Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Department of Music Therapy, ArtEZ University of the Arts, 7523 WB Enschede, The Netherlands.
Int J Environ Res Public Health. 2021 Jun 18;18(12):6580. doi: 10.3390/ijerph18126580.
Interventions such as kangaroo care (KC) and live-performed music therapy (LPMT), are increasingly used to facilitate stress reduction in neonates. This study aims to investigate the effect of combining the two on physiological responses and neurological functioning in very preterm infants. Infants received six sessions of LPMT. KC was added to one LPMT session. Physiological responses included heart rate, respiratory rate and oxygen saturation. We videotaped infants for 30 min before and after two sessions to assess general movements (GMs). We included 17 infants, gestational age median 26.0 weeks (IQR 25.6-30.6 weeks), of whom six were males. Combined interventions showed a decrease in heart rate from mean 164 bpm before to 157 bpm during therapy, = 0.001. Oxygen saturation levels increased during combination therapy from median 91.4% to 94.5%, = 0.044. We found no effects of LPMT or combined interventions on GMs. Infants with a postnatal age (PNA) <7 days generally seem to display less optimal GMs after therapy compared with infants with a PNA >7 days. In conclusion, combining interventions is equally beneficial for physiological stability and neurological functioning as LPMT alone. Future studies should focus on the effects of this combination on parent-infant bonding.
干预措施，如袋鼠式护理（kangaroo care，KC）和现场表演音乐疗法（live-performed music therapy，LPMT），越来越多地被用于减轻早产儿的压力。本研究旨在探讨将这两种方法结合使用对极早产儿的生理反应和神经功能的影响。婴儿接受了六次 LPMT 治疗。一次 LPMT 治疗中加入 KC。生理反应包括心率、呼吸率和血氧饱和度。我们在两次治疗前后对婴儿进行了 30 分钟的录像，以评估一般运动（general movements，GMs）。我们共纳入了 17 名婴儿，平均胎龄为 26.0 周（IQR 25.6-30.6 周），其中 6 名为男性。联合干预措施使心率从治疗前的平均 164 bpm 下降到治疗中的 157 bpm， = 0.001。组合治疗期间，血氧饱和度从中位数 91.4%增加到 94.5%， = 0.044。我们没有发现 LPMT 或联合干预措施对 GMs 的影响。与出生后年龄（postnatal age，PNA）>7 天的婴儿相比，PNA<7 天的婴儿在治疗后一般表现出不太理想的 GMs。总之，联合干预措施对生理稳定性和神经功能的益处与单独进行 LPMT 治疗相同。未来的研究应重点关注这种组合对母婴联系的影响。
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