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新生儿病房中新生儿对噪音的生理反应。

Newborn physiological responses to noise in the neonatal unit.

作者信息

Cardoso Sandra Maria Schefer, Kozlowski Lorena de Cássia, Lacerda Adriana Bender Moreira de, Marques Jair Mendes, Ribas Angela

机构信息

Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil; Hospital de Clínicas do Paraná (UFPR), Curitiba, PR, Brazil.

Hearing and Language Center, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil.

出版信息

Braz J Otorhinolaryngol. 2015 Nov-Dec;81(6):583-8. doi: 10.1016/j.bjorl.2014.11.008. Epub 2015 Sep 7.

Abstract

INTRODUCTION

The incorporation of technologies in the care of infants has contributed to increased survival; however, this has turned neonatal unit into a noisy environment.

OBJECTIVE

To evaluate the physiological and functional effects resulting from the exposure to noise on low-weight newborns in incubators in a neonatal unit.

METHODS

Prospective, observational, quantitative, exploratory, descriptive study. The adopted statistical method included tables of frequency, descriptive statistics, and Student's t-test, with a 0.05 level of significance. As data collection tools, the environmental noise and the noise inside of the incubator were evaluated, and the Assessment of Preterm Infant Behavior scale was used to assess premature newborn behavior and projected specifically to document the neurobehavioral functioning of preterm infants. The data collection occurred from September of 2012 to April of 2013; 61 low-weight newborns admitted in the neonatal unit and in incubators were observed.

RESULTS

Significant differences in the variables heart rate and oxygen saturation were noted when newborns were exposed to noise.

CONCLUSION

Low-weight neonates in incubators present physiological alterations when facing discomfort caused by environmental noise in neonatal units.

摘要

引言

在婴儿护理中引入技术有助于提高生存率;然而,这也使新生儿病房变成了一个嘈杂的环境。

目的

评估新生儿病房中保温箱内低体重新生儿暴露于噪音所产生的生理和功能影响。

方法

前瞻性、观察性、定量、探索性、描述性研究。采用的统计方法包括频率表、描述性统计和学生t检验,显著性水平为0.05。作为数据收集工具,评估了环境噪音和保温箱内的噪音,并使用早产婴儿行为评估量表来评估早产新生儿的行为,该量表专门用于记录早产儿的神经行为功能。数据收集于2012年9月至2013年4月进行;观察了61名入住新生儿病房并置于保温箱内的低体重新生儿。

结果

当新生儿暴露于噪音时,心率和血氧饱和度变量存在显著差异。

结论

保温箱内的低体重新生儿在面对新生儿病房环境噪音引起的不适时会出现生理改变。

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