The Effect of Moderating Noise Pollution on Premature Infants' Behavioral and Physiological Responses in Neonatal Intensive Care Unit

Publish Year: 1400
نوع سند: مقاله ژورنالی
زبان: English
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JR_IJHS-7-1_001

تاریخ نمایه سازی: 29 بهمن 1402

Abstract:

Background: The aim of the study was to determine the effect of moderating noise pollution on premature infants' behavioral and physiological responses in a neonatal intensive care unit (NICU).Methods: ۱۱۰ premature infants hospitalized in the NICU ward of hospitals in Tehran were selected. All the infants who met the research criteria were allocated and assigned to the experimental and control group (n = ۵۵). The sampling method was non-probability and convenient. In the first section of time, each infant with inclusion criteria, inserted in the control group and then in the second section of time, infant with inclusion criteria placed in the experiment group. In the first section, the educated nurse measured the LAeq, LC, LA, infants’ behavioral responses, and physiological responses. In the second section, noise modifying interventions were implemented in the experimental group for ۶ weeks, and then LAeq, LC, LA, infants’ behavioral responses and physiological responses were measured with the same methods.Results: Infants' heart rate in the experimental group was significantly lower than the control group (Pvalue<۰.۰۵), and atrial blood O۲ Saturation was significantly higher than the control group (Pvalue<۰.۰۵). There was no statistically significant difference in the mean number of crying, sleeping, and Moro reflex of premature infants in the two groups. Also, the sound-pressure level in the C-weighted network in the experimental group was lower than the control group (Pvalue=۰.۰۲۱). The sound-pressure level of the C-weighted network was obtained in the same way (Pvalue=۰.۰۰۸).Conclusions: Based on the results, moderating noise pollution in NICU can lead to heart rate deceleration and atrial blood O۲ Saturation acceleration in premature infants.Keywords: Noise pollution, Premature infants, Behavioral responses, Physiological responses, Neonatal Intensive care unit.Background: The aim of the study was to determine the effect of moderating noise pollution on premature infants' behavioral and physiological responses in a neonatal intensive care unit (NICU). Methods: ۱۱۰ premature infants hospitalized in the NICU ward of hospitals in Tehran were selected. All the infants who met the research criteria were allocated and assigned to the experimental and control group (n = ۵۵). The sampling method was non-probability and convenient. In the first section of time, each infant with inclusion criteria, inserted in the control group and then in the second section of time, infant with inclusion criteria placed in the experiment group. In the first section, the educated nurse measured the LAeq, LC, LA, infants’ behavioral responses, and physiological responses. In the second section, noise modifying interventions were implemented in the experimental group for ۶ weeks, and then LAeq, LC, LA, infants’ behavioral responses and physiological responses were measured with the same methods. Results: Infants' heart rate in the experimental group was significantly lower than the control group (Pvalue<۰.۰۵), and atrial blood O۲ Saturation was significantly higher than the control group (Pvalue<۰.۰۵). There was no statistically significant difference in the mean number of crying, sleeping, and Moro reflex of premature infants in the two groups. Also, the sound-pressure level in the C-weighted network in the experimental group was lower than the control group (Pvalue=۰.۰۲۱). The sound-pressure level of the C-weighted network was obtained in the same way (Pvalue=۰.۰۰۸). Conclusions: Based on the results, moderating noise pollution in NICU can lead to heart rate deceleration and atrial blood O۲ Saturation acceleration in premature infants. Keywords: Noise pollution, Premature infants, Behavioral responses, Physiological responses, Neonatal Intensive care unit.

Authors

Mahboobeh Khajeh ۱

۱. School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Fatemeh Bahramnezhad ۲*

۲. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Shadi Dehghanzadeh ۳

۳. School of Nursing and Midwifery, Islamic Azad University, Rasht Branch, Rasht, Iran.

Nasrin Fadaee Aghdam ۱

۱. School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Hossein Bagheri ۱

۱. School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Robabe Baha ۴

۴. MSc in nursing