Department of Nursing, Kilis 7 Aralık University Yusuf Serefoglu Faculty of Health Sciences, Kilis, Turkey.
Department of Pediatric Nursing, Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, Istanbul, Turkey.
Curr Pediatr Rev. 2020;16(2):156-163. doi: 10.2174/1573396316666200214112347.
Noise may cause stress responses such as apnea, hypoxemia, changes in oxygen saturation and augmented oxygen consumption secondary to elevated heart and respiratory rates. Moreover, stress results in increased intracranial pressure, abnormal sleep patterns, hearing impairment, and bronchopulmonary dysplasia, retinopathy of prematurity, intraventricular hemorrhage, periventricular leukomalacia, retardate development and alterations in the neuroendocrine system. Herein, this study aimed to discuss the effects of earmuffs on physiological parameters in preterm infants. The relevant and available peer-reviewed publications from 2012 to 2018 from various databases were analyzed. For the assessment of the studies, the full-text accessible studies were included for analysis. The retrieved documents were analyzed using VOSviewer regarding the geographical distributions of the documents with their numbers and citations, keywords proposed by the researchers. All records with the term "earmuffs OR earmuff" in the "article title, abstract, keywords" were retrieved from different databases. Accordingly, 396 documents containing the word "earmuffs OR earmuff" were recorded. The search was then restricted for publications that contain the words "noise AND nursing AND preterm" in the title and abstracts (TITLE-ABS-KEY (earmuffs OR earmuff)) AND (noise AND nursing AND preterm) (Scopus=390; Web of Science=1, Medline=2; Cochrane=1; Embase=1= Pubmed=1=n=396). After inclusion and exclusion criteria, 7 documents were recorded and then evaluated for the present study. As a conclusion, the effects of earmuffs on physiological parameters of preterm infants have not been clearly understood and reported yet. Along with the present documents, it is not clear that the use of earmuffs reduces stress and provides physiological stability in preterm infants born between approximately 28-32 weeks. The studies with a larger sample size are needed for validation of information reported in the articles analyzed herein.
噪音可能会导致应激反应，如呼吸暂停、低氧血症、氧饱和度变化和心率及呼吸频率升高导致的耗氧量增加。此外，应激会导致颅内压升高、睡眠模式异常、听力损伤以及支气管肺发育不良、早产儿视网膜病变、脑室出血、脑室周围白质软化、发育迟缓以及神经内分泌系统改变。在此，本研究旨在探讨耳罩对早产儿生理参数的影响。对 2012 年至 2018 年来自不同数据库的相关且可用的同行评议出版物进行了分析。对于研究评估，纳入了可获取全文的研究进行分析。使用 VOSviewer 分析检索到的文献，以评估文献的地理分布及其数量和引文、研究人员提出的关键词。从不同数据库中检索出“earmuffs OR earmuff”在“文章标题、摘要、关键词”中的所有记录。因此，记录了 396 篇包含“earmuffs OR earmuff”一词的文献。然后，将搜索范围限制为标题和摘要中包含“noise AND nursing AND preterm”的出版物（TITLE-ABS-KEY（earmuffs OR earmuff））和（noise AND nursing AND preterm）（Scopus=390；Web of Science=1，Medline=2，Cochrane=1，Embase=1，Pubmed=1，n=396）。在纳入和排除标准后，记录了 7 篇文献，并随后对这些文献进行评估以供本研究使用。总之，耳罩对早产儿生理参数的影响尚未得到明确的理解和报道。除了目前的文献，还不清楚耳罩的使用是否可以减轻早产儿的应激，为出生时约 28-32 周的早产儿提供生理稳定性。需要进行更大样本量的研究来验证本文分析的文献中报告的信息。
