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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (22): 6-10.doi: 10.16460/j.issn1008-9969.2019.22.006

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Effects of Maternal Heart Sound Combined with Voice Stimulation on Heart Rate and Behavior Status of Premature Infants in NICU

LI Qian1, TU Su-hua2, LI Yu-xin3, TAN Lin3, LUO Shan3, CHEN Li3   

  1. 1. Neonatal Diagnosis and Treatment Center, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Healthand Disorders,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing 400014, China;
    2. Dept. of Obstetrics and Gynecology, Affiliated Hospital of Southwest Medical University, Luzhou 646000, China;
    3. School of Nursing, Southwest Medical University,Luzhou 646000, China
  • Received:2019-04-04 Published:2020-07-27

Abstract: Objective To investigate the effects of maternal heart sound combined with voice stimulation and music therapy on heart rate and behavior of premature infants in NICU. Methods Ninety premature infants who met the exclusion criteria were randomly divided into control group, group B (music therapy group) and group C (maternal voice stimulation group), with 30 cases in each group. Control group received routine nursing; group B played music on the basis of routine nursing, and group C played sound stimulation of mother's heart sound combined with voice on the basis of routine nursing. The intervention performed twice a day for 14 days. Heart rate and behavioral status of premature infants 1min before the intervention, during the intervention (10min,20min) and 1min after the intervention were compared among the three groups. Results (1)inter-group comparison showed there was no significant difference in heart rate and behavior status score of premature infants among the three groups 1min before the intervention (P>0.05) but during the intervention (10min, 20min) and 1min after the intervention, the scores of heart rate and behavior state of group B and group C were lower than those in control group (P<0.05). The heart rate and behavioral status score at 20min of the intervention and 1min after the intervention, in group C were significantly lower than those in group B (P<0.05), but there was no significant difference in heart rate and behavioral state score at 10min of the intervention between these two groups (P>0.05). There was no significant difference in behavioral status between these two groups 1 min after the intervention (P>0.05). (2)Intra-group comparison showed that there was no significant difference in heart rate and behavior status score in control group before and after the intervention (P>0.05); during the intervention (10min, 20min) and 1min after intervention, heart rate and behavioral status scores in group B and group C were significantly lower than those 1min before the intervention (P<0.05), but there was no significant difference in behavior status score of group C at 20min of the intervention and 1min after the intervention (P>0.05). Conclusion Compared with music therapy, maternal heart sound combined with voice stimulation can effectively reduce the heart rate of premature infants, stabilize mood, promote sleep, and achieve the best behavior state.

Key words: premature infant, maternal sound stimulation, music therapy, heart rate, behavioral state

CLC Number: 

  • R473.72
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