Angelin, C S (2017) Effectiveness of Sensory Nursing Interventions on Selected Neonatal Parameters and Outcomes among Preterm Infants in selected setting Asaripallam, K. K. District. Doctoral thesis, The Tamil Nadu Dr. M.G.R. Medical University, Chennai.
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Abstract
An experimental study to assess the effectiveness of sensory nursing interventions on selected neonatal parameters and outcomes among preterm infants was undertaken. The abstract for the same is presented in (IMRAD) Introduction, Method, Results and Discussion format for writing. INTRODUCTION: Preterm birth is defined as childbirth occurring at less than 37 completed weeks or 259 days of gestation. Preterm birth is a global problem, more than 60 % of preterm births occurs in Africa and South Asia. On average 12% of babies are born too early compared with 9% in higher-income countries. (WHO, 2013) In India preterm births is rising and presently around 21% of babies were born preterm. Late pre-term refers to infants born between 34 and 36 weeks of gestation. States such as Goa, Kerala and Manipur have infant and neonatal mortalities similar to that of developed nations, indicating advanced care of premature babies. Annually about 27 million babies born in India among that 3.6 million are born prematurely, of which 303,600 fail survival due to complications. (Indian Foundation of preterm babies, 2014) Babies who survive a preterm birth face the risk of serious lifelong health problems including cerebral palsy, blindness, learning disabilities, hearing loss and other chronic conditions. Even infants born late preterm has greater risk of re-hospitalization, breathing problems, delayed brain development, feeding difficulties, temperature instability (hypothermia), jaundice , sensory deficits, learning disabilities and respiratory illnesses compared with children born at term. OBJECTIVES: 1. To determine the effectiveness of sensory nursing interventions on selected neonatal parameters and outcomes among preterm infants. The Research Process for the study was guided by the conceptual framework based Widenbach’s Helping Art of Clinical Nursing Model. RESEARCH METHODOLOGY: Quasi experimental research design with pretest, post test control group was adopted for the study. The dependent variables were neonatal parameter which comprised of neonatal reflex and reactivity, feeding progression, length of hospital stay and neonatal outcome which comprised of weight gain of preterm infants and independent variables was Sensory Nursing Intervention comprised of preterm infant’s mother directed talk through soothing voice (which is auditory stimulation) to her preterm infant and massage for 10 minutes (which is tactile stimulation) followed with 5 minutes of horizontal rocking (which is vestibular stimulation). Throughout the 15- minute period, the mother engages eye contact with the preterm infant (which is visual stimulation). A Non probability convenient sampling technique was adopted for the study. Total enumeration of all preterm infants who are born within gestational weeks of 34 to 36 were identified as clinically significantly were grouped as samples for the study. A Sample size 250 preterm infants comprised of 125 each on study and experimental group where used respectively. The sample size was estimated using power analysis prevalence studies formula. (n = Z2 P Q / d2). The identified preterm infants were administered with sensory nursing intervention over a period of one month. The interventions included Sensory Nursing Intervention comprised of preterm infant’s mother directed talk through soothing voice (which is auditory stimulation)to her preterm infant and massage for 10 minutes (which is tactile stimulation) followed with 5 minutes of horizontal rocking (which is vestibular stimulation). Throughout the 15-minute period, the mother engages eye contact with the preterm infant (which is visual stimulation). The neonatal parameters was assessed through Neonatal Reflex and Reactivity Scale, Preterm Infant Breast feeding Behaviour scale and length of hospital stay and outcomes on weight gain. The tools were validated of various experts. The pilot study revealed the tool was reliable and the study was researchable. The investigator considered and followed the ethical principles preceding the investigation. The investigator adhered to the human rights, beneficence and Nonmaleficience, dignity, confidentiality and justice. RESULTS: SPSS statistical Package was utilized for the data analysis. The comparison of improvement of neonatal reflex and reactivity between the study and control group subjects revealed the mean differences between the groups on neonatal reflex and reactivity on pretest through post test 3 are 7.0, 1.2, 2.2 and 3.6 respectively. The differences of means were statistically very highly significant (P<0.001). The feeding progression compares the mean improvement of feeding progression of study and control group. The mean improvements of study and control groups were 14.5±1.7 and 10.9±2.3 respectively. The mean difference between study and control group was 3.6. The paired “t” test showed 14.764 with df 248. The mean difference on feeding progression between study and control group was statistically very highly significant (P<0.001). The mean of length of hospital stay of study and control group. The mean of study and control groups were 4.9± 0.6 and 6.7 ± 1.4 respectively. The mean improvement between study and control group was 1.8 days. The paired “t” test showed 13.075with df 248. The mean difference on feeding progression between study and control group was statistically very highly significant (P<0.001) All the demographic characteristics of mothers and preterm infants were not associated with the weights of baby, Neonatal Reflex and Reactivity, feeding progression and length of hospital stays in both study and control groups. CONCLUSION: The study concluded that the effectiveness of Sensory Nursing Intervention was analyzed and interpreted by measuring the improvements in weight of the baby, feeding progression, length of hospital stay and Neonatal Reflex and Reactivity scores of the preterm infants. The improvements of the weight of the preterm infants were measured at birth and after that on four occasions Viz. 1st day, 6th day, 18th day and 30th day. The improvements of the weight of preterm infants were compared from pretest assessment. Similarly, the Neonatal Reflex and Reactivity of post test 1st, 2nd and 3rd assessments were compared with the pretest assessment in Study and control groups. The assessments were made on the 1st day, 6th day, 18th day and 30th day. The feeding progression was compared between pretest and post test assessment. The assessments were performed on 1st and 30th day respectively. The above three statistics were compared within the groups to assess the improvement of Sensory Nursing Intervention and its effectiveness and was also compared between the study and control groups of the respective statistics.
| Item Type: | Thesis (Doctoral) |
|---|---|
| Additional Information: | 22223/2013 |
| Uncontrolled Keywords: | Effectiveness, Sensory Nursing Interventions, Neonatal Parameters, Outcomes, Preterm Infants. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 07 Nov 2021 02:32 |
| Last Modified: | 07 Nov 2021 02:32 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/18607 |
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