Department of Pediatric Nursing, Kutahya School of Health, Dumlupinar University, Kutahya, Turkey.
J Clin Nurs. 2018 Feb;27(3-4):593-600. doi: 10.1111/jocn.13928. Epub 2017 Nov 3.
This study aimed to compare the effects of swinging and playing of white noise on the crying and sleeping durations of colicky babies.
Infantile colic (IC) is one of the most common reasons for doctor visits among babies younger than 3 months. One of five babies older than 3 months also experiences IC. IC, unlike gastrointestinal problems, is regarded as an individual differentiation and maturation of the central nervous system. Providing a warm bath, breastfeeding, swinging and playing of white noise are nonpharmacological methods. The efficiency of these methods has been proven by various studies independently of one another.
The study is a prospective, multicentre, paired randomised controlled trial.
The study was conducted between April-December 2016. The study sample consisted of 40 1-month-old babies with gas pains who passed a hearing screening and their mothers. The total daily crying and sleeping durations of the babies were determined without any intervention on the first week. On the second week, 20 randomly selected babies (first group) were swung each time they cried, and on the third week, they were made to listen to white noise. The other 20 babies (second group) were made to listen to white noise on the second week and were swung on the third week. Swinging and playing of white noise were performed until the babies stopped crying. After every intervention, the total crying and sleeping durations of the babies were evaluated using a "Colicky Baby's Diary."
Playing of white noise significantly decreased the daily crying durations (p < .05) and increased the sleeping durations of the colicky babies (p < .05) compared to swinging in both groups.
Playing of white noise was found to be a more effective nonpharmacological method on crying and sleeping durations of colicky babies than swinging.
Playing of white noise may be helpful for parents and healthcare personnel in reducing the gas pains of babies.
本研究旨在比较摆动和播放白噪声对绞痛婴儿哭泣和睡眠时间的影响。
婴儿绞痛（IC）是 3 个月以下婴儿就诊最常见的原因之一。5 个月以上的婴儿中也有 1/5 经历过 IC。IC 不同于胃肠道问题，被认为是中枢神经系统的个体分化和成熟。提供温水浴、母乳喂养、摆动和播放白噪声是非药物治疗方法。这些方法的有效性已被各自独立的各种研究证明。
该研究是一项前瞻性、多中心、配对随机对照试验。
该研究于 2016 年 4 月至 12 月进行。研究样本包括 40 名患有气痛且通过听力筛查的 1 个月大婴儿及其母亲。在第一周，没有任何干预的情况下，确定婴儿的总每日哭泣和睡眠时间。在第二周，随机选择 20 名哭泣的婴儿（第一组）进行每次摆动，在第三周，让他们听白噪声。其他 20 名婴儿（第二组）在第二周听白噪声，在第三周进行摆动。摆动和播放白噪声直到婴儿停止哭泣。每次干预后，使用“绞痛婴儿日记”评估婴儿的总哭泣和睡眠时间。
与摆动相比，两组中播放白噪声均显著降低了每日哭泣时间（p<.05），并增加了绞痛婴儿的睡眠时间（p<.05）。
与摆动相比，播放白噪声被发现是一种更有效的非药物治疗方法，可减少绞痛婴儿的哭泣和睡眠时间。
播放白噪声可能有助于父母和医疗保健人员减轻婴儿的气痛。
