Developmental intervention for preterm infants diagnosed with periventricular leukomalacia
| Autor: | Michael N. Nelson, Rosemary C. White-Traut, Minu Patel, Laura Bradford, Jean M. Silvestri, Nancy Cunningham, Ushanalini Vasan, Kristen Burns, BK Han, Karen Kopischke |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Respiratory rate Leukomalacia Periventricular Gestational Age Central nervous system disease Child Development Intensive Care Units Neonatal Physical Stimulation medicine Birth Weight Humans General Nursing Chicago Neurologic Examination Psychomotor learning Analysis of Variance Periventricular leukomalacia Cerebral infarction Vascular disease business.industry Infant Newborn Infant Repeated measures design Length of Stay medicine.disease Alertness Intensive Care Neonatal Female business Infant Premature |
| Zdroj: | Research in Nursing & Health. 22:131-143 |
| ISSN: | 1098-240X 0160-6891 |
| DOI: | 10.1002/(sici)1098-240x(199904)22:2<131::aid-nur5>3.0.co;2-e |
| Popis: | Preterm infants with periventricular leukomalacia (PVL) were evaluated to determine whether multi-sensory stimulation is safe and to assess whether it improved neurobehavior and neurodevelopment. Thirty preterm infants with documented PVL were randomly assigned to control (n= 15) or experimental (Group E) (n= 15) groups at 33 weeks post-conceptional age. Group E infants received 15 minutes of auditory, tactile, visual, and vestibular (ATVV) intervention twice a day, five days a week, for four weeks during hospitalization. Repeated measures ANOVA demonstrated that Group E infants experienced significant increases in heart and respiratory rate and a 0.72% drop in hemoglobin saturation, coinciding with a significant behavioral state shift from sleep to alertness during intervention. No differences were identified in neurobehavioral function and neurodevelopment, indicating that Group E suffered no injury. Group E had an average hospital stay nine days shorter than that of controls, with the associated cost savings of $213,840. The earlier hospital discharge indicates that ATVV intervention promotes alertness without compromising physiologic status in vulnerable infants. |
| Databáze: | OpenAIRE |
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