Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Cycled Lighting on Circadian Rhythms of Premature Infants

미숙아의 생물학적 리듬에 관한 주기적 빛 조절의 효과

  • Lee, Seong-Jin (College of Nursing, Seoul National University) ;
  • Han, Kyung-Ja (College of Nursing, Seoul National University) ;
  • Bang, Kyung-Sook (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
  • 이성진 (서울대학교 간호대학) ;
  • 한경자 (서울대학교 간호대학) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Received : 2012.02.15
  • Accepted : 2012.04.16
  • Published : 2012.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Instead of a chaotic non circadian environmental approach, continuing regular day-night rhythm in neonatal nurseries may benefit the development of preterm infants. The purpose of this study was to define the effects of cycled lighting on circadian rhythms of premature infants. Methods: The experimental group included 15 preterm infants, and the control group, 15 premature infants in the NICU of a general hospital in Seoul. All infants were between 32 and 37 weeks' postconceptional age. The experimental group infants were provided with cycled lighting before discharge. The incubator or bassinet cover of the experimental group was off between 7 AM and 7 PM, and was covered between 7 PM and 7 AM. Results: There were significant differences in the NNNS score ($p$=.039), and some significant differences in the sleep-activity pattern between the experimental group and the control group, but distinct differences in sleep-activity patterns between the two groups could not be defined. Conclusion: The results of this study suggest that cycled lighting can be helpful in the neurobehavioral development of preterm infants. By modifying the NICU environment to provide a more developmentally supportive milieu, nursing professionals can better meet the infants' physiologic and neurobehavioral needs.

Keywords

References

  1. Als, H., Lawhon, G., Brown, E., Gibes, R., Duffy, F. H., McAnulty, G., et al. (1986). Individualized behavioral an environmental care for the very low birth weight preterm infant at high risk for brochopulmonary dysplasia: Neonatal intensive care unit and developmental outcome. Pediatrics, 78, 1123-1130.
  2. Barnard, K. E. (1980). Sleep behavior of infant-is it important? Nursing child assessment sleep/activity manual. Seattle: NCAST publication.
  3. Bassler, S. F. (1976). The origin and development of biological rhythms. The Clinical Nursing of North America, 11, 575-582.
  4. Blackburn, S. T. (1998). Environmental impact of the NICU on developmental outcomes. Journal of Pediatric Nursing, 13, 279-289. https://doi.org/10.1016/S0882-5963(98)80013-4
  5. Brandon, D. H., Holditch-Davis, D., & Belyea, M. (2002). Preterm infants born at less than 31 weeks' gestation have improved growth in cycled light compared with continuous near darkness. The Journal of Pediatrics, 140, 192-199. https://doi.org/10.1067/mpd.2002.121932
  6. Han, K. J. (2006). Study on the development and effect of mother-fetus interaction promotion program. Seoul: National Research Foundation of Korea (No: R04-2003-000-10028-0).
  7. Illnerova, H., Buresova, M., & Presl, J. (1993). Melatonin rhythm in human milk. Journal of Clinical Endocrinology & Metabolism, 77, 838-841. https://doi.org/10.1210/jc.77.3.838
  8. Jung, I. S. (2005). Effects of cycled lighting on body weight, physiological variables and behavioral states in low birth weight infants. Journal of Korean Academy of Nursing, 35, 143-153. https://doi.org/10.4040/jkan.2005.35.1.143
  9. Kim, Y. H. (2000). Sleep and feeding patterns in infancy. Korean Journal of Women Health Nursing, 6, 566-578.
  10. Korte, J., Wulff, K., Oppe, C., & Siegmund, R. (2001). Ultradian and circadian activity-rest rhythms of preterm neonates compared to full-term neonates using actigraphic monitoring. Chronobiology International, 18, 697-708. https://doi.org/10.1081/CBI-100106082
  11. Lester, B. M., & Tronick, E. Z. (2004). The neonatal intensive care unit network Neurobehavioral Scale (NNNS) procedures. Pediatrics, 113, 641-667.
  12. Lunshof, S., Boer, K., van, Hoffen. G., Wolf, H., & Mirmiran, M. (1997). The diurnal rhythm in fetal heart rate in a twin pregnancy with discordant anencephaly: Comparison with three normal twin pregnancies. Early Human Development, 48, 47-57. https://doi.org/10.1016/S0378-3782(96)01802-6
  13. McMillen, I. C., Kok, J. S., Adamson, T. M., Deayton, J. M., & Nowak, R. (1991). Development of circadian sleep-wake rhythms in preterm and full-term infants. Pediatric Research, 29, 381-384. https://doi.org/10.1203/00006450-199104000-00010
  14. Mirmiran, M., & Ariagno, R. L. (2000). Influence of light in the NICU on the development of circadian rhythms in premature infants. Seminar in Perinatology, 24, 247-257.
  15. Mirmiran, M., Maas, Y. G. H., & Ariagno, R. L. (2003). Development of fetal and neonatal sleep and circadian rhythms. Sleep Medicine Reviews, 7, 321-334. https://doi.org/10.1053/smrv.2002.0243
  16. Oehler, J. M. (1993). Developmental care of low birth weight infants. The Clinical Nursing of North America, 28, 289-301.
  17. Rivkees, S. A. (2003). Developing circadian rhythmicity in infants. Pediatrics, 112, 373-381. https://doi.org/10.1542/peds.112.2.373
  18. Rivkees, S. A., & Hao, H. (2000). Developing circadian rhythmicity. Seminars in Perinatology, 24, 232-242.
  19. Rivkees, S. A., Mayes, L., Jacobs, H., & Gross, I. (2004). Rest-activity patterns of premature infants are regulated by cycled lighting. Pediatrics, 113, 833-839. https://doi.org/10.1542/peds.113.4.833
  20. Rivkees, S. A., & Reppert, S. M. (1992). Perinatal development of day-night rhythms in humans. Hormone Research, 37, 99-104. https://doi.org/10.1159/000182409
  21. Robinson, J., & Fielder, A. R. (1990). Pupillary diameter and reaction to light in preterm neonates. Archives of Disease in childhood, 65, 35-38. https://doi.org/10.1136/adc.65.1_Spec_No.35
  22. Robinson, J., Mosley, M. J., & Fielder, A. R. (1990). Illumination of neonatal units. Archives of Disease in childhood, 65, 679-682. https://doi.org/10.1136/adc.65.7_Spec_No.679
  23. Statistics Korea (2010). Total birth rate in Korea. Retrieved April 11, 2012, from http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp?idx_cd=1428.
  24. Wolke, D. (1987). Environmental neonatology. Archives of Disease in Childhood, 62, 987-988. https://doi.org/10.1136/adc.62.10.987

Cited by

  1. Effect of Lights-Out at Night Time on Body Weight, Physiological Variables, and Behavioral Status in Premature Infants vol.23, pp.2, 2012, https://doi.org/10.5385/nm.2016.23.2.102