Friday 20 September 2019

The Effect of Recorded Mothers’ Lullaby on the Heart Rate of Preterm Neonates Following Endotracheal Suctioning: A Cross-Over Clinical Trial

Volume 8 Issue 2 May - July 2018

Research Paper

The Effect of Recorded Mothers’ Lullaby on the Heart Rate of Preterm Neonates Following Endotracheal Suctioning: A Cross-Over Clinical Trial

Batool Pouraboli*, Fatemeh Hosseini**, Masoud Rayyani***, Mahlegha Dehghan****
* Assistant Professor, Department of Pediatric and Neonatal Nursing, Tehran University of Medical Sciences, Tehran, Iran.
** MSc in NICU Nursing, Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
*** Assistant Professor, Department of Community Health, Kerman University of Medical Sciences, Kerman, Iran.
**** Assistant Professor, Department of Medical Surgical Nursing, Kerman University of Medical Sciences, Kerman, Iran.
Pouraboli,B., Hosseini,F., Rayyani,M., and Dehghan,M.(2018). The Effect of Recorded Mothers’ Lullaby on the Heart Rate of Preterm Neonates Following Endotracheal Suctioning: A Cross-Over Clinical Trial. i-manager’s Journal on Nursing, 8(2), 14-22. https://doi.org/10.26634/jnur.8.2.14141

Abstract

Admission of newborns in the intensive care unit is one of the most important health care challenges due to repeated painful invasive procedures. Therefore, the aim of this study was to determine the effect of recorded mother’s lullaby on the heart rate of preterm neonates following endotracheal suctioning. This was a cross-over clinical trial study that was conducted on 40 premature infants admitted to the neonatal intensive care unit. The samples were selected by convenience sampling and randomly allocated to routine care / lullaby, and lullaby / routine care groups. At the time of the intervention, mother's lullaby was sung 5 minutes before suction and continued for 10 minutes after suction. Heart rate was measured as a basic information, one minute before endotracheal suctioning per 5 minutes until 30 minutes after suction. Data were analyzed using independent t-test, Mann-Whitney U, Chi-Square, and Friedman tests, and SPSS version 23 software. The results showed that the mean changes of heart rate were lower in intubated preterm newborns who were under mechanical ventilation and received mother's lullaby during suctioning (P <0.05). Preterm infants respond to lullaby music as evidenced by the changes in their heart rate. Further studies are recommended to examine the effect of music on other physiologic parameters.

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