Lullaby and Classic Music's Effect on Vital Findings and Comfort
Condition: Nutrition Disorder, Infant; Music; Preterm; Vital Signs
MeSH terms: Nutrition Disorders; Infant Nutrition Disorders
Study type: Interventional

Summary: 
      In the study, lullabies and classical music played to preterm babies during orogastric tube
      feeding; It will be tried to determine the effect on cerebral oxygenation level, vital signs
      and comfort levels.
    

Detailed description: 
      In the literature, there are many studies on prematurity pain and its relief. Although the
      vital signs and comfort levels of infants were examined in many applications for infants
      hospitalized in the neonatal intensive care unit, no study was found in which the cerebral
      oxygenation levels of infants were evaluated by NIRS by listening to lullabies and classical
      music to premature infants. There is no study in the literature examining cerebral
      oxygenation, vital signs and comfort parameters together during orogastric tube feeding,
      which is frequently used in preterm infants. For this reason, in this study, lullabies and
      classical music played to preterm babies during orogastric tube feeding; It will be tried to
      determine the effect on cerebral oxygenation level, vital signs and comfort levels. It is
      thought that the study will present new data to the literature and will lead many researches.
    

Intervention name(s): Lullaby; Classic music
Intervention type(s): Behavioral; Behavioral
Intervention description(s): The mothers in this group were asked to sing a lullaby while their babies were fed with an orogastric tube. Mothers were released on lullabies. They were encouraged to sing the lullaby they knew or loved the most. The mother was given a sound decibel meter. Mothers were asked to do an application before going to the baby. It was taught that the number of sound decibels should not exceed 40 decibels while singing a lullaby. Later, the mother was taken to the baby's incubator at feeding time. She was seated in a chair. The working status of the decibel meter was checked and given to the mother. When the feeding started, the mother started singing lullabies and continued to sing until the feeding was finished. Attention was paid to aseptic techniques during all procedures. A single mother was asked to sing a lullaby at each feeding, and the baby of the mother who sang only a lullaby was included in the study.; The babies in this group were given classical music recitals during feeding. The classical music piece Mozart-Baby Smart was preferred because it was seen to be used in the literature (Keidar 2014). Mozart-Baby Smart was loaded into the music player by the researcher before the feeding process. Before feeding, the decibel meter was disinfected by surface disinfectant and placed on sterile sponge in an incubator 10 cm away from the baby's head. The music player was turned on, not exceeding 40 decibels, by adjusting the decibel meter at the time of starting the feeding, and classical music was continued during the feeding. When the feeding was finished, the music player was turned off and the incubator was taken out. Attention was paid to acetic techniques during all procedures. Ambient sounds were tried to be controlled as much as possible so that the baby would not be affected by different sounds when listening to classical music.
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: Research 28-34 preterm babies with gestational age hospitalized in the 2nd and 3rd level intensive care unit of Selcuk University Medical Faculty Hospital in Konya, Turkey. As a result of the power analysis, it was determined that the inclusion of 45 preterm infants in the study would provide sufficient sample size based on the two-sided hypothesis, 1.392 effect size, 0.05 margin of error and 0.95 power. Since the study period coincided with a period of uncertainties such as the Covid 19 pandemic, it was foreseen that there may be a loss in the number of babies included in the groups, and the sample number was increased by 10%, and the study was completed with a total of 51 premature babies (maternal voice group: 17, control group 17, classical music group 17).Babies of mothers who agreed to participate in the study were randomly assigned to the experimental and control groups. Simple randomization method was used in the study.
Masking: Single (Participant)
Primary purpose: Supportive Care
Keywords: preterm babies; cerebral oxygenation; lullabies; classical music