耳罩能改善新生儿在重症监护室的行为吗?

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Journal of Health and Allied Sciences NU Pub Date : 2023-07-26 DOI:10.1055/s-0043-1771401
Sujatha R. Kannappan, Tirikhumla Chang, Jeevitha Alva
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引用次数: 0

摘要

背景现代新生儿重症监护病房(NICU)的先进技术产生了更多不同频率和强度的噪声源,增加了婴儿听力损失的风险。本研究旨在确定耳罩对新生儿行为的影响。材料与方法本研究在某拥有1000张床位的三级教学医院的13张床位的III-A级新生儿重症监护室进行。本研究采用前实验、一组前测试、后测试设计。采用非概率和目的性抽样技术选取27例新生儿。使用剂量计(声级计SL-4030)检查噪声水平,收集基线变量,并连续3天给新生儿戴上耳罩,早晚各2小时。观察性检查表用于评估新生儿行为。结果平均年龄2.19±0.96天,平均体重2.92±0.43公斤,平均妊娠周37.56±1.50周。NICU平均声级为56.7 + 14,高于NICU推荐声级。在新生儿重症监护室中发现的产生噪音最多的事件和设备是人为噪音和呼吸机鼓泡声。使用耳罩的新生儿的平均行为评分差异有统计学意义(p值为0.05)。结论:本研究表明,戴耳罩对提高新生儿行为有有益的影响。
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Will Earmuffs Improve Neonate Behavior in The Neonatal Intensive Care Unit?
Abstract Background  Modern advanced technologies in the neonatal intensive care unit (NICU) have created more noise sources of varying frequencies and intensities, increasing the risk of hearing loss in infants. This study aimed to determine the effect of earmuffs on neonatal behavior. Materials and Methods  This study was conducted in the 13-bed level III-A NICU of a 1,000-bed tertiary care teaching hospital. Preexperimental, one-group pretest, posttest design was adopted in the study. Twenty-seven neonates were selected using nonprobability and purposive sampling techniques. The noise level was checked using a dosimeter (sound level meter SL-4030), the baseline variables were collected, and earmuffs were applied to the neonates for 2 hours in the morning and 2 hours in the evening for 3 consecutive days. An observational checklist was used to assess neonatal behavior. Results  The mean age in days was 2.19 ± 0.96, the mean weight in kilograms was 2.92 ± 0.43, and the mean gestational week was 37.56 ± 1.50. The mean sound level in the NICU was 56.7 + 14, which was higher than the NICU's recommended noise level. The most noise-generating events and equipment found in NICU were human-made noise and ventilator bubbling sounds. There was a significant difference in the mean behavioral score among neonates using earmuffs, as the “ p -value was < 0.05.” However, there was no association between pretest neonatal behavior with baseline data ( p  > 0.05). Conclusions  This study revealed that wearing earmuffs had a beneficial impact on enhancing newborn behavior.
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Journal of Health and Allied Sciences NU
Journal of Health and Allied Sciences NU MEDICINE, GENERAL & INTERNAL-
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33.30%
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85
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