Comparative Evaluation Between Preterms and Newborns Undergoing Surgery. Effectiveness of a Multimodal Sensory Intervention on Newborns and Parents' Stress
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on SpO2
研究概览
简要总结
Creating a comfortable environment, implementing kangaroo care, and incorporating music therapy are crucial interventions for newborns hospitalized in the Neonatal Intensive Care Unit (NICU). These strategies not only contribute to the physical well-being of the infants but also play a significant role in promoting their emotional and developmental health.
详细描述
The well-being of newborns in the Neonatal Intensive Care Unit (NICU) is paramount, and establishing a comfortable environment is a fundamental aspect of their care. This involves controlling factors such as temperature, lighting, and noise to mimic the conditions of the womb, creating a soothing and supportive atmosphere for their fragile development. A calm environment is essential for premature infants, as it can contribute to improved weight gain, better sleep patterns, and overall physiological stability.
Kangaroo care, a practice involving skin-to-skin contact between the infant and a caregiver, has proven to be a transformative intervention in NICU settings. This method not only fosters the bond between the baby and their parent but also offers numerous physiological benefits. Kangaroo care has been associated with stabilized heart and respiratory rates, enhanced weight gain, and improved neurodevelopmental outcomes. The close physical contact provides a sense of security and comfort, mimicking the warmth and safety of the mother's womb.
Incorporating music therapy into the care routine of NICU infants has demonstrated positive effects on their well-being. Music has the power to reduce stress, stabilize vital signs, and promote better sleep patterns. Live or recorded lullabies, specifically designed for preterm infants, have been shown to have a calming influence and aid in the regulation of physiological functions. Additionally, music therapy can serve as a valuable tool for parents, offering a means of bonding with their hospitalized newborns and alleviating the stress associated with the NICU experience.
In conclusion, the utility of a comfortable environment, kangaroo care, and music therapy for newborns in the NICU extends beyond basic medical care. These interventions recognize the holistic needs of premature or ill infants, addressing both their physical and emotional requirements. By prioritizing a nurturing and supportive environment, healthcare providers aim to optimize the developmental trajectory of these vulnerable newborns, fostering better outcomes for their long-term health and well-being.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 0 Days 至 3 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •newborn hospitalized in NICU
排除标准
- •not hospitalized in NICU,
- •intubated infants,
- •instable clinical condition
结局指标
主要结局
Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on SpO2
时间窗: from birth to the first 3 years of life
the effects of kangaroo care and music therapy on vital signs: saturation in percentage of SpO2
Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on parenting stress index
时间窗: from birth to the first 3 years of life
the effects of kangaroo care and music therapy on scales: Parenting stress index. Subscales:1) Parental Distress (PD): personal factors directly related to parenting; 2) Difficult Child (DC): temperament and behavior of the child that influence the parent-child relationship; 3) Parent-Child Dysfunctional Interactions (P-CDI): parent's perception of the child; whether or not expectations are being met, positive behaviors reinforced, etc. Assessment Characteristics:36 items Minimum/Maximum Scores: 1) 12 - 60 in each subscale, 2) 36 - 180 total stress score Higher score showed more levels of stress
Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on general movements
时间窗: from birth to the first 3 years of life
the effects of kangaroo care and music therapy on scales: General movement optimality scores (GMOS) It differentiated between normal general movements (median 39 \[25-75th centile 37-41\]), poor repertoire general movements (median 25 \[22-29\]), cramped-synchronized general movements (median 12 \[10-14\]).
levels of noise in NICU
时间窗: from birth to the first 3 years of life
levels of noise in NICU (assessed as sound pressure levels measured using a dosimeter) in dBA. highter dBA corresponded to more noise
Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on weight
时间窗: from birth to the first 3 years of life
the effects of kangaroo care and music therapy on anthropometric parameters (weight in grams)
Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on neurological assessment
时间窗: from birth to the first 3 years of life
the effects of kangaroo care and music therapy on scales: Hammersmith Neurological Examination (HNE) HNE assess motor function and overall neurological status. The HNE includes two components: the Hammersmith Functional Motor Scale (HFMS) and the Hammersmith Spinal Muscular Atrophy Functional Rating Scale (HSMARS). It is scored on a scale ranging from 0 to 66, with higher scores indicating better motor function.
Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on heart rate
时间窗: from birth to the first 3 years of life
the effects of kangaroo care and music therapy on vital signs: heart rate in beats for minutes
次要结局
未报告次要终点
研究者
Pasqua Betta
Principal investigator
Policlinico Universitario, Catania