EFECTIVENESS OF INTERVENTIONS FOR THE PREVENTION OF HYPOTHERMIA IN PREMATURE INFANTS: INTEGRATIVE REVIEW OF THE LITERATURE
DOI:
https://doi.org/10.47820/recima21.v3i7.1707Keywords:
Hypothermia, Infant Premature, Pacient Care BundleAbstract
An axillary temperature lower than 36.5ᵒC, is considered hypothermia. Moderate hypothermia is directly responsible for injuries to the neonate, mainly Peri-intraventricular hemorrhage, and severe hypothermia increases the chance of neonatal death, hypoglycemia, metabolic acidosis, apnea and contributes to the increase in morbidity and mortality rates. Prevention of hypothermia in premature newborns, its efficacy and effectiveness. Scientific articles published in the last five years were searched through the MEDLINE, PubMed and Web of Science databases that addressed the impact on the implementation of interventions to reduce hypothermia in preterm infants. Fourteen articles were found that included preventive intervention for hypothermia in premature infants. The sample size ranged from 59 to 9,833 patients and the gestational age of preterm infants between 24 and 36 weeks. Several interventions were observed, with the use of a polyethylene plastic bag being the most applied intervention to reduce heat loss by evaporation. It is concluded that the studies showed a significant decrease in hypothermia upon admission of newborns to the intensive care unit after adopting at least one of the strategies to prevent hypothermia in premature infants. In addition to showing that hypothermia is prevalent in low birth weight preterm infants, there is an association between hypothermia on admission and other morbidities.
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