Effective swaddling for stabilizing premature infants during transition
Aug. 2024, [Reviewed]
Purpose
This study aimed to determine the effective swaddling methods for stabilizing premature infants during transition.
Methods
The study included 12 premature infants during the transition period following admission to the NICU/GCU, with parental consent. The following data were collected: physiological indicators (heart rate, breathing rate, oxygen saturation), and a behavioral indicator (frowning behavior). Data was collected at rest and up to 20 minutes after nursing care. Evaluations were made at rest and at “0 to less than 5 minutes”, “5 to less than 10 minutes”, “10 to less than 15 minutes”, and “15 to less than 20 minutes”. Repeated measures analysis of variance were performed to reveal the effect of swaddling on the stability of premature infants. Furthermore, the Mann-Whitney U test was conducted to compare our findings to swaddling methods as defined in the literature to identify the differences.
Results
After nursing care, swaddling was carried out in 48 situations, and the effect of swaddling on stability was shown by heart rates that were significantly closer to the resting heart rate (p<0.001). Stability did not differ significantly between those who were compliant or noncompliant with swaddling. However, when comparing the swaddling method, the “upper limb restriction group” showed more “frowning behavior” than the “no upper limb restriction group” at 0 to less than 5 minutes after care (p=0.040) and 10 to less than 15 minutes after care (p=0.024).
Conclusion
The effect of swaddling of premature infants during transition was shown by heart rates that were significantly closer to the resting heart rate. The swaddling method without restriction of the upper limbs was also suggested to be effective in stabilizing infants.

Concept Analysis on "Stability in Preterm Infants"
Jun. 2021, [Reviewed]
The aim of this study is to clarify the concept, components, and characteristics of stability in preterm infants.
The method regarding this concept analysis was established by Walker & Avant and it involved the analysis of 42 documents.
As a result, a category indicating five definitive attributes and a category indicating even prior requirements and outcomes were extracted for the basic concept of “stability in preterm infants”
From the above, the components regarding the concept of stability in preterm infants were revealed. Stability in preterm infants has conflicting aspects：namely, stability and instability, along with the characteristics regarding the process for stabilization. It was also revealed that stability in preterm infants is associated with "inner aspects," a component of the infants themselves, as well as "outer aspects," which represents interaction with the environment in accordance with the developmental stage of the infant. Going forward, it will be necessary to develop evaluation indicators that make it possible to perform an overall evaluation of stability in preterm infants in clinical settings.

NICUに入院中の児をもつ父親の思いとその変化の契機（会議録）
May 2022

職場内サポートが新人助産師のリアリティショックに及ぼす効果 プリセプターとそれ以外のスタッフに焦点をあてて　　　　　　　　　　　　　　　
百成 香帆; 加納 尚美
日本助産学会誌, Apr. 2012, [Reviewed]
(一社)日本助産学会

身体拘束の授業からみた職業的アイデンティティを育てる討論テーマの特徴
落合 幸子; 柳橋 正智; 百成 香帆; 梁 明玉; Parry Neil D; 高木 有子
茨城県立医療大学紀要, Mar. 2010
医療系大学の1年生143名を対象に「身体拘束」に関する認識調査、および大学院生による「身体拘束」についての討論の授業を実施し、この授業が職業的アイデンティティーを育成すると評価された理由について分析した。身体拘束に対する認識には男女間、各学科間で差があり、11種類の身体拘束のうち、安全と治療のための拘束、工夫された道具を使った拘束は認められる傾向にあった。身体拘束は、医療職として将来必ず直面するテーマだという自覚が職業的アイデンティティーを育てると評価された第一の理由と考えられる。「将来、実際に直面するテーマ」「ジレンマを生じるテーマ」「医療現場の現実を知ることができるテーマ」「大学教育の中で実際に体験させることが可能なテーマ」「患者の人権の問題を改めて考えさせるテーマ」「多様な意見が出るテーマ」「臨床現場での体験者の意見が聞けるテーマ」が職業的アイデンティティー育成に役立つ。, 茨城県立医療大学