ORIGINAL ARTICLE
Lullaby effect with mother’s voice on respiratory rate and the speed of its return to the pre-suction state in intubated preterm infants, during tracheal tube suction Kerman, Afzali pour hospital 2016
 
More details
Hide details
1
PhD, Assistant Professor of nursing, School of Nursing and Midwifery. Department of pediatric and neonatal nursing, Tehran University of Medical Sciences, Tehran, Iran
 
2
PhD, Assistant Professor of nursing, School of Nursing and Midwifery. Department of public health, Kerman University of Medical Sciences, Kerman, Iran
 
3
PhD, Assistant Professor of nursing, School of Nursing and Midwifery. Department of Critical care, Kerman University of Medical Sciences, Kerman, Iran
 
4
MSc in NICU Nursing Nursing and Midwifery Kerman School of Razi, University of Medical Sciences, Kerman, Iran
 
5
Assistant Professor, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
 
 
Online publication date: 2018-07-15
 
 
Publication date: 2018-12-28
 
 
Electron J Gen Med 2019;16(1):em106
 
KEYWORDS
ABSTRACT
Introduction & Objective:
Acceptance of newborns in the intensive care unit is regarded as one of the most important health care challenges due to the use of painful invasive procedures that are frequently performed on admitted infants. Today, the use of palliative non-pharmacological methods has been repeatedly emphasized in the literature. Therefore, the present study determine lullabies effect with mother’s voice on heart rate in preterm infants during tracheal tube suction.

Materials and Methods:
This cross over-interventional study was conducted on 40 preterm infants during a five-month period in 2016, who were admitted in NICU in the Afzalipour Hospital affiliated to Kerman University of Medical Sciences. After convenience random sampling, infants were divided into two groups of Routine care / Lullaby and Lullaby / Routine care. At the intervention time, mother’s lullaby was played for the infants from the 5 minutes before suction until 10 minutes later. Physiological responses of infants, including respiratory rate, were measured one minute before endotracheal suctioning as baseline information and five minutes to thirty minutes continued after suction. Finally, statistical analysis of data was performed by SPSS software version 23.

Results:
The results showed that mother’s lullaby in intubated preterm infants who were suctioned, not only was effective on fast return of breathing changes after the suction, but also it reduced respiratory rate (0.007 p), which can also indicate the stress reduction in infants.

Conclusion:
The participation and presence of mothers in taking care of preterm infants not only improves the quality of nursing care, but can also has a significant effect on their physiological responses.

REFERENCES (27)
1.
S DR, M L. Information needs of parents of children admitted to a neonatal intensive care unit: a review of the literature (1990-2008). Patient education and counseling. 2009:76(2):159-73. https://doi.org/10.1016/j.pec.....
 
2.
Beigi A, Taheri N, Norouzi HR. The prevalence of very preterm deliveries, risk factors, and neonatal complications in Arash women hospital: a brief report. Tehran University Medical Journal. 2013;71(3):194-8.
 
3.
Nelson N. Neonatal. Martyr Beheshti University of Medical Sciences. 2011.
 
4.
Wood A. Effects of music therapy on preterm infants in the neonatal intensive care unit: The University of Alabama at Birmingham; 2008.
 
5.
Keshavars M, Eskandari N, Jahdi F, Ahaieri H, Hoseini F, Kalani M. The effect of holly Quran recitation on physiological responses of premature infant. Journal of Semnan University of Medical Sciences. 2010:11(3):169-77.
 
6.
Kobra O, Foroozan A-S. The conformity rate of nursing care during newborn admission with the standards in Neonatal Intensive Care Unit Medical - Surgical Nursing Journal. 2015;4(2):24-32.
 
7.
Delobel-Ayoub M, Arnaud C, White-Koning M, Casper C, Pierrat V, Garel M, et al. Behavioral problems and cognitive performance at 5 years of age after very preterm birth: the EPIPAGE Study. Pediatrics. 2009;123(6:92-148:(5).
 
8.
Verney C, Pogledic I, Biran V, Adle-Biassette H, Fallet-Bianco C, Gressens P. Microglial reaction in axonal crossroads is a hallmark of noncystic periventricular white matter injury in very preterm infants. Journal of Neuropathology & Experimental Neurology. 2012;71(3):251-64. https://doi.org/10.1097/NEN.0b....
 
9.
Holmstrom S, Phibbs C. Regionalization and mortality in neonatal intensive care. Pediatr Clin North Am. 2009 Jun: 56(3):617-30. https://doi.org/10.1016/j.pcl.....
 
10.
Musa RA, Tahereh M, inventors the prevalence of the most important causes of respiratory distress in newborns admitted to NICU2012.
 
11.
Paula L, Ceccon M. Randomized, comparative analysis between two tracheal suction systems in neonates. Rev Assoc Med Bras. 2010;56(4):434-9. https://doi.org/10.1590/S0104-....
 
12.
Miller JD, Carlo WA. Pulmonary complications of mechanical ventilation in neonates. Clinics in perinatology. 2008;35(1):273-81. https://doi.org/10.1016/j.clp.....
 
13.
Caskey M, Stephens B, Tucker R, Vohr B. Importance of parent talk on the development of preterm infant vocalizations. Pediatrics. 2011;128(5):910-6. https://doi.org/10.1542/peds.2....
 
14.
Porges SW, Furman SA. The early development of the autonomic nervous system provides a neural platform for social behaviour: a polyvagal perspective. Infant and Child Development. 2011;20(1):106-18. https://doi.org/10.1002/icd.68....
 
15.
Lago P, Garetti E, Merazzi D, Pieragostini L, Ancora G, Pirelli A, et al. Guidelines for procedural pain in the newborn. Acta paediatrica (Oslo, Norway: 1992). 2009;98(6):932-9. https://doi.org/10.1111/j.1651....
 
16.
P.F A, E wL, L J. Influence of gestational age and postnatal age on speech sound processing in nicu infants. NIH Public Access. 2012;49(5):720-31.
 
17.
R A. Lullaby effect on blood oxygen saturation in preterm infants. Journal of Birjand University of Medical Sciences. 2008;15(4).
 
18.
Cone S. Endotracheal suctioning in preterm infants using four-handed versus routine care. NIH Public Access. 2013 42-92-104:(1).
 
19.
A S, Peczeniuk-Hoffman. Interventions and techniques in current practice and a survey of experience and designation implications. Western Michigan University Scholar Works at WMU. 12-1-2012:93.
 
20.
Karimi R. The effect of music therapy on physiological responses of blood pain in premature infants. Faculty of Nursing and Midwifery, Tehran University of Medical Sciences (life). 2012;18(2):76-86.
 
21.
Chou L. Effects of Music Therapy on Oxygen Saturation in Premature Infants Receiving Endotracheal Suctioning. Nursing Research. 2003;11(3):205-15. https://doi.org/10.1097/01.JNR....
 
22.
Taheri l, sobhanian s, mosalanejad z, hojat m. Comparison the effect of Quran and lullaby on heart rate changes of hospitalized neonates in Neonatal Intensive Care Unit. 2. 2015;4(2):16-0.
 
23.
Cevasco A. The effects of mothers’ singing on full-term and preterm infants and maternal emotional responses. Music Ther. 2008;45(3):273-306. https://doi.org/10.1093/jmt/45....
 
24.
Asgari N, Taheri P, Golchin M. The effect of open and closed endotracheal tube suctioning system on cardiorespiratory parameters of infants undergoing mechanical ventilation. Journal of development research in nursing midwifery 2013:14-20.
 
25.
Lopes Barbosa A. Endotracheal and upper airways suctioning: changes in newborns’ physiological parameters. Original Article. 2011;19(6):1990-76. https://doi.org/10.1590/S0104-....
 
26.
Marofi M, Nikobakht F, Badiee Z, Golchin M. The effect of melody on the physiological responses of heel sticks pain in neonates. Iranian journal of nursing and midwifery research. 2015;20(3):405-8.
 
27.
DR K, K R, BS W. The effects of music listening on inconsolable crying in premature infants. Music Ther [PubMed: 19757875]. 2009;49:191–203.
 
eISSN:2516-3507
Journals System - logo
Scroll to top