The effectiveness of earmuffs on the physiologic and behavioral stability in preterm infants.

Autor: Khalesi N; Ali Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran. Electronic address: nasrinkhalessi@yahoo.com., Khosravi N; Ali Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran. Electronic address: nastarankhosravi@yahoo.com., Ranjbar A; School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: ranjbarazadehe@yahoo.com., Godarzi Z; Ali Asghar Hospital, Iran University of Medical Sciences, Tehran, Iran. Electronic address: godarsizahra@gmail.com., Karimi A; Department of Mechanical Engineering, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, Japan. Electronic address: karimia@outlook.com.
Jazyk: angličtina
Zdroj: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2017 Jul; Vol. 98, pp. 43-47. Date of Electronic Publication: 2017 Apr 20.
DOI: 10.1016/j.ijporl.2017.04.028
Abstrakt: Background: The use of earmuffs can protect preterm infants against negative effects of high noise levels in the neonatal intensive care unit. This study was aimed at assessing the effectiveness of the earmuffs on the physiologic and behavioral responses in preterm infants.
Methods: A crossed over controlled trial was conducted at Aliasghar Hospital (Tehran, Iran) in 2014. Thirty-six preterm infants cared in closed incubators, 18 cases wore a pair of silicon earmuffs in the first day and the others were worn it at the second day. During 2 consecutive days, all subjects were observed as their own controls (without earmuffs). Physiologic (body temperature, heart rate, respiratory rate, systolic, diastolic pressures, arterial Oxygen Saturation) and behavioral responses (according to the Anderson behavioral state scoring system) were assessed every 2 h for 8 h long during daytime for two consecutive days.
Results: The application of earmuffs could decrease the rate of the heart and respiratory while could increase the amount of oxygen saturation (p < 0.05). The results also showed that the preterm infants with earmuffs had lower ABSS score and a better light sleep compared to those without earmuffs (2.38 ± 0.47 versus 4.8 ± 0.97, p < 0.05).
Conclusion: The results indicated that using the earmuffs reduces the level of noise in NICUs following by improving the preterm neonates' physiological stability and behavioral states of ABSS.
(Copyright © 2017 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: