Nesting with Fixation and Position to Facilitate Quiet Sleep and Oxygen Saturation on Low-Birth Weight Infants

Low-birth weight (LBW) infants have a major problem of sleep–awake and instability on physiological function. The objective of this study was to identify the effect of nesting with fixation and position on sleep–awake status and physiological function. This study used a crossover design and was conducted in a general hospital in Jakarta, involving 19 LBW infants who met the inclusion criteria. The intervention consisted of: nesting with fixation combined with prone position (NFPP) (A), nesting with fixation combined with quarter prone position (NFQP) (B), nesting with quarter prone position (NQP) (C), and control group (D). The results of this study showed that there was a significant difference between NFPP and NFQP compared to the control group in regard to quiet sleep and oxygen saturation (p < .05). Nesting with fixation combined with prone position was the most effective method to facilitate quiet sleep and the stability of SaO₂ followed by nesting with fixation combined with quarter prone position as alternative intervention for LBW infant. Therefore, the application of nesting with fixation is needed.