PURPOSE: The purpose of this study was to examine the effects of sensory stimulation
on premature infants.
METHOD
Thirty three premature infants admitted to NICU of D University Hospital in C
city were randomly assigned in two groups (Experimental group: 16, Control group:17).
For the experimental group, tactile and kinesthetic stimulation developed by Dr. Field
was applied 2 times a day for 10 days. Behavioral state was measured using the
Anderson Behavioral State Scale (ABSS). Heart rate, respiration, and oxygen saturation
were obtained for each infant before and after sensory stimulation.
Hypothesis testing was done using the X2- test, student t-test, and repeated measures
of ANOVA.
Result
Hypothesis 1: There was a significant difference in the daily body weight gain between
experimental and control group (F= 40.77, p= .0001).
Hypothesis 2: There was a significant difference in the frequency of 'inactive awake
state' between two groups (X2= 39.778, p= .001).
Hypothesis 3: There were significant differences in the mean of heart rate and O2
saturation between two groups (t= -2.174, p= .037; t= 3.080, p= .005). However, there
was no significant difference in the mean of respiration rate between two groups (t=
-1.966, p= .581).
CONCLUSION
The effectiveness of a sensory stimulation on weight gain and behavioral
state in premature infants was supported. Further study is recommended to develop a
sensory stimulation method as an independent nursing intervention for premature infant.
This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU.
Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU.
The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression.
The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are neededfor the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.