The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants

염미경,; 안영미,; 서화숙,; 전용훈,

doi:10.4094/jkachn.2010.16.3.211

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…The newborns’ behavioral status was assessed using the Anderson Behavioral State Scale (ABSS) by observing five areas including the extent of eye openness, patterns of respiration, body movement, muscle tension and crying [ 6 ], and has been applied to high-risk newborns previously [ 7 ]. The score ranges from 1 to 12.…”

Section: Methodsmentioning

confidence: 99%

“…Higher scores indicate a more alert state and 6 is a cut-off for an optimal alert state in infants [ 6 ]. The Cronbach’s alpha was 0.97 with Korean high-risk newborns previously [ 7 ]. The newborns’ mental status was evaluated using the Infant Coma Scale (ICS), which was developed by modification of the pediatric Glasgow Coma Scale (GCS), is a reliable tool to evaluate the mental status of high-risk newborns [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

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Assessment of Primitive Reflexes in High-risk Newborns

Sohn

2011

J Clin Med Res

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BackgroundAssessment of primitive reflexes is one of the earliest, simplest, and most frequently used assessment tools among health care providers for newborns and young infants. However, very few data exist for high-risk infants in this topic. Among the various primitive reflexes, this study was undertaken particularly to describe the sucking, Babinski and Moro reflexes in high-risk newborns and to explore their relationships with clinical variables.MethodsThis study is a cross-sectional descriptive study. Sixty seven high-risk newborns including full-term infants required intensive care as well as premature infants were recruited in a neonatal intensive care unit using convenient sampling method. The sucking, Babinski and Moro reflexes were assessed and classified by normal, abnormal and absence. To explore their relationships with clinical variables, birth-related variables, brain sonogram results, and behavioral state (the Anderson Behavioral State Scale, ABSS) and mental status (the Infant Coma Scale, ICS) were assessed.ResultsThe sucking reflex presented a normal response most frequently (63.5%), followed by Babinski reflex (58.7%) and Moro reflex (42.9%). Newborns who presented normal sucking and Babinski reflex responses were more likely to have older gestational age, heavier birth and current weight, higher Apgar scores, shorter length of hospitalization, better respiratory conditions, and better mental status assessed by ICS, but not with Moro reflex.ConclusionsHigh risk newborns presented more frequent abnormal and absence responses of primitive reflex and the proportions of the responses varied by reflex. Further researches are necessary in exploring diverse aspects of primitive reflexes and revealing their clinical implication in the high-risk newborns that are unique and different to normal healthy newborns.KeywordsPrimitive reflex; High risk infants; Korean; Moro reflex; Sucking reflex; Babinski reflex; The Anderson Behavioral State Scale; Infant Coma Scale

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Assessment of Primitive Reflexes in High-risk Newborns

Sohn

2011

J Clin Med Res

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“…또한 신생아중환자실내의 과도한 청각 자극은 고위험 신생아인 극소저체중출생아에게 수면을 방해하고, 잠 을 자다가 울거나 보채는 형태의 행동상태를 만들고, 산소포화도를 감 소시킨다 (Zahr & Balain, 1995). 그러므로 극소저체중출생아에게 자궁 내와 유사한 환경을 만들어 주어 과도한 자극을 피함으로써 활동을 안정시켜 불필요한 에너지 소모를 감소시키고 (McCain, 1992), 중추신 경계가 조절과 통합이 이루어지도록 극소저체중출생아의 능력이나 상태에 알맞은 적절한 자극이 필요하다 (Yeum, Ahn, Seo, & Jun, 2010).…”

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“…이처럼 태아기에 엄마목소리를 듣는 것이 중요한 요인으로 작용하 나 지금까지 국내에서 엄마로부터 오는 자극과 관련해 이루어진 선행 연구들을 살펴보면 미숙아를 대상으로 엄마심장소리를 스피커로 들 려준 후 체중변화량, 뇨중 코티졸 농도, 행동상태를 파악한 연구 (Yeum et al, 2010), 저체중출생아를 대상으로 엄마노래를 들려준 후 생리적인 반응과 행동상태의 변화를 살펴본 연구 (Park, Hong, & Bang, 2013), 미 숙아를 대상으로 음악을 들려준 후 체중, 활력징후, 생리적 반응, 행동 상태, 스트레스 호르몬과 관련된 연구 (Chou & Choi, 2006;Jang, 2008;Song & Shin, 2001) 등이 시행되었으며 극소저체중출생아를 대상으로 엄마목소리를 청각자극으로 들려준 중재연구는 부족하였다.…”

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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.

최미향¹,

강인순²,

김영혜³

2014

Child Health Nurs Res

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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 quasi-experimental 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.

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“…따라서 국외 여러 선행연구에서는 긍정적인 청 각자극으로서 음악의 효과를 검증하는 많은 연구들이 수행되었으며 (Cassidy & Standley, 1995;Coleman, Pratt, Stoddard, Gerstmann, & Abel, 1997;Flowers, McCain, & Hilker, 1999;Standley, 1998Standley, , 2000Standley & Moore, 1995), 그 동안 우리나라에서도 음악을 활용하여 저출생체중 아에게 심장 박동음과 한국의 전통 동요, 자장가 등을 들려주고 그 효 과를 측정한 연구들이 이루어졌다. 음악요법은 저출생체중아의 체중 증가에 효과가 있었으며, 심박동수 감소와 활력징후가 더 안정되는 모 습을 보였고, 행동상태도 안정되었다 (Chou & Choi, 2006;Yeum, Ahn, Seo, & Jun, 2010). 최근에 외국에서 연구된 사례들을 살펴보면 다양한 특성의 음악이 저출생체중아에게 제공되고 있을 뿐 아니라 (Arnon et al, 2006;Chou, Wang, Chen, & Pai, 2003), 직접 불러주는 음악과 어머 니의 목소리를 통한 음악의 효과를 보는 연구도 시행되고 있다 (Blumenfeld & Eisenfeld, 2006;Johnston, Filion, & Nuyt, 2007;Standley & Moore, 1995).…”

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Effects of the 'Intervention - Mother's Song' on Physical Response and Behavioral State of Low-Birth Weight Infants in a Neonatal Intensive Care Unit.

박지선¹,

홍경자²,

방경숙³

2013

Child Health Nurs Res

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Purpose: This study was done to identify the effectiveness of the 'intervention -mother's recorded song' on low-birth weight infants in an neonatal intensive care unit (NICU). Methods: This study was conducted with a nonequivalent control group pre-posttest quasi-experimental design and the participant group was low-birth weight infants who were admitted to the NICU. Forty-eight infants, 24 in each from two groups, the experimental and control group, participated in the study. Results: For physical response according to vital signs, there were no significant statistical differences in heart rate, respiration rate and pulse oximetry saturation between the experimental group and the control group. For behavioral state, there was a significant statistical difference between the experimental and control group. Conclusion: The study results indicate that the intervention using mother's song had some significance as a nursing intervention with positive impacts. Such an intervention can help pediatric nurses improve infants' stabilization of their vital signs and behavioral states. By showing the effectiveness of such an intervention, the results of this study provide further evidence-based information in developing the practice of pediatric nursing.

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The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants

Cited by 4 publications

References 10 publications

Assessment of Primitive Reflexes in High-risk Newborns

Assessment of Primitive Reflexes in High-risk Newborns

Effects of Hearing Recorded Mother's Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants.

Effects of the 'Intervention - Mother's Song' on Physical Response and Behavioral State of Low-Birth Weight Infants in a Neonatal Intensive Care Unit.

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