A influência do posicionamento terapêutico nos parâmetros fisiológicos de prematuros sob oxigenioterapia em uma Unidade Neonatal

Abstract

The Neonatal Unit (UN) has advanced hospital technological resources, intending to provide adequate support and specialized therapeutic treatment in cases of high complexity of Newborns (NBs) who need intensive and/or semi-intensive care. The objective was to analyze variations in the physiological parameters of newborns according to each position to which they were submitted. An unblinded randomized clinical trial was carried out with a random selection of 30 preterm infants, comprising the 1st to 29th day of life with a gestational age less than 37 weeks, of both genders, clinically stable, who were under oxygen therapy, according to with bed admission at the Neonatal Intermediate Care Unit (NICU-A) (A1 and A2) of the Santa Casa de Misericórdia Foundation of Pará (FSCMPA). They were divided into 3 groups: Prone, Left Lateral Decubitus (LLD), and Right Lateral Decubitus (RLD) and positioned in the nest, where data were collected in a proper form, lasting 30 minutes for each positioning, 10 minutes before, during, and after the maneuvers. When analyzing the data, a significant difference was observed in SpO2 through the Prone positioning, but when compared with the other positions through Tukey's Post-Hoc test, it did not present statistical significance (pvalue <0.0001). It was found that the Prono positioning provides an improvement in SPO2 when compared to other positions, however, more research is needed with a larger number of samples focused on these positions, to prove the importance of changes in decubitus in PTNBs, favoring their neuropsychomotor development.