녹음된 엄마목소리 들려주기가 극소저체중출생아의 생리적 반응, 수면행동상태 및 체중에 미치는 영향
Effects of Hearing Recorded Mother’s Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants
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초록
목적 본 연구는 신생아중환자실에 입원해 있는 극소저체중출생아를 대상으로 녹음된 엄마목소리 들려주기 중재의 효과를 규명하기 위해 수행되었다. 방법 부산시내에 소재하는 D대학교의료원의 신생아중환자실에 입원한대상자를 임의표출하여 비동등성 대조군 전후설계로 총 22명의 영아중 실험군 11명, 대조군 11명을 대상으로 하여 본 연구를 실시하였다. 결과 녹음된 엄마 목소리 들려주기를 제공받은 극소저체중출생아의 생리적 반응인 심박동수, 호흡수와 산소포화도에서 실험군과 대조군 사이에 통계적으로 유의한 차이가 있었다. 수면행동상태는 실험군이 대조군보다 안정된 상태를 보였다. 또한 일일체중증가의 변화량이 실험군에서 더 높은 경향을 보였다. 하지만 두 군 간에 통계적으로 유의하지 않았다. 결론 본 연구를 통해 극소저체중출생아 자기 엄마의 녹음된 엄마목소리들려주기는 극소저체중출생아의 초기 양육환경 조성에 매우 긍정적인 프로그램임을 확인할 수 있었다. 이는 입원기간 동안 영아와 부모사이의 상호작용 증진의 기회를 제공하여 극소저체중출생아 돌봄에엄마의 적극적인 참여를 유도할 수 있다는 점에서 아동간호 실무 발전에 기여할 수 있을 것이다.
Abstract
Purpose: The purpose of this study was to identify whether hearing a recording of mother’s voice affected physiological reactions, behavioralstate related to sleep and weight of very low birth weight (VLBW) infants. Methods: This was a nonequivalent control group pre-post test quasiexperimentaldesign. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group,a recording of mother’s voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in theincubator. Results: For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differencesbetween the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In thedaily weight change, there was no significant difference between the experimental and control groups. Conclusion: The findings suggest that,for VLBW infants, the intervention of hearing a recording of mother’s voice had some significance as a nursing intervention having a positiveimpact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state andimprove VLBW infants’ growth.
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