analysis Proforma (r=1), Physical Assessment Proforma (r=1) & Modified Brazelton?s Sleep Assessment Scale (r=0.95). After selecting neonates, initially baseline data was collected and then neonate was kept in nesting for two hours. During this time sleep pattern were observed and after completion of two hours physiological parameters were assessed. This intervention was continued for three consecutive days and data were collected twice a day for each neonates. In the second group, instead of nesting, swaddling was given and in control group routine hospital care was given. The result showed that there is no significant difference in physical parameters between nesting and swaddling group compared to control group except respiration (F= 3.55, P< 0.034). The result also showed that there is a very high significant difference in sleep pattern (P<0.001) among nesting and swaddling group compared to control group except 1st day (?t?= 1.9292, P<0.05). It can be concluded that both nesting and swaddling could significantly improve sleep, compared to control. The study has its implication in nursing practice for providing a safe environment for LBW neonates by maintaining good position. Based on this finding, similar study could be conducted using large sample for generalization.

Keywords: nesting, swaddling, comfort, stabilization, sleep, heart rate, respiration, oxygen saturation, low birth weight neonates, NICU

Edition: Volume 12 Issue 10, October 2023,

Pages: 557 - 562