Department of Neonatology, Máxima Medical Centre, Veldhoven, The Netherlands.
Department of Applied Physics, Eindhoven University of Technology, Eindhoven, The Netherlands.
Acta Paediatr. 2019 Feb;108(2):258-265. doi: 10.1111/apa.14484. Epub 2018 Jul 20.
To investigate the effects of a swaddling device known as the Hugsy (Hugsy, Eindhoven, the Netherlands) towards improving autonomic regulation. This device can be used both in the incubator and during Kangaroo care to absorb parental scent and warmth. After Kangaroo care, these stimuli can continue to be experienced by infants, while in the incubator. Additionally, a pre-recorded heartbeat sound can be played.
Autonomic regulation was compared in preterm infants before, during and after Kangaroo care with and without the use of a swaddling device in a within-subject study carried out in a level III neonatal intensive care unit. Descriptive statistics and effect sizes were calculated corresponding to changes in heart rate, respiratory rate, oxygen saturation, temperature and heart rate variability on intervention versus control days.
In this study of 20 infants with a median (interquartile range) gestational age of 28.4 (27-29.9) weeks, Kangaroo care was associated with a decrease in heart rate, respiratory rate and heart rate variability on both intervention and control days. There were no differences between intervention and control days.
The use of an alternative swaddling device aimed at facilitating Kangaroo care did not enhance autonomic regulation, as measured by vital signs and heart rate variability.
研究一种名为 Hugsy（Hugsy，荷兰埃因霍温）的襁褓对改善自主调节的影响。这种设备既可以在孵化器中使用，也可以在袋鼠式护理中使用，以吸收父母的气味和温暖。在袋鼠式护理后，这些刺激可以继续在孵化器中被婴儿体验到。此外，还可以播放预先录制的心跳声。
在一项在三级新生儿重症监护病房进行的自身对照研究中，比较了早产儿在袋鼠式护理前后使用和不使用襁褓装置时的自主调节情况。对干预日和对照日的心率、呼吸频率、氧饱和度、体温和心率变异性的变化进行了描述性统计和效应量计算。
这项研究纳入了 20 名胎龄中位数（四分位间距）为 28.4（27-29.9）周的婴儿，在干预日和对照日，袋鼠式护理均与心率、呼吸频率和心率变异性降低有关。干预日和对照日之间没有差异。
使用旨在促进袋鼠式护理的替代襁褓装置并没有增强自主调节，这可以通过生命体征和心率变异性来衡量。
