Prematurity Clinical Trial
Official title:
Effect of Auditory and Tactile-kinesthetic Stimulation on Physiological Parameters, Physical Growth and Behaviour of Preterm Neonates
The study was conducted at a level II special care nursery of the Moi Teaching & Referral Hospital, an academic hospital in the Western region of Kenya. A sample of 108 preterm neonates who met eligibility criteria were studied (36 in auditory group, 36 in tactile-kinesthetic stimulation group, and 36 in control group). Auditory group listened to recorded maternal voice while tactile-kinesthetic group received massage and joint movements.The interventions were provided for 15 minutes, 3 times a day for 10 days while outcome measures were observed for 21 days. The neonates in the control group received standard neonatal care and were observed for outcome measures as those in the intervention groups.
The study was aimed to determine the effect of auditory stimulation using recorded maternal
voice and tactile-kinesthetic stimulation on physiological parameters, physical growth and
behavioral development of preterm neonates. Three groups were involved; auditory stimulation,
tactile-kinesthetic stimulation and control.
A quasi-experimental design was used to recruit 108 study subjects (36 in each group). A
trained researcher conducted the stimulation in the intervention groups and two research
assistants did the data entry. The research assistants were blinded to aim of study, group
assignments, and interventions received by preterm neonates.
Preterm neonates baseline characteristics and clinical data were obtained at initial contact.
Physiological parameters (heart rate, oxygen saturation and body temperature) were monitored
using a cardio-respiratory monitor (CODEC patient monitor CMS6000). Respiratory rate was
measured by counting breaths per minute by the research assistant. The parameters were
monitored and recorded before, during and after stimulation in the intervention groups. The
control group had the measurement recorded in the morning, afternoon and evening.
Physical growth was assessed using weight measurement. Neonates are weighed daily in the
nursery and data on weight was entered by research assistants on alternate days.
Neonatal behavioral assessment scale (NBAS) was used to assess behavior at initial contact,
day 10, 17 and 24.
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