scholarly journals The effect of multisensory stimulation on weight gain in premature infants admitted to the intensive care unit: A clinical trial study

2021 ◽  
Vol 20 (1) ◽  
pp. 96-102
Author(s):  
Sari Mahdieh ◽  
◽  
Mozhgan Rahnama ◽  
Fereshteh Ghaljaei ◽  
Majid Reza Akbarizadeh ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Weight Gain ◽  
Preterm Infants ◽  
Premature Infants ◽  
Infant Nutrition ◽  
Visual Stimulation ◽  
T Test ◽  
Control Group ◽  
Multisensory Stimulation

Introduction. Premature infants undergo a lot of stressful procedures during care and treatment procedure, which may lead to weight changes. Multisensory stimulation is a broad classification of interventions designed to improve the developmental and physiological outcomes of preterm infants admitted to the neonatal intensive care unit (NICU). The aim of this study was to evaluate the effect of multisensory stimuli on weight gain in preterm infants admitted to the NICU. Materials and methods. This study was a two-group randomized controlled trial (multisensory stimulation and control group). Forty preterm infants admitted to the NICU who met the inclusion criteria were selected. The intervention method was a multisensory stimulation program including auditory stimulation, tactile stimulation, visual stimulation and vestibular stimulation, which were performed by the researcher for 12 min (each stimulation lasting for 3 min). The infant nutrition was monitored and recorded during the intervention and the infant’s weight was measured after changing diapers every morning for a 7 days. It was conducted in the two groups using a calibrated scale of confirmed validity and reliability. Data were analyzed using SPSS 20 software, paired t-test and independent t-test. Results. Based on the findings of the present study, an upturn was observed in weight gain of preterm infants as a result of multisensory intervention. This indicates that the intervention improves weight gain in premature infants. Conclusions. Since premature infants are usually hospitalized in the NICU for a long time due to their low weight and poor physical condition, they are mostly cared by nurses. Hence, considering its positive outcomes, besides specialized care, this effective and very low cost method could be used by nurses to promote weight gain and early discharge of preterm infants.

scholarly journals Pengaruh Musik Keroncong selama Pelaksanaan Kangaroo Mother Care terhadap Respons Fisiologis dan Lama Rawat Bayi dengan Berat Badan Lahir Rendah

2015 ◽  
Vol 10 (2) ◽  
pp. 93
Author(s):  
Anita Rahmawati ◽  
Endah Marianingsih Theresia ◽  
Yuliasti Eka Purnamaningrum
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Low Birthweight ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Purposive Sampling

AbstrakKangaroo mother care (KMC) merupakan metode merawat bayi beratbadan lahir rendah (BBLR). Beberapa intervensi perawatan di neonatal intensive care unit seperti pijat bayi, KMC, dan mendengarkan musik bermanfaat untuk pertumbuhan bayi berupa respons fisiologis BBLR dan mengurangi lama rawat. Penelitian ini bertujuan untuk mengetahui manfaat musik keroncong terhadap respons BBLR selama KMC dan lama rawat. Rancangan penelitian adalah quasi eksperimental dengan pretest dan posttest dengan desain grup kontrol. Pada Juli - September 2014 populasi penelitian adalah ibu dan bayi BBLR yang melaksanakan KMC. Pengambilan sampel dengan purposive sampling sebanyak 60 bayi. Kriteria inklusi bayi BBLR yang ditetapkan adalah berat badan bayi 1.500 – 2.499 gram, tanpa memandang usia kehamilan, bayi mampu menghisap walaupun masih lemah, tidak mengalami kesulitan pernapasan. Kriteriaeksklusi adalah bayi dengan kelainan kongenital, gejala sepsis, dan bayi yang dilakukan foto terapi. Uji statistik menggunakan uji-t berpasangan, ujit independen dengan nilai p < 0,05 dan CI 95%. Setelah perlakuan hari ketiga, terjadi penurunan nadi pada bayi dengan BBLR 8,13 kali/menit (nilai p = 0,000), respirasi penurunannya 2,36 kali/menit (nilai p = 0,000). Rerata lama rawat bayi pada kelompok perlakuan adalah 8,57 hari, sedangkan kelompok kontrol adalah 11,87 hari (nilai p = 0,038). Suhu hasilnya tidak bermakna (nilai p > 0,05). Dapat disimpulkan bahwa musik keroncong berpengaruh terhadap penurunan nadi, respirasi selama KMC, dan lama rawat bayi.AbstractKangaroo Mother Care (KMC) is nursing care method for low birthweight(LBW) infants. Some care interventions in neonatal intensive care unit, such as infant massage, KMC and listening to music have advantage for infant growth in form of physiological responses and reduce LBW infant-nursing length. This study aimed to determine advantage of keroncong music toward LBW infant’s response during KMC and nursing length. The study design was quasi experimental using pretest and posttest using control group design. Population was mothers and LBW infants implementing KMC. Samples were 60 infants taken by purposive sampling. Inclusion criteria determined for LBW infants were having weight 1,500 – 2,499 gram, without considering pregnancy age, having ability to suckle though still weak, not suffering breathing distress. Meanwhile, exclusion criteria were infants with congenital disorder, sepsis symptoms and infants during therapy photo. Statistical test used paired t-test, independent t-test with p value < 0.05 and confidence interval (CI) 95%. After third day of treatment, LBW pulse decreased 8.13 times/minute (p value = 0.000), respiration decreased 2.36 times/minute (p value = 0.000). Nursing length mean on the treatment group was 8.57 days, while the control group was 11.87 days (p value = 0.038). Temperature result was insignificant (p value > 0.05). In conclusion, keroncong music influences on decrease of pulse, respiration during KMC and length of infant nursing.

scholarly journals The Effect of Narrative Writing of Mothers on Their Stress With Care in the Neonatal Intensive Care Unit

2020 ◽  
Vol 10 (3) ◽  
pp. 196-205
Author(s):  
Atoosa Tavasoli ◽  
◽  
Golbahar Akhoundzadeh ◽  
Hamid Hojjati ◽  
◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
T Test ◽  
Control Group ◽  
Narrative Writing ◽  
Control Groups ◽  
And Control ◽  
Experimental Group

Objective: Premature birth and hospitalization in the intensive care unit cause many crises and stresses for mothers. In the meantime, narration writing is a method of counseling to reduce mothers' stress. Therefore, we aimed to study the effect of maternal narration on the stress of mothers of premature infants admitted to the neonatal intensive care unit. Methods: This experimental study was performed on mothers of neonates admitted to the intensive care units. The experimental and control groups were selected by simple random sampling method. In the experimental group, based on the instructions given, the mothers recorded their daily events 3 times a day. The obtained data were analyzed in SPSS V. 21 with descriptive statistics (mean and standard deviation) and inferential statistics (paired t-test, independent t-test, ANCOVA test). Results: The Mean±SD score of stress was 97.43±2.66 in the experimental group and 95.26±5.76 in the control group before the intervention. The stress level of mothers was 84.9±5.35 in the experimental group after the intervention and 87.1±5.25 in the control group. The covariance test showed a significant difference between the experimental and control groups (P=0.03 and Eta= 0.07) so that 7% of stress reduction changes are related to mothers' narration. Conclusion: This study showed that narrative writing as an effective supportive intervention has a vital role in reducing stress in mothers of neonates admitted to the intensive care unit. 

scholarly journals Effects of Early Vocal Contact in the Neonatal Intensive Care Unit: Study Protocol for a Multi-Centre, Randomised Clinical Trial

2021 ◽  
Vol 18 (8) ◽  
pp. 3915
Author(s):  
Manuela Filippa ◽  
Elisa Della Casa ◽  
Roberto D’amico ◽  
Odoardo Picciolini ◽  
Clara Lunardi ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Sensitive Period ◽  
Control Group ◽  
Long Term Effects ◽  
Infant Neurodevelopment

Preterm infants are at risk for developing altered trajectories of cognitive, social, and linguistic competences compared to a term population. This is mainly due to medical and environmental factors, as they are exposed to an atypical auditory environment and simultaneously, long periods of early separation from their parents. The short-term effects of early vocal contact (EVC) on an infant’s early stability have been investigated. However, there is limited evidence of its impact on the infant’s autonomic nervous system maturation, as indexed by heart rate variability, and its long-term impact on infant neurodevelopment. Our multi-centric study aims to investigate the effects of EVC on a preterm infant’s physiology, neurobehaviour, and development. Eighty stable preterm infants, born at 25–32 weeks and 6 days gestational age, without specific abnormalities, will be enrolled and randomised to either an intervention or control group. The intervention group will receive EVC, where mothers will talk and sing to their infants for 10 min three times per week for 2 weeks. Mothers in the control group will be encouraged to spend the same amount of time next to the incubator and observe the infant’s behaviour through a standard cluster of indicators. Infants will be assessed at baseline; the end of the intervention; term equivalent age; and 3, 6, 12, and 24 months corrected age, with a battery of physiological, neurobehavioral, and developmental measures. Early interventions in the neonatal intensive care unit have demonstrated effects on the neurodevelopment of preterm infants, thereby lowering the negative long-term effects of an atypical auditory and interactional environment. Our proposed study will provide new insight into mother–infant early contact as a protective intervention against the sequelae of prematurity during this sensitive period of development. Early intervention, such as EVC, is intuitive and easy to implement in the daily care of preterm infants. However, its long-term effects on infant neurodevelopment and maternal sensitivity and stress are still unclear. Trial Registration: NCT04759573, retrospectively registered, 17 February 2021.

scholarly journals Inborn Errors of Immunity in the Premature Infant: Challenges in Recognition and Diagnosis

2021 ◽  
Vol 12 ◽  
Author(s):  
Scott M. Gordon ◽  
Amy E. O’Connell
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Conceptual Framework ◽  
Premature Infant ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Inborn Errors ◽  
Inborn Errors Of Immunity

Due to heightened awareness and advanced genetic tools, inborn errors of immunity (IEI) are increasingly recognized in children. However, diagnosing of IEI in premature infants is challenging and, subsequently, reports of IEI in premature infants remain rare. This review focuses on how common disorders of prematurity, such as sepsis, necrotizing enterocolitis, and bronchopulmonary dysplasia, can clinically overlap with presenting signs of IEI. We present four recent cases from a single neonatal intensive care unit that highlight diagnostic dilemmas facing neonatologists and clinical immunologists when considering IEI in preterm infants. Finally, we present a conceptual framework for when to consider IEI in premature infants and a guide to initial workup of premature infants suspected of having IEI.

scholarly journals THE EFFECT OF BODY REPOSITIONING ON HEMODYNAMIC STATUS IN PATIENTS WITH VASOPRESSOR THERAPY IN INTENSIVE CARE UNIT

2018 ◽  
Vol 4 (6) ◽  
pp. 572-580
Author(s):  
Vica Sari Oktorina ◽  
Aan Nuraeni
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intervention Group ◽  
Sampling Technique ◽  
T Test ◽  
Control Group ◽  
Vasopressor Therapy ◽  
Control Group Design ◽  
Hemodynamic Status ◽  
The Difference

Background: Repositioning the patients every 2 hours were often not implemented during patient care. One of the causes perceived by nurses as contraindications to repositioning in critical patients is the use of vasoactive agents. This condition increases the risk of decubitus, decreased orthostatic stability and muscle atrophy.Objective: The purpose of this study was to identify the effect of body reposition on hemodynamic patients receiving vasopressor therapy in Intensive Care Unit (ICU).Methods: The research method used Quasi Experiment with non-equivalent control group design. The subjects were ICU patients who received vasopressor therapy. The respondents recruited using consecutive sampling technique for a-four month period and obtained 34 respondents, which was divided into control and intervention group. Data analysis used paired t-test to analyze the difference in the same group and unpaired t-test to test the difference between two groups.Results: Pre-post hemodynamic differences in the intervention group when patients were repositioned from supine to the right lateral and  right lateral to left lateral showed p> 0.05. The hemodynamic difference between  the control and the intervention group also had p> 0.05. The results showed there were no significant difference.Conclusions: In general, there is no effect of body repositioning on hemodynamic status. Critical nurses can perform body repositioning activities every two hours including in patients with vasopressor therapy to prevent complications of immobilization, still considerating contraindication condition.

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