title: Postural support improves distress and pain during diaper change in preterm infants.
abstract: OBJECTIVE
  To determine the effects of a postural support protocol on the physiological and behavioral stability of preterm infants while undergoing a diaper change.
  
  
  METHODS
  Forty-seven newborns having a birth weight <or=2000 g and gestational age <or=35 weeks were included in this randomized, crossover clinical trial in a Neonatology Intensive Care Unit. The infants were observed as his or her own control and evaluated with and without the use of the proposed intervention, which was positioning the baby in a nest produced with rolled-up towels. During the observations, as control, the care model used by the unit was considered.
  
  
  RESULTS
  All babies displayed increased distress and pain scores during diaper changes. This was significantly less for babies nested compared with non-nested babies (P<0.0001).
  
  
  CONCLUSIONS
  Diaper change is a distressing procedure for preterm infants. Providing postural support during diaper changes reduces the signs of distress and pain.
authors.affiliation: Department of Health Science Center, The Federal University of Santa Maria - UFSM, Santa Maria, Brazil. talithacomaru@hotmail.com
authors.forename: T
authors.initials: T
authors.lastname: Comaru
authors.forename: E
authors.initials: E
authors.lastname: Miura
mesh_terms: D018592:Cross-Over Studies; D041381:Diapers, Infant; D006339:Heart Rate; D006801:Humans; D007224:Infant Care / Q000379:methods*; D007231:Infant, Newborn; D007234:Infant, Premature / Q000523:psychology*; D019102:Infant, Very Low Birth Weight; D010146:Pain / Q000517:prevention & control*; D010147:Pain Measurement; D011187:Posture; D013315:Stress, Psychological / Q000517:prevention & control*