The Effectiveness of Combination of Kangaroo Mother Care Method and Lullaby Music Therapy on Vital Sign Change in Infants With Low Birth Weight

Abstract

Background: Kangaroo mother care (KMC) and lullaby music methods have been considered as the alternative treatment for vital sign changes in low birth weight infants. However, little is known about the combination of the two methods.Objective: To identify effectiveness of combinations of Kangaroo mother care and Lullaby music methods on changes in vital signs in low birth weight infants.Methods: A quasi experiment with non-equivalent control group design. This study was conducted on October– December 2016 at the General Hospital of Ambarawa and General Hospital of Ungaran, Semarang. There were 36 samples selected using consecutive sampling divided into three groups, namely: 1) a group of LBW infants with the combination of KMC and lullaby music, 2) a LBW infant group with the lullaby music intervention, and 3) a control group given standard care in LBW infants by KMC method. Paired t-test and MANOVA test were used to analyzed the data.Results: Findings revealed that there were significant differences between the combination group, lullaby music group, and control group in temperature (p=0.003), pulse (p=0.001), respiration (p=0.001), and oxygen saturation (p=0.014) with significant value of <0.05, which indicated that there was a statistically significant difference in vital sign changes among the three groups.Conclusion: The combination of KMC method and Lullaby music intervention was effective on vital sign changes (temperature, pulse, respiration, and oxygen saturation) compared with the lullaby music group alone and control group with KMC method in low birth weight infants. It is suggested that the combination of KMC and Lullaby music methods can be used as an alternative to improve LBW care for mothers in the NICU and at home and to reach the stability of the baby's vital signs.

Combining Kangaroo Care and Live-Performed Music Therapy: Effects on Physiological Stability and Neurological Functioning in Extremely and Very Preterm Infants

“…Oxygen saturation slightly increased during combination therapy. Ettenberger and colleagues, as well as Yusuf and colleagues also found an increase in oxygen saturation during combination therapy [ 28 , 29 ]. The decrease after LPMT that we found is in contrast with several recent meta-analyses investigating the physiological effects of music therapy alone, which reported improvement or stabilization of oxygen saturation [ 18 , 20 , 41 , 42 ].…”

“…These effects were only short-term, as after combined interventions physiological parameters returned to initial values. Regardless of the variation in the methodological approach, other studies investigating the effects of combination therapy generally also reported stable or slightly beneficial changes in vital parameters during and after combination therapy [ 24 , 28 , 29 , 30 , 31 , 40 ]. Previous studies have reported that both KC and music therapy are well accepted, cost-effective, accessible, and safe methods that improve physiological parameters and neurodevelopmental outcomes, and reduce infant stress [ 13 , 18 , 20 ].…”

“…The individual KC and LPMT interventions have therefore proven their value in neonatal care [ 25 , 27 ]. Nonetheless, only a few studies exist that investigate the combined effects of musical interventions and KC [ 24 , 28 , 29 , 30 , 31 ]. These studies generally reported stable or slightly beneficial changes in physiological parameters during and after therapy.…”

Kangaroo Method Treatment Increases Baby's Body Temperature With Low Birth Weight

“…9 Similar results were also explained in another study which explained that the kangaroo method affected body temperature in infants with low birth weight as evidenced by an increase in body temperature for infants. 10,11 Birth weight is an important indicator of the health of the baby, a major factor for survival and a factor for the development and mental development of the baby in the Fenny Dwi Kurniasih / Kangaroo Method Treatment Increases Baby's Body Temperature With Low Birth Weight future. In terms of maternal factors, several factors affect LBW, including pregnancy and fetal factors.…”

Distance education (E-learning) as an effective tool to improve nurses’ perception and knowledge of developmental care of preterm infants: A quasi-experimental study

“…Chou et al (2015) found that music therapy intervention in the infant environment during development leads to better oxygenation of the infant and possibly increases brain development [3]. Yusuf Nova et al (2017) also highlighted the effectiveness of a combination of kangaroo care and music interventions in the neonatal intensive care unit and even after discharge [11]. Rahimi et al (2017) reported that educating nurses and physicians about non-pharmacological control of pain in infants by sucrose and swaddling and limiting painful processes can prevent stress to the infant [6].…”