The Effect of a Light-Dark Cycle on Premature Infants in the Neonatal Intensive Care Unit: A Randomized Controlled Study

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dc.contributor.authorOlgun, Ayse Betul
dc.contributor.authorYuksel, Didem
dc.contributor.authorYardimci, Figen
dc.date.accessioned2024-08-31T07:50:10Z
dc.date.available2024-08-31T07:50:10Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: To investigate potential differences in discharge time, feeding methods and amounts, daily weight gain, vital signs, pain, and comfort levels among preterm infants born at 28 -32 weeks' gestation who were hospitalized in the neonatal intensive care unit during long-term follow-up while implementing a light -dark cycle. Design and methods: This is a randomized controlled study conducted with the support of a day -night cycle in premature infants born at 28 -32 weeks' gestation and admitted to the neonatal intensive care unit of a teaching and research hospital af filiated with the Ministry of Health. The study compared the follow-up results from hospitalization to discharge over a period of 8 weeks. Results: 50% of premature infants admitted to the unit are multiple pregnancies. There was no signi ficant difference in discharge weight, comfort level, pain level, vital signs of the infants included in the study ( p > 0.05). The optimal development of infant feeding patterns was examinedand it was observed that the study group had signi ficantly improved before the control group in terms of the time to switch to full enteral feeding and oral feeding ( p < 0,05). The daily weight gain of the babies was examined, it was seen that the weight gain was higher in the study group compared to the control group ( p < 0,05). The mean duration of hospitalization was compared, it was seen that the babies in the study group were discharged signi ficantly earlier (p < 0,05). Conclusion: The study compared the long-term outcomes of premature babies hospitalized in neonatal intensive care and babies exposed to a light -dark cycle and regularly monitored in standard care. The results showed that the babies in the study group had higher daily weight gain and were discharged earlier than the control group. There were also no statistically signi ficant differences in comfort and pain scores, vital signs or oxygen saturation between the study and control groups. Practice implications: A light -dark cycle was found to be a feasible and promising intervention for infants at 28 -32 weeks' gestation. It was a nurse -led management of care that could be integrated into the usual care of 28 -32 -week-old babies in neonatal units. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.en_US
dc.description.sponsorshipThis study was presented as an oral presentation at the 2nd Interna-tional Dr. Behcet Uz Children's Congress in March 2020.en_US
dc.identifier.doi10.1016/j.pedn.2024.04.050
dc.identifier.endpagee349en_US
dc.identifier.issn0882-5963
dc.identifier.pmid38724313en_US
dc.identifier.scopus2-s2.0-85192454056en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpagee343en_US
dc.identifier.urihttps://doi.org/10.1016/j.pedn.2024.04.050
dc.identifier.urihttps://hdl.handle.net/11454/105124
dc.identifier.volume77en_US
dc.identifier.wosWOS:001264113400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofJournal of Pediatric Nursing-Nursing Care of Children & Familiesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectPrematurityen_US
dc.subjectCircadian Rhytmen_US
dc.subjectSleepen_US
dc.subjectCycled Lighten_US
dc.titleThe Effect of a Light-Dark Cycle on Premature Infants in the Neonatal Intensive Care Unit: A Randomized Controlled Studyen_US
dc.typeArticleen_US

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