The Effect of Maternal Presence on Premature Infant Response to Recorded Music
The Effect of Maternal Presence on Premature Infant Response to Recorded Music
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DOI：
10.1111/1552-6909.12303
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发表时间：
2014-05-01
影响因子：
1.8
通讯作者：
Shoemark, Helen
中科院分区：
文献类型：
--
作者：
Dearn, Trish;Shoemark, Helen
目的 确定母亲在场对早产儿听录音音乐与环境声音的生理和行为状态的影响。设计重复测量随机对照试验。在三级围产儿中心设置特殊护理托儿所（SCN）。研究对象为妊娠>28周出生、妊娠>32周入组的临床稳定早产儿（22名）及其母亲。方法让婴儿接触摇篮曲音乐（6 分钟的环境声音与 2x 6 分钟录制的摇篮曲音乐交替），音量在 SCN 的建议声级范围内。实验组的母亲在前 12 分钟（基线和第一个音乐时段）在场，而对照组的母亲则整体缺席。结果婴儿对音乐没有明显的反应，因此随着时间的推移，母亲的存在对婴儿对音乐的反应没有显着影响。然而，在母亲在场期间（前 12 分钟），婴儿的氧饱和度明显高于母亲不在场期间的氧饱和度（p=0.024），并且在母亲离开后安静睡眠的时间也较少，尽管这并不显着。结论婴儿可能无法在环境音景中察觉到音乐。无论接触音乐如何，婴儿的生理和行为调节都会受到母亲的存在和离开的影响。
ObjectiveTo determine the effect of maternal presence on the physiological and behavioral status of the preterm infant when exposed to recorded music versus ambient sound.DesignRepeated-measures randomized controlled trial.SettingSpecial care nursery (SCN) in a tertiary perinatal center.ParticipantsClinically stable preterm infants (22) born at>28weeks gestation and enrolled at>32weeks gestation and their mothers.MethodsInfants were exposed to lullaby music (6minutes of ambient sound alternating with 2x 6minutes recorded lullaby music) at a volume within the recommended sound level for the SCN. The mothers in the experimental group were present for the first 12minutes (baseline and first music period) whereas the mothers in the control group were absent overall.ResultsThere was no discernible infant response to music and therefore no significant impact of maternal presence on infant's response to music over time. However during the mothers' presence (first 12minutes), the infants exhibited significantly higher oxygen saturation than during their absence p=.024) and less time spent in quiet sleep after their departure, though this was not significant.ConclusionInfants may have been unable to detect the music against the ambient soundscape. Regardless of exposure to music, the infants' physiological and behavioral regulation were affected by the presence and departure of the mothers.