Observations on the Clinical Effects of Music Therapy on Premature Infants in Neonatal Intensive Care Units.

IF 1.3 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Noise & Health Pub Date : 2024-07-01 Epub Date: 2024-09-30 DOI:10.4103/nah.nah_91_24

Wenjun Xiao, Xingfang Luo

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引用次数: 0

Abstract

Objective: This study aimed to explore the clinical effects of music therapy (MT) on premature infants in neonatal intensive care units (NICUs).

Methods: A total of 78 premature infants in NICUs admitted from January 2021 to January 2022 in Wuhan Children's Hospital, Tongji Medical College, and Huazhong University of Science and Technology were selected as the reference group and received routine management. Wuhan Children's Hospital implemented MT from February 2022 to February 2023, and 74 premature infants in NICUs admitted during the same period were selected as the observation group. The corresponding management mode was implemented on the second day of NICU admission for premature infants. Amplitude-integrated electroencephalogram (aEEG) and neonatal behavioral neurological assessment (NBNA) were adopted to evaluate the brain function, specifically the neurological function of neonates, after the end of management. The degree of parent-child attachment was measured using the pictorial representation of attachment measure (PRAM) in a nonverbal (visual) manner. The temperature, pulse, respiratory rate (RR), the number and duration of crying, and incidence of complications were all compared between the two groups.

Results: SPSS showed that no difference existed in the aEEG and NBNA scores between the two groups (P > 0.05). The distance of PRAM self-baby-distance was smaller in the observation group compared with the reference group (P < 0.05). Furthermore, there was no significant difference in temperature between the two groups (P > 0.05). The observation group had significantly lower pulse and RR values than the reference group (P < 0.05). Finally, no significant difference existed in the incidence of complications between the two groups (P > 0.05).

Conclusion: MT has a certain application value for premature infants in NICUs and can thus be applied to newborns in other NICUs. However, further studies are required to completely verify the research results.

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观察音乐疗法对新生儿重症监护室早产儿的临床效果。

研究目的本研究旨在探讨音乐疗法（MT）对新生儿重症监护病房（NICU）早产儿的临床效果：方法：选取武汉儿童医院、同济医科大学和华中科技大学新生儿重症监护室 2021 年 1 月至 2022 年 1 月收治的 78 例早产儿作为参照组，接受常规管理。武汉市儿童医院于 2022 年 2 月至 2023 年 2 月实施 MT，选取同期入住 NICU 的 74 例早产儿作为观察组。早产儿入院第二天即实施相应的管理模式。采用振幅积分脑电图（aEEG）和新生儿行为神经评估（NBNA）来评估管理结束后新生儿的脑功能，特别是神经功能。亲子依恋程度采用非语言（视觉）依恋测量图示法（PRAM）进行测量。对两组新生儿的体温、脉搏、呼吸频率（RR）、哭闹次数和持续时间以及并发症发生率进行了比较：SPSS显示，两组的aEEG和NBNA评分不存在差异（P>0.05）。观察组的 PRAM 自娩距离小于参照组（P < 0.05）。此外，两组体温无明显差异（P > 0.05）。观察组的脉搏和心率值明显低于参照组（P < 0.05）。最后，两组的并发症发生率无明显差异（P > 0.05）：MT对新生儿重症监护室的早产儿有一定的应用价值，因此也可应用于其他新生儿重症监护室的新生儿。然而，要完全验证研究结果，还需要进一步的研究。

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来源期刊

Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

2.10

自引率

14.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.