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首页> 外文学位 >Impact of a novel relaxation method of touch on neonatal neurobehavioral development among very preterm infants.
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Impact of a novel relaxation method of touch on neonatal neurobehavioral development among very preterm infants.

机译：一种新颖的放松方式对早产儿新生儿神经行为发育的影响。

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摘要

Infants born very preterm (≤ 30 weeks estimated gestational age [EGA]) annually and are at greatest risk to develop significant neurodevelopmental abnormalities. These neurodevelopmental abnormalities are the result of complex conditions involving the interaction between multiple biological, genetic, and environmental risks. In an effort to manipulate and support the extra-uterine environment, infant massage has been aimed at decreasing stress and optimizing the infant's sensory experience. However, the majority of existing infant massage studies has varying protocols, are limited to healthy or convalescing preterm infants greater than 32 weeks postmenstrual age (PMA), and are seldom contingent on infant behavioral cues.;The M Technique is a gentle, structured, comforting touch method aimed at limiting stress and anxiety in fragile intensive care patients who are unable to tolerate conventional massage. Little is known about the effects of this technique on infants born very preterm. Therefore, the purpose of this matched case-control pilot study was to systematically test the cumulative effect of the M Technique on infant neurodevelopment, growth velocity, and physiologic and behavioral state in hospitalized very preterm infants in a Midwestern academic level IV neonatal intensive care unit (NICU).;Results indicate that very preterm infants who received the M Technique over a 5-week period did not differ significantly in neurobehavioral developmental and growth velocity compared to control infants. However, very preterm infants who received the M Technique had improved physiologic stability and more quiet sleep states from baseline to 10 minutes post the M Technique intervention over all three time points, suggesting improved physiologic stability and more quiet sleep state over time.;Research regarding the type, timing, and duration of comforting touch in infants born very preterm starting at 30 weeks' PMA is lacking. Preliminary findings from this study support an infant-driven (e.g., where the protocol is based on each infant response or cues) M Technique intervention to promote comfort and relaxation in high-risk infants born very preterm. A longitudinal research design with a larger sample size is needed to confirm and expand on the effects and potential mechanisms of the M Technique on neurobehavior and growth velocity.
机译：每年出生的婴儿早产（估计胎龄[EGA]≤30周），并且患重大神经发育异常的风险最大。这些神经发育异常是复杂条件的结果，复杂条件涉及多种生物学，遗传和环境风险之间的相互作用。为了操纵和支持子宫外环境，婴儿按摩旨在减轻压力并优化婴儿的感觉体验。但是，大多数现有的婴儿按摩研究的方案各不相同，仅限于健康或正在康复的早产儿，年龄大于32周（PMA），并且很少取决于婴儿的行为暗示。旨在减轻无法忍受常规按摩的脆弱重症监护患者的压力和焦虑的舒适触摸方法。关于这项技术对早产儿的影响知之甚少。因此，该配对病例对照研究的目的是系统地测试M技术对中西部IV级新生儿重症监护病房住院的早产儿的婴儿神经发育，生长速度以及生理和行为状态的累积作用。 （NICU）.;结果表明，与对照组婴儿相比，在5周内接受M技术的早产儿在神经行为发育和生长速度上没有显着差异。然而，接受M技术的早产儿从基线到M技术干预后的所有三个时间点从10分钟到10分钟都有改善的生理稳定性和更安静的睡眠状态，表明随着时间的流逝，生理稳定性得到改善，睡眠更加安静。缺乏从PMA 30周开始就早产的婴儿的舒适触觉的类型，时间和持续时间。这项研究的初步发现支持以婴儿为驱动力（例如，该方案基于每个婴儿的反应或提示）的M技术干预措施，可促进早产高危婴儿的舒适感和放松感。需要进行更大样本量的纵向研究设计，以确认和扩展M技术对神经行为和生长速度的影响和潜在机制。

著录项

  • 作者

    Smith, Joan R.;

  • 作者单位

    University of Missouri - Kansas City.;

  • 授予单位 University of Missouri - Kansas City.;
  • 学科 Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 154 p.
  • 总页数 154
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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