THE EFFECT OF MOTHER'S VOICE AND LULLABY ON PRETERM INFANTS' PHYSIOLOGICAL PARAMETERS, STRESS AND SLEEPING- WAKING STATE

Study Overview
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Brief Summary
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The study was planned in a randomized controlled manner in order to evaluate the effect of mother's voice and lullaby on stress and sleep-wake situations of premature babies.

Detailed Description
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Objective:This randomized controlled study was carried out to evaluate the effect of mother's voice and lullaby on preterm infants' stress and sleeping-waking states. Study design:The study was carried out in a newborn unit in a public hospital in Turkey. In this study, 90 preterm newborn were divided into three groups equally as mother's voice (n=30), lullaby (n=30) and control groups (n=30). Data were obtained by Mother and Newborn Identification Form, Newborn Stress Evaluation Form (NSEF) and Newborn Sleepıng-Wakıng State Evaluation Form (NSWEF). On the 1st, 3rd and 5th days of the study; Newborns' NSEF and NSWEF scores at pre-, post-study and on the fifth minutes were evaluated. Data were evaluated by using descriptive statistics, homogeneity tests, chi-square, intra-class correlation coefficent, two way of analysis on repeated measures, generalized linear model, pearson correlation analysis.

Official Title
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THE EFFECT OF MOTHER'S VOICE AND LULLABY ON PRETERM INFANTS' PHYSIOLOGICAL PARAMETERS, STRESS AND SLEEPING- WAKING STATE

Conditions
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Preterm Birth

Intervention / Treatment
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* Behavioral: Music Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 32 0/6 -36 6 weeks of gestation Not connected to respiratory support device No surgical intervention Not receiving medical treatment other than appropriate vitamin supplements and antibiotic treatments Does not have a congenital or acquired malformation related to hearing, Can tolerate enterally given food (no NEC, digestive system and chromosomal abnormalities) The mother is at least a primary school graduate Diabetic mother without a baby • SGA and no IUGR Exclusion Criteria: Premature babies who do not meet the inclusion criteria. -

Ages Eligible for Study
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Minimum Age: 32 Months
Maximum Age: 36 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study will be conducted in a randomized controlled manner.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mother Voıce<br>Premature baby group with mother voıce application. | Behavioral: Music Therapy<br> <br> |
| Experimental: Lullably<br>Premature baby group with lullably application. | Behavioral: Music Therapy<br> <br> |
| No Intervention: Control<br>Premature baby group with no application | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Newborn Stress Evaluation Form (NSEF) | NSEF, there is no stress indicator '0', mild stress indicators' 1 ', moderate stress indicators' 2', and severe stress indicators'. It is scored as 3. | NSEF was measured on days 1 through 5, which had a 5-day application period. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Newborn Sleepıng-Wakıng State Evaluation Form (NSWEF) | The evaluation of the newborn status was carried out under the main headings of sleep and waking behaviors. Sleep behavior; deep sleep, light sleep and drowsy. Waking behavior is grouped under the headings of awake (extremely awake and eyelids awake), active awake and crying. As a result of the evaluation, it was decided that the behaviors of the newborn were in an organized or disorganized range, and the form was marked and scoring was created for the conditions starting from the deep sleep state to disorganized crying. In the evaluation of the data; The interpretation was made according to the state score of the newborn. It was interpreted that as the YUUDF score decreased, the sleep state of the newborns increased, and as the YUUDF score increased, the wakefulness and crying status of the newborns increased. | NSWEF NSEF was measured on days 1 through 5, which had a 5-day application period. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mother's voice, lullaby, preterm newborn, stress, sleep-wakefulness state