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摇篮曲对新生儿重症监护病房早产儿生理参数和疼痛的影响。

The effect of lullaby played to preterm infants in neonatal intensive care units on physiological parameters and pain.

机构信息

Ege University, Izmir, Turkey.

Yuksek Ihtisas University, Faculty of Health Sciences, Fundamentals of Nursing, Ankara, Turkey.

出版信息

J Pediatr Nurs. 2024 Nov-Dec;79:133-140. doi: 10.1016/j.pedn.2024.08.019. Epub 2024 Sep 10.

Abstract

PURPOSE

The study was conducted as a randomized controlled experimental study to investigate the effects of music therapy application on physiological parameters and pain in preterm infants."

MATERIALS AND METHODS

Preterm newborns included in the study were divided into 3 groups. The first group is experiment I, in which lullabies sung by the babies' own mothers were recorded and played. The second group is experiment II, where lullabies recorded with a standard female vocal for babies are played. The third group is the Control group in which no intervention is applied to the babies. The heart rate and respiratory rate, oxygen saturation level (SpO2) values and pain scores of the groups were measured and compared at different times.

RESULTS

Lullaby exposure did not yield significant differences between groups in terms of physiological parameters and pain scores. However, statistical significance was observed in the post-lullaby heart rate, respiratory rate, oxygen saturation level, and pain scores of infants in the experimental group (p < 0.05). Significance was consistent across all measurements taken 15 min after the IV intervention.

CONCLUSION

Listening to lullabies has beneficial effects on physiological parameters and pain reduction in preterm infants. Integrating lullaby exposure into the regular supportive care of neonatal intensive care unit infants, conducting further studies with more diverse sample groups, and exploring various types of lullabies and music are recommended.

PRACTICE IMPLICATIONS

Lullaby during invasive procedures may reduce pain and improve physiologic symptoms in preterm infants. Our findings support the integration of lullabies into the daily supportive care of preterm infants.

摘要

目的

本研究采用随机对照实验研究,旨在探讨音乐疗法对早产儿生理参数和疼痛的影响。

材料与方法

纳入研究的早产儿分为 3 组。第 1 组为实验组 I,播放婴儿自己母亲哼唱的摇篮曲;第 2 组为实验组 II,播放标准女声录制的摇篮曲;第 3 组为对照组,不对婴儿进行任何干预。测量并比较各组在不同时间的心率、呼吸率、血氧饱和度(SpO2)值和疼痛评分。

结果

在生理参数和疼痛评分方面,摇篮曲暴露在各组之间没有显著差异。然而,在实验组婴儿的摇篮曲后心率、呼吸率、血氧饱和度和疼痛评分方面观察到统计学意义(p<0.05)。所有测量值在 IV 干预后 15 分钟均一致。

结论

听摇篮曲对早产儿的生理参数和疼痛减轻有有益影响。建议将摇篮曲暴露纳入新生儿重症监护病房婴儿的常规支持性护理中,进一步研究具有更多样化样本组的研究,并探索各种类型的摇篮曲和音乐。

实践意义

在侵入性操作期间播放摇篮曲可能会减轻早产儿的疼痛并改善生理症状。我们的研究结果支持将摇篮曲纳入早产儿日常支持性护理中。

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