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Multimodal Neurological Enhancement Intervention for Self-regulation in Premature Infants

Cevasco-Trotter, Andrea M ; Hamm, Ellyn L ; Yang, Xin ; Parton, Jason

Advances in neonatal care, 2019-08, Vol.19 (4), p.E3-E11 [Periódico revisado por pares]

United States: by The National Association of Neonatal Nurses

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  • Título:
    Multimodal Neurological Enhancement Intervention for Self-regulation in Premature Infants
  • Autor: Cevasco-Trotter, Andrea M ; Hamm, Ellyn L ; Yang, Xin ; Parton, Jason
  • Assuntos: Female ; Heart Rate - physiology ; Humans ; Infant, Newborn ; Infant, Premature - physiology ; Intensive Care, Neonatal ; Linear Models ; Longitudinal Studies ; Male ; Music Therapy - methods ; Nervous System ; Retrospective Studies ; Self-Control ; Southeastern United States
  • É parte de: Advances in neonatal care, 2019-08, Vol.19 (4), p.E3-E11
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
  • Descrição: BACKGROUND:The neonatal intensive care unit is often a noisy, overstimulating environment that disrupts infantsʼ regulation of physiological and behavioral states and interrupts caregiver bonding; however, infants benefit from early intervention, including the use of multimodal neurological enhancement (MMNE) intervention to provide appropriate neurodevelopmental stimulation. No one has investigated whether it assists infants in self-regulation. PURPOSE:The purpose of this retrospective longitudinal analysis was to examine the effect of a music therapy intervention, MMNE, on self-regulation of premature infants as measured by changes in heart rate (HR). METHODS:A convenience sample of 60 premature infants received 486 MMNE sessions provided by a board-certified music therapist (MT-BC). Documentation, taken during routine clinical services, involved recording infantʼs HRs from the standard monitor for 3 minutes at baseline, during, and after a 20-minute MMNE intervention. RESULTS:Infantsʼ mean HRs were decreased during and post-MMNE sessions compared with baseline (P < .004 and P < .001, respectively). Furthermore, infants with a baseline HR above 170 had significant decreases both during and after the MMNE session (P < .001 for both time periods). IMPLICATIONS FOR PRACTICE:Results of this study support the existing body of evidence showing the benefits of MMNE with premature infants. Based on our results, MMNE may help infants develop and demonstrate self-regulation as indicated by maintained HRs during and after the intervention as well as a lowered HR for infants who had high HRs prior to MMNE. IMPLICATIONS FOR RESEARCH:Further research needs to be done regarding how infants process MMNE and its potential to aid sensory processing.
  • Editor: United States: by The National Association of Neonatal Nurses
  • Idioma: Inglês

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