Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Effects of Hearing Recorded Mother's Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants

녹음된 엄마목소리 들려주기가 극소저체중출생아의 생리적 반응, 수면행동상태 및 체중에 미치는 영향

  • Received : 2014.03.14
  • Accepted : 2014.06.18
  • Published : 2014.07.31
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Abstract

Purpose: The purpose of this study was to identify whether hearing a recording of mother's voice affected physiological reactions, behavioral state related to sleep and weight of very low birth weight (VLBW) infants. Methods: This was a nonequivalent control group pre-post test quasiexperimental design. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group, a recording of mother's voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in the incubator. Results: For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differences between the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In the daily weight change, there was no significant difference between the experimental and control groups. Conclusion: The findings suggest that, for VLBW infants, the intervention of hearing a recording of mother's voice had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state and improve VLBW infants' growth.

목적 본 연구는 신생아중환자실에 입원해 있는 극소저체중출생아를 대상으로 녹음된 엄마목소리 들려주기 중재의 효과를 규명하기 위해 수행되었다. 방법 부산시내에 소재하는 D대학교의료원의 신생아중환자실에 입원한 대상자를 임의표출하여 비동등성 대조군 전후설계로 총 22명의 영아중 실험군 11명, 대조군 11명을 대상으로 하여 본 연구를 실시하였다. 결과 녹음된 엄마 목소리 들려주기를 제공받은 극소저체중출생아의 생리적 반응인 심박동수, 호흡수와 산소포화도에서 실험군과 대조군 사이에 통계적으로 유의한 차이가 있었다. 수면행동상태는 실험군이 대조군보다 안정된 상태를 보였다. 또한 일일체중증가의 변화량이 실험군에서 더 높은 경향을 보였다. 하지만 두 군 간에 통계적으로 유의하지 않았다. 결론 본 연구를 통해 극소저체중출생아 자기 엄마의 녹음된 엄마목소리 들려주기는 극소저체중출생아의 초기 양육환경 조성에 매우 긍정적인 프로그램임을 확인할 수 있었다. 이는 입원기간 동안 영아와 부모 사이의 상호작용 증진의 기회를 제공하여 극소저체중출생아 돌봄에 엄마의 적극적인 참여를 유도할 수 있다는 점에서 아동간호 실무 발전에 기여할 수 있을 것이다.

Keywords

References

  1. Anderson, G. C., Behnke, M., Gill, N. E., Conlon, M., Measel, C. P., & McDoine, T. E. (1990). Self-regulatory gavage-to-bottle feeding for preterm infants. Effect on behavioral state, energy expenditure, and weight gain. In Funk, S. G., Tornquist, E. M., Champagne, M. T., Copp, L. A. & Wiese, R. A. (Ed.), Key Aspects of Recovery: Improving Nutrition, Rest, and Mobility (pp. 83-97). New York: Springer Publishing Company.
  2. Bozzette, M. (2008). Healthy preterm infant responses to taped maternal voice. Journal of Perinatal & Neonatal Nursing, 22(4), 307-316. https://doi.org/10.1097/01.JPN.0000341362.75940.f2
  3. Cassidy, J. W. (2009). The effect of decibel level of music stimuli and gender on head circumference and physiological responses of premature infants in the NICU. Journal of Music Therapy, 46(3), 180-190. https://doi.org/10.1093/jmt/46.3.180
  4. Chou, S. J., & Choi, S. H. (2006). The effect of music therapy on the heart rate and behavioral state of premature infants. Korean Journal of Child Health Nursing, 12(1), 84-88.
  5. Fifer, W. P., & Moon, C. M. (1994). The role of mother's voice in the organization of brain function in the newborn. Acta Paediatrica, International Journal of Paediatrics, Supplement, 397, 86-93.
  6. Glass, P. (1994). The vulnerable neonate and neonatal intensive care environment: Pathophysiology and management of newborn. Avery GB: Lippincott.
  7. Hockenberry, M. J., & Wilson, D. (2010). Wong's essentials of pediatric nursing (9th edition). Seoul: Hyunmoonsa.
  8. Holditch-Davis, D., Bartlett, T. R., & Belyea, M. (2000). Developmental problems and interaction between mothers and prematurely born children. Journal of Pediatric Nursing, 15(3), 157-167. http://dx.doi.org/ 10.1053/jn.200.6021
  9. Hong, C. E. (2008). Pediatric (9th edition). Seoul: Daehan Textbook.
  10. Jang, M. Y. (2008). The effect of kangaroo care on weight and stress hormone (cortisol) in premature infants. Journal of Korean Academy of Child Health Nursing, 14(2), 138-145.
  11. Johnston, C. C., Filion, F., & Nuyt, A. M. (2007). Recorded maternal voice for preterm neonates undergoing heel lance. Advances in Neonatal Care, 7(5), 258-266. https://doi.org/10.1097/01.ANC.0000296634.26669.13
  12. Kim, H. S. (1996). The effect of sensory integration program for low birth weight infant on growth index, behavioral state and physiologic response change. Korean Academy of Child Health Nursing, 137-142.
  13. Kim, K. S., & Bae, C. W. (2008). Trends in survival rate for very low birth weight infants and extremely low birth weight infants in Korea, 1976- 2007. Korean Journal of Pediatrics, 51(3), 237-242. https://doi.org/10.3345/kjp.2008.51.3.237
  14. Kisilevsky, B. S., Hains, S. M., Brown, C. A., Lee, C. T., Cowperthwaite, B., Stutzman, S. S., et al. (2009). Fetal sensitivity to properties of maternal speech and language. Infant Behavior & Development, 32, 59-71. http:// dx.doi.org/10.1016/j.infbeh.2008.10.002
  15. Korean Association of Infection Control Nurses. (2001). Disinfection and sterilization in health care markets. Seoul: Hyeonmunsa.
  16. Korean Statistical Information Service. (2013, August 26). Internal statistics: Statistical Database: Population/Household: Population survey: Birth. Retrieved July 4, 2014, from http://kosis.kr/statisticsList/statisticsList_ 01List.jsp?vwcd=MT_ZTITLE&parmTabId=M_01_01
  17. Latal-Hajnal, B., von Siebenthal, K., Kovari, H., Bucher, H. U., & Largo, R. H. (2003). Postnatal growth in VLBW infants: Significant association with neurodevelopmental outcome. Journal of Pediatrics, 143(2), 163-170.
  18. MaCain, G. C. (1992). Facilitation inactive awake state in preterm infants: A study of three interventions. Nursing Research, 41(3), 157-160.
  19. Morris, B. H., Philbin, M. K., & Bose, C. (2000). Physiological effects of sound on the newborn. Journal of Perinatology, 20(8part 2), S55-60. https://doi.org/10.1038/sj.jp.7200451
  20. Park, J. S., Hong, K. J., & Bang, K. S. (2013). Effects of the 'intervention mother's song' on physical response and behavioral state of low-birth weight infants in a neonatal intensive care unit. Journal of Korean Academy of Child Health Nursing, 19(3), 198-206. http://dx.doi.org/10. 4094/chnr.2013.19.3.198
  21. Rossetti-Shustak, B. (2009). I Love Love Love. Seoul: Bomulchanggo.
  22. Song, H. S., & Shin, H. S. (2001). Effects of a sensory stimulation on weight gain, behavioral state, and physiological responses in premature infants. Journal of Korean Academy of Nursing, 31(4), 703-711. https://doi.org/10.4040/jkan.2001.31.4.703
  23. Standley, J. M. (2000). The effect of contingent music to increase non-nutritive sucking of premature infants. Pediatric Nursing, 26(5), 493-499.
  24. Standley, J. M., & Moore, R. S. (1995). Therapeutic effects of music and mother's voice on premature infants. Pediatric Nursing, 21(6), 509-512.
  25. Stouffer, J. W., Shirk, B. J., & Polomano, R. C. (2007). Practice guidelines for music interventions with hospitalized pediatric patients. Journal of Pediatric Nursing, 22(6), 448-456. https://doi.org/10.1016/j.pedn.2007.04.011
  26. Stuart, L. F. (2011). Human physiology. Seoul: Life Science.
  27. White-Traut, R. C., Nelson, M. N., Silvestri, J. M., Cunningham, N., & Patel, M. (1997). Responses of preterm infant to unimodal and multimodal sensory intervention. Pediatric Nursing, 23(2), 169-175.
  28. Williams, A. L., Sanderson, M., Lai, D., Selwyn, B. J., & Lasky, R. E. (2009). Intensive care noise and mean arterial blood pressure in extremely low-birth-weight neonates. American Journal of Perinatology, 26, 323- 329. http://dx.doi.org/10.1055/s-0028-1104741
  29. Yeum, M. K., Ahn, Y. M., Seo, H. S., & Jun, Y. H. (2010). The effects of maternal heart sound on the weight, physiological responses and behavioral states of premature infants. Journal of Korean Academy of Child Health Nursing, 16(3), 244-219. http://dx.doi.org/10.4094/jkachn. 2010.16.3.211
  30. Zahr, L. K., & Balian, S. (1995). Responses of premature infants to routine nursing interventions and noise in the NICU. Nursing Research, 44, 179-185.

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