The impact of infant positioning on pain and early neonatal morbidities

dc.authorid0000-0003-3634-3243
dc.authorid0000-0002-1720-9711
dc.authorid0009-0005-6377-4518
dc.authorid0000-0002-4867-2514
dc.authorid0000-0003-2579-9480
dc.authorid0000-0002-5698-8930
dc.contributor.authorKersin, Sinem Gülcan
dc.contributor.authorKandemir, İbrahim
dc.contributor.authorCıbır, Seval
dc.contributor.authorÖzdemir, Hülya
dc.contributor.authorMemişoğlu, Aslı
dc.contributor.authorBilgen, Hülya Selva
dc.date.accessioned2025-11-12T11:01:28Z
dc.date.available2025-11-12T11:01:28Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractPurpose: To investigate whether appropriate positioning, assessed using the Infant Positioning Assessment Tool (IPAT), is associated with lower pain scores and reduced incidence of early neonatal morbidities in the first week of life in premature infants. Methods: This retrospective observational study was conducted at a single center. The pre-implementation (non IPAT) group was assessed using the NPASS (Neonatal Pain, Agitation, and Sedation Scale) alone, whereas the post-implementation (IPAT) group was evaluated using both the NPASS and the IPAT. Results: The IPAT group consisted of 77 infants, and the non-IPAT group consisted of 40 infants. The mean gestational age and weight of the cases were 29.9 ± 1.2 weeks and 1350 ± 234 g, respectively. Pain scores increased in infants with intraventricular hemorrhage (IVH) (days 3 and 7) and necrotizing enterocolitis (NEC) (days 4 and 5), but decreased with IPAT use on days 5–7. IPAT scores showed a moderate negative correlation with IVH on days 1 and 6, and a strong negative correlation with NEC on day 7. Conclusion: Higher positioning quality is associated with lower pain scores and potentially fewer early morbid ities in preterm infants during the first week of life. Optimal positioning using the IPAT will help establish nursing standards and increase awareness among primary caregivers.
dc.identifier.citationKersin, S. G., Kandemir, İ., Cıbır, S., Özdemir, H., Memişoğlu, A., & Bilgen, H. S. (2025). The impact of infant positioning on pain and early neonatal morbidities. Journal of Neonatal Nursing, 32, pp. 1-5. https://doi.org/10.1016/j.jnn.2025.101747
dc.identifier.doi10.1016/j.jnn.2025.101747
dc.identifier.endpage5
dc.identifier.issn1355-1841
dc.identifier.scopusqualityQ2
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1016/j.jnn.2025.101747
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1183
dc.identifier.volume32
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKandemir, İbrahim
dc.institutionauthorid0000-0002-1720-9711
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofJournal of Neonatal Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPremature
dc.subjectPosition
dc.subjectPain
dc.subjectMorbidity
dc.titleThe impact of infant positioning on pain and early neonatal morbidities
dc.typeArticle
dspace.entity.typePublication

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