Impact of cocooning and maternal voice on the autonomic nervous system activity in the premature newborn infant
Impact of cocooning and maternal voice on the autonomic nervous system activity in the premature newborn infant
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DOI：
10.1016/j.arcped.2013.06.006
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发表时间：
2013-09-01
影响因子：
1.8
通讯作者：
Storme, L.
中科院分区：
文献类型：
--
作者：
Alexandre, C.;De Jonckheere, J.;Storme, L.
导论.不适、疼痛和压力对早产儿的心理发育有不良影响。最近的研究表明，疼痛和压力与副交感神经流出减少有关。我们假设与人声相关的茧对早产新生儿的副交感神经活动有有利的影响。我们比较了心率变异性（HRV）之前和之后的标准化茧阶段与人类的声音和进行：1）由母亲和2）由第三人。心率变异性（HRV）作为反映副交感神经张力的指标。纳入10名儿童（中位胎龄，33周（30（+4）-33（+2）。我们观察到与人类声音相关的茧期后的HRV指数高于基线测量值（P < 0.05），无论该程序是由母亲还是第三人进行。这项研究表明，结茧与人类的声音提高了心率变异性在早产新生儿，表明增加副交感神经活动后结茧与人类的声音。然而，无论与人类声音相关的茧是由母亲还是第三人执行的，影响都是相似的。这一结果表明，由母亲或第三个人进行的与人类声音相关的结茧有助于减少早产新生儿的压力和不适。(C)2013年Elsevier Masson SAS。All rights reserved.
Introduction. Discomfort, pain, and stress have an adverse impact on the psychomotor development in the premature newborn infant. Recent studies indicate that pain and stress are associated with a reduction of parasympathetic outflow. We hypothesized that cocooning associated with the human voice has a favorable impact on parasympathetic activity in the premature newborn infant.Method. We compared heart rate variability (HRV) before and after standardized cocooning phases associated with the human voice and carried out: 1) by the mother and 2) by a third person. HRV was assessed and expressed as an index reflecting the parasympathetic tone.Results. Ten children were included (median gestational age, 33 weeks (30(+4)-33(+2))). We observed a higher HRV index after the period of cocooning associated with the human voice compared with the baseline measurement (P < 0.05), whether the procedure was carried out by the mother or a third person.Conclusion. This study shows that cocooning associated with the human voice enhances HRV in the preterm newborn infant, indicating an increase in parasympathetic activity after cocooning associated with the human voice. However, the impact is similar whether the cocooning associated with the human voice is performed by the mother or a third person. This result suggests that cocooning associated with the human voice carried out either by the mother or a third person contributes to decreasing stress and discomfort in the premature newborn infant. (C) 2013 Elsevier Masson SAS. All rights reserved.