Effects of Confortable Environment, Kangaroo Care and Music Therapy in Newborns in Neonatal Intensive Care Unit

Официальное название

Comparative Evaluation Between Preterms and Newborns Undergoing Surgery. Effectiveness of a Multimodal Sensory Intervention on Newborns and Parents' Stress

Обзор

Creating a comfortable environment, implementing kangaroo care, and incorporating music therapy are crucial interventions for newborns hospitalized in the Neonatal Intensive Care Unit (NICU). These strategies not only contribute to the physical well-being of the infants but also play a significant role in promoting their emotional and developmental health.

Подробное описание

The well-being of newborns in the Neonatal Intensive Care Unit (NICU) is paramount, and establishing a comfortable environment is a fundamental aspect of their care. This involves controlling factors such as temperature, lighting, and noise to mimic the conditions of the womb, creating a soothing and supportive atmosphere for their fragile development. A calm environment is essential for premature infants, as it can contribute to improved weight gain, better sleep patterns, and overall physiological stability.

Kangaroo care, a practice involving skin-to-skin contact between the infant and a caregiver, has proven to be a transformative intervention in NICU settings. This method not only fosters the bond between the baby and their parent but also offers numerous physiological benefits. Kangaroo care has been associated with stabilized heart and respiratory rates, enhanced weight gain, and improved neurodevelopmental outcomes. The close physical contact provides a sense of security and comfort, mimicking the warmth and safety of the mother's womb.

Incorporating music therapy into the care routine of NICU infants has demonstrated positive effects on their well-being. Music has the power to reduce stress, stabilize vital signs, and promote better sleep patterns. Live or recorded lullabies, specifically designed for preterm infants, have been shown to have a calming influence and aid in the regulation of physiological functions. Additionally, music therapy can serve as a valuable tool for parents, offering a means of bonding with their hospitalized newborns and alleviating the stress associated with the NICU experience.

In conclusion, the utility of a comfortable environment, kangaroo care, and music therapy for newborns in the NICU extends beyond basic medical care. These interventions recognize the holistic needs of premature or ill infants, addressing both their physical and emotional requirements. By prioritizing a nurturing and supportive environment, healthcare providers aim to optimize the developmental trajectory of these vulnerable newborns, fostering better outcomes for their long-term health and well-being.

Вмешательства

• Другое in the field of rehabilitation and neonatal care: the combination of Kangaroo care method and music therapy
  Kangaroo care is a practice involving skin-to-skin contact between the infant and a caregiver,. Music therapy is a therapeutic approach that utilizes the expressive and emotional qualities of music to address physical, emotional, cognitive needs of individuals.

Первичные конечные точки

• Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on weight [Срок оценки: from birth to the first 3 years of life]
• Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on SpO2 [Срок оценки: from birth to the first 3 years of life]
• Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on heart rate [Срок оценки: from birth to the first 3 years of life]
• Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on parenting stress index [Срок оценки: from birth to the first 3 years of life]
• Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on general movements [Срок оценки: from birth to the first 3 years of life]
• Efficacy of kangaroo care and music therapy in premature infants and surgical newborns on neurological assessment [Срок оценки: from birth to the first 3 years of life]
• levels of noise in NICU [Срок оценки: from birth to the first 3 years of life]

Критерии участия

Критерии включения

• newborn hospitalized in NICU

Критерии исключения

• not hospitalized in NICU,
• intubated infants,
• instable clinical condition

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Италия · 1 центр

• Neonatal intensive care unit — Catania

Публикации

• Bieleninik L, Ettenberger M, Epstein S, Elefant C, Arnon S. Potential Psychological and Biological Mechanisms Underlying the Effectiveness of Neonatal Music Therapy during Kangaroo Mother Care for Preterm Infants and Their Parents. Int J Environ Res Public Health. 2021 Aug 13;18(16):8557. doi: 10.3390/ijerph18168557. PMID 34444304

Идентификаторы

NCT: NCT06256406 · 122/2022/PO

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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