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The study was planned in a randomized controlled manner in order to evaluate the effect of mother's voice and lullaby on stress and sleep-wake situations of premature babies.
Objective:This randomized controlled study was carried out to evaluate the effect of mother's voice and lullaby on preterm infants' stress and sleeping-waking states.
Study design:The study was carried out in a newborn unit in a public hospital in Turkey. In this study, 90 preterm newborn were divided into three groups equally as mother's voice (n=30), lullaby (n=30) and control groups (n=30). Data were obtained by Mother and Newborn Identification Form, Newborn Stress Evaluation Form (NSEF) and Newborn Sleepıng-Wakıng State Evaluation Form (NSWEF). On the 1st, 3rd and 5th days of the study; Newborns' NSEF and NSWEF scores at pre-, post-study and on the fifth minutes were evaluated. Data were evaluated by using descriptive statistics, homogeneity tests, chi-square, intra-class correlation coefficent, two way of analysis on repeated measures, generalized linear model, pearson correlation analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mother Voıce | Experimental | Premature baby group with mother voıce application. |
|
| Lullably | Experimental | Premature baby group with lullably application. |
|
| Control | No Intervention | Premature baby group with no application |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Music Therapy | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Newborn Stress Evaluation Form (NSEF) | NSEF, there is no stress indicator '0', mild stress indicators' 1 ', moderate stress indicators' 2', and severe stress indicators'. It is scored as 3. | NSEF was measured on days 1 through 5, which had a 5-day application period. |
| Measure | Description | Time Frame |
|---|---|---|
| Newborn Sleepıng-Wakıng State Evaluation Form (NSWEF) | The evaluation of the newborn status was carried out under the main headings of sleep and waking behaviors. Sleep behavior; deep sleep, light sleep and drowsy. Waking behavior is grouped under the headings of awake (extremely awake and eyelids awake), active awake and crying. As a result of the evaluation, it was decided that the behaviors of the newborn were in an organized or disorganized range, and the form was marked and scoring was created for the conditions starting from the deep sleep state to disorganized crying. In the evaluation of the data; The interpretation was made according to the state score of the newborn. It was interpreted that as the YUUDF score decreased, the sleep state of the newborns increased, and as the YUUDF score increased, the wakefulness and crying status of the newborns increased. |
| Measure | Description | Time Frame |
|---|---|---|
| Heart Rate | During the study heart rate was recorded with the help of a pulsioxymeter. | Heart rate was measured on days 1 through 5, which had a 5-day application period. |
| Respiratory Rate | During the study, the number of respiration of preterm newborns was counted. |
Inclusion Criteria:
Exclusion Criteria:
Premature babies who do not meet the inclusion criteria.
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| Name | Affiliation | Role |
|---|---|---|
| DÄ°LEK ERYÃœRÃœK | Study Principal Investigator | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30826725 | Result | Robertson AM, Detmer MR. The Effects of Contingent Lullaby Music on Parent-Infant Interaction and Amount of Infant Crying in the First Six Weeks of Life. J Pediatr Nurs. 2019 May-Jun;46:33-38. doi: 10.1016/j.pedn.2019.02.025. Epub 2019 Feb 28. | |
| 24092866 | Result | Peng NH, Chen LL, Li TC, Smith M, Chang YS, Huang LC. The effect of positioning on preterm infants' sleep-wake states and stress behaviours during exposure to environmental stressors. J Child Health Care. 2014 Dec;18(4):314-25. doi: 10.1177/1367493513496665. Epub 2013 Oct 3. |
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Personal data will not be shared because it was promised in the study when consent was obtained from the participants.
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D009147 | Music Therapy |
| ID | Term |
|---|---|
| D026421 | Sensory Art Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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The study will be conducted in a randomized controlled manner.
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Video footage in the study was made by three experts. Experts blindly evaluated the groups to which the videos they evaluated belonged to.
| NSWEF NSEF was measured on days 1 through 5, which had a 5-day application period. |
| Respiratory rate was measured on days 1 through 5, which had a 5-day application period. |
| Oxygen Saturation | During the study, oxygen saturation was recorded with the help of a pulsioxymeter. | Oxygen saturation was measured on days 1 through 5, which had a 5-day application period. |
| 23068310 | Result | Liaw JJ, Yang L, Lee CM, Fan HC, Chang YC, Cheng LP. Effects of combined use of non-nutritive sucking, oral sucrose, and facilitated tucking on infant behavioural states across heel-stick procedures: a prospective, randomised controlled trial. Int J Nurs Stud. 2013 Jul;50(7):883-94. doi: 10.1016/j.ijnurstu.2012.08.021. Epub 2012 Oct 12. |
| 23890458 | Result | Alipour Z, Eskandari N, Ahmari Tehran H, Eshagh Hossaini SK, Sangi S. Effects of music on physiological and behavioral responses of premature infants: a randomized controlled trial. Complement Ther Clin Pract. 2013 Aug;19(3):128-32. doi: 10.1016/j.ctcp.2013.02.007. Epub 2013 May 9. |
| 19757875 | Result | Keith DR, Russell K, Weaver BS. The effects of music listening on inconsolable crying in premature infants. J Music Ther. 2009 Fall;46(3):191-203. doi: 10.1093/jmt/46.3.191. |
| D000091642 | Urogenital Diseases |
| D000359 |
| Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |