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Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.
Design and methods: This was a single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial conducted in a neonatal intensive care unit. Participants were randomly assigned to one of three groups: Supine position group (n = 20), hourly position change group (n = 20), and control group (n = 20). The bilirubin level and comfort levels of the neonates were evaluated.
Purpose: The present study was conducted to determine the effect of repositioning frequency during phototherapy on bilirubin level and neonates comfort.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supine position group | Experimental | These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position. |
|
| Hourly position change group: | Experimental | Infants in this group were repositioned "every hour" based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours. |
|
| Control Group (2-hour position change) | Other | Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supine position group | Behavioral | These neonates were placed in supine position, fed every 2 hours in accordance with routine clinical practice, and then returned to supine position. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in bilirubin level | bilirubin level change | Baseline and 24 hours after phototherapy |
| comfort level questionnaire | comfort level change | up to 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sibel Kücükoglu, professor | Selcuk University | Study Director |
| Fatma Tas Arslan, professor | Selcuk University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Selcuk University | Konya | Selcuklu/Konya | 42060 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D006932 | Hyperbilirubinemia |
| D007567 | Jaundice, Neonatal |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D051556 | Hyperbilirubinemia, Neonatal |
| D007232 | Infant, Newborn, Diseases |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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single-centered, single-blind, 3-arm, pretest-posttest parallel-group randomized controlled trial
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single (participant, outcomes assessor)
| Hourly position change group | Behavioral | Infants in this group were repositioned "every hour" based on the time of phototherapy initiation. Neonates were initially placed in supine position and then changed to the prone position. Infants were alternated between supine and prone positions every hour for 24 hours. |
|
| Control Group (2-hour position change) | Behavioral | Neonates in this group were repositioned every 2 hours as routine practice based on the time of phototherapy initiation. Phototherapy was started with neonates in supine position. In the second period, the neonate was placed in the prone position after routine feeding was performed. |
|
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D008722 | Methods |