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音乐和多模态刺激对新生儿重症监护室中早产儿反应的影响。

The effect of music and multimodal stimulation on responses of premature infants in neonatal intensive care.

作者信息

Standley J M

机构信息

Center for Music Research, Florida State University, Tallahassee, USA.

出版信息

Pediatr Nurs. 1998 Nov-Dec;24(6):532-8.

PMID:10085995
Abstract

To assess the benefits of lullaby singing and multimodal stimulation on premature infants in neonatal intensive care, 40 infants in a Level III Newborn Intermediate Care Unit were divided into control (n = 20) and experimental (n = 20) groups by pair matching on the basis of gender, birthweight, gestational age at birth and severity of medical complications. Participants met these project criteria: (a) corrected gestational age > 32 weeks; (b) age since birth > 10 days; and (c) weight > 1700 g. All participants had been referred for developmental stimulation by the medical staff. Experimental infants received reciprocal, multimodal (ATVV) stimulation paired with line singing of Brahms' Lullaby. Stimulation was provided for 15-30 minutes, one or two times per week from referral to discharge. Dependent variables were (a) days to discharge, (b) weight gain/day, and (c) experimental infants' tolerance for stimulation. Results showed that music and multimodal stimulation significantly benefited females' days to discharge and increased weight gain/day for both males and females. Both male and female infants' tolerance for stimulation showed marked and steady increase across the stimulation intervals with females' tolerance increasing more rapidly than males.

摘要

为评估摇篮曲演唱和多模式刺激对新生儿重症监护病房早产儿的益处,一家三级新生儿中级护理病房的40名婴儿根据性别、出生体重、出生时的胎龄和医疗并发症严重程度进行配对,分为对照组(n = 20)和实验组(n = 20)。参与者符合以下项目标准:(a)矫正胎龄> 32周;(b)出生后年龄> 10天;(c)体重> 1700克。所有参与者均由医务人员转介接受发育刺激。实验组婴儿接受与勃拉姆斯摇篮曲的哼唱相结合的互动式多模式(ATVV)刺激。刺激时间为15 - 30分钟,从转介到出院每周进行一到两次。因变量为:(a)出院天数;(b)每日体重增加量;(c)实验组婴儿对刺激的耐受性。结果表明,音乐和多模式刺激显著缩短了女性的出院天数,增加了男性和女性的每日体重增加量。在整个刺激期间,男婴和女婴对刺激的耐受性均显著且稳定增加,且女婴的耐受性比男婴增加得更快。

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