The Effect of Lullaby and Breastmilk Smell on Physiological Parameters, Comfort and Maternal Attachment Levels of Preterm Newborns
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 57
- 试验地点
- 2
- 主要终点
- Maternal Attachment
研究概览
简要总结
The goal of this clinical trial is to investigate the effect of live lullaby from mother voice, and breast milk smell on pyhsiological parameters, comfort and maternal attachment levels of preterm newborns who are between 35-37 weeks of gestation at the time of the study and the level of pospartum depression of mothers. The main hypothesis are:
H0: The live lullaby from mother voice and breast milk smell have no effects on pyhsiological parameters, comfort and maternal attachment levels of preterm newborns H1: The live lullaby from mother voice has effects on pyhsiological parameters, comfort and maternal attachment levels of preterm newborns H2: The breast milk smell has effects on pyhsiological parameters, comfort and maternal attachment levels of preterm newborns H3: There is differences between the live lullaby from mother voice and the breast milk smell interventions in terms of preterm newborns' physiological parameters, comfort and maternal attachment levels.
H4: The postpartum depression level of mothers in experimental groups (lullaby group and breast milk group) is lower than the control group.
Participants will be in three groups according to the interventions. The preterm newborns who are going to listen a live lullaby from their mothers' voice will be the first group (Lullaby group). The preterms in the second group (Breast milk group) are going to smell their mothers' breast milk. The preterms in the third group (Control group) are going to recieve rutin nursing care interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 35 Weeks 至 37 Weeks（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parents' willingness to participate in the study
- •Turkish literate parents
- •Babies between 35-37 weeks of gestation
- •Apgar score of 7 or higher at birth
- •Stability of the baby (near discharge)
- •Having mother's milk
排除标准
- •Parents' reluctance to participate in the study
- •Babies younger than 35 weeks and older than 37 weeks
- •Babies receiving phototherapy
- •Finding a congenital anomaly in infants
- •Apgar score below 7 at birth
- •Being connected to a mechanical ventilator
研究组 & 干预措施
Lullaby Group
The preterm newborns who are going to listen a live lullaby from their mothers' voice will be the first group (Lullaby group).
干预措施: Lullaby group (Other)
Breast milk Group
The preterms in the second group (Breast milk group) are going to smell their mothers' breast milk.
干预措施: Breast milk group (Other)
Control Group
The preterms in the third group (Control group) are going to recieve rutin nursing care interventions.
干预措施: Control group (Other)
结局指标
主要结局
Maternal Attachment
时间窗: 28 days after discharge
Maternal Attachment Scale This scale consists of 26 items and is in 4-point Likert type. "Always" is calculated as 4 points, "often" as 3 points, "sometimes" as 2 points, and "never" as 1 point. An overall score is obtained from the sum of all items. The lowest score to be obtained from the scale is 26, and the highest score is 104. A high score indicates high maternal attachment.
Postpartum Depression
时间窗: Before the interventions and 28 days after discharge
Edinburgh Postpartum Depression Scale The scale is in the form of a four-point Likert scale and consists of a total of 10 items. Items 1,2 and 4 are scored as 0,1,2,3 and other items as 3,2,1.0. The lowest possible score is 0 and the highest score is 30.
Heart Rate change
时间窗: 5 minutes before the intervention, during the intervention (5th and 10th minutes) and 5 minutes after the application, for 3 consecutive days.
Heart Rate change before, during and after the intervention
Body Temperature change
时间窗: 5 minutes before the intervention, during the intervention (5th and 10th minutes) and 5 minutes after the application, for 3 consecutive days.
Body Temperature change before, during and after the intervention
Comfort level change
时间窗: 5 minutes before the intervention, during the intervention (5th and 10th minutes) and 5 minutes after the application, for 3 consecutive days
Premature Infant Comfort Behavior Scale (ComfortNeo) will be used before, during and after the intervention. Each item of this five-point Likert scale is scored from 1 to 5 from bad to good. The baby's comfort is evaluated according to the total score. Accordingly, 30 indicates the lowest and 6 the highest comfort score. A high score on the scale indicates a low level of comfort.
Oxygen Saturation change
时间窗: 5 minutes before the intervention, during the intervention (5th and 10th minutes) and 5 minutes after the application, for 3 consecutive days.
Oxygen Saturation change before, during and after the intervention
Respiration Rate change
时间窗: 5 minutes before the intervention, during the intervention (5th and 10th minutes) and 5 minutes after the application, for 3 consecutive days.
Respiration Rate change before, during and after the intervention
次要结局
未报告次要终点
研究者
Gizem Kerimoğlu Yıldız
Assistant Professor
Mustafa Kemal University