Journal of Traditional Medical Complementary Therapies

.: REVIEW
The Effects of Massage on theWeight Gain of Preterm Infants: A Systematic Review
Preterm Bebeklere Uygulanan Masajın Kilo Alımı Üzerine Etkisi: Sistematik Derleme
Serap ÖZDEMİRa,b, Suzan YILDIZc
aDepartment of Nursing, Kilis 7 Aralık University Yusuf Şerefoğlu Faculty of Health Sciences, Kilis, TURKEY
bDepartment of Pediatric Nursing, İstanbul University Health Sciences Institute,
cDepartment of Pediatric Nursing, İstanbul University-Cerrahpaşa Florence Nightingale Faculty of Nursing, İstanbul, TURKEY
J Tradit Complem Med. 2019;2(1):33-41
doi: 10.5336/jtracom.2018-62885
Article Language: EN
Full Text
ABSTRACT
 Objective: Along with the present systematic review, it was aimed to examine and discuss the effects of therapeutic massage implementations on weight gain of very low birthweight preterm infants in intensive care unit. Material and Methods: The relevant documents of the study were retrieved using keywords namely, preterm, massage and weight gain from PubMed, Google Scholar and ScienceDirect databases. Accordingly, a total of 5,453 documents were recorded. After inclusion criteria (experimental, semi-experimental and randomized controlled trials, full texts published) and exclusion of the duplicated articles, errata and undefined documents, we identified 18 relevant and available peer-reviewed publications from 2002 to 2017. PRISMA checklist was used for systematic review. Results: A total of 18 research articles examined the effects of therapeutic massage applications (Tactile kinesthetic practices, coconut, mineral oil and standardized massage) on weight gain. Of those studies, 15 research articles reported the positive effect of the massage on the weight gain but there were no remarkable effects of massage in the remained studies. Physiologically, any increment in weight gain resulting from massage has been attributed to improved conversion of food into growth coupled with the improved metabolic efficiency and attenuated stress. Conclusion: In general, we can deduce and conclude that therapeutic massage implementations on weight gain, which is of the growth and development parameters of preterm infants who are no matter from different physiological, sociological and cultural characteristics are effective. In this context, the present review study is considered to contribute to the research areas with respect to the massage implementations topics for preterm infants.

Keywords: Preterm; massage; weight gain; nurse
ÖZET
 Amaç:Mevcut sistematik derlemeyle birlikte, yoğun bakım ünitesinde çok düşük doğum ağırlıklı preterm bebeklerin kilo alımı üzerine uygulanan tedavi edici masaj uygulamalarının incelenmesi ve tartışılması amaçlanmıştır. Gereç ve Yöntemler: Pubmed, Google Scholar ve Science Direct veri tabanlarına preterm, massage, weight gain anahtar kelimeleri kullanılarak tarama yapıldı. Sonuç olarak, 5,453 adet çalışma bulunmuştur. Ancak, elde edilen bu çalışmalar dahil etme (deneysel, yarı deneysel ve randomize kontrollü araştırmalar ve tam metine erişilebilen) ve hariç tutma (düplikasyon makaleler, hatalı makale ve tanımlanamayan makaleler) gibi kriterlerden sonra, 2002 ve 2017 yılları arasında 18 adet ilgili çalışma belirlenmiştir. Sistematik derleme için PRİZMA kontrol listesinden yararlanılmıştır. Bulgular: Toplam 18 araştırma makalesi, terapötik masaj uygulamalarının (Dokunsal kinestetik uygulamalar, hindistan cevizi, mineral yağ ve standart masaj) kilo alımına olan etkisini incelemiştir. Bu çalışmalardan, 15 araştırma makalesinde masajın kilo alımına olumlu etkisi olduğu, ancak kalan çalışmalarda masajın kayda değer bir etkisi olmadığı bildirilmiştir. Fizyolojik olarak, masajdan kaynaklanan kilo artışındaki herhangi bir artış, artırılmış metabolik etkinlik ve zayıflatılmış stres ile gıdaların büyümeye dönüşümü ile açıklanmıştır. Sonuç: Genel olarak, terapötik masaj uygulamalarının farklı fizyolojik, sosyolojik ve kültürel özelliklerden bağımsız preterm bebeklerin büyüme ve gelişme parametrelerinden olan kilo alımında etkili olduğu sonucuna varabiliriz. Bu bağlamda, mevcut derleme çalışmasının, preterm bebekler için masaj uygulamalarına ilişkin araştırma alanlarına katkıda bulunduğu düşünülmektedir.

Anahtar Kelimeler: Preterm; masaj; kilo alımı; hemşire
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