| BackgroundAs a common negative postpartum event in the early neonatal period,maternal separation can cause serious adverse effects.Music plays a role in alleviating pain,promoting growth and development and high-quality survival to varying degrees.Early music therapy will bring great benefits in improving system functions,reducing disability rate and promoting health.Therefore,to explore the influence of mother’s audio intervention on pain and EEG activity of premature infants,so as to provide reference for clinical relief of operational pain and improvement of prognosis.ObjectiveTo explore the effect of mother’s audio intervention on heel blood collection pain and brain electrical activity in premature infants,so as to provides the reference for finding simple and effective clinical intervention measures.MethodsA prospective randomized controlled trial was designed.Ninety premature infants who met the inclusion criteria in the neonatal department of Xuchang Children’s Hospital from June 2021 to May 2022 were selected as the study subjects.They were randomly divided into three groups: the mother’s audio intervention group,the light music(Banderri’s Childhood)intervention group,and the routine care group(no audio group),with 30 cases in each group.The control group received routine nursing without any audio frequency;On the basis of routine nursing care,the mother audio intervention(pre recorded)was given to the mother in the vowel audio intervention group,and the light music intervention group was given light music(Childhood by Bandari)intervention in the routine nursing care.On the second day after birth,music was played in the box,15 min each time,twice a day.Add music therapy once when taking blood from heel.The neonatal pain assessment scale(NIPS)and the preterm infant pain scale(PIPP)were used to score the pain,observe and record the crying duration,pain face duration and non crying cases in each group,and monitor the physiological indicators(respiration,heart rate,blood oxygen saturation)and amplitude integration electroencephalogram(a EEG).Results1.There was no significant difference in sex,delivery mode,high risk factors,gestational age,5 min Apgar score,heel blood collection time and birth weight among the three groups(P>0.05),which was comparable.2.The NIPS score and PIPP score of the mother’s audio intervention group and the light music intervention group were significantly lower than those of the control group(P<0.05).The NIPS score and PIPP score of the mother’s audio intervention group were significantly lower than those of the light music intervention group(P<0.05).3.The crying duration and pain face duration of the mother’s audio intervention group and the light music intervention group were significantly lower than those of the control group(P<0.05).The crying duration and pain face duration of the mother’s audio intervention group were significantly lower than those of the light music intervention group(P<0.05).4.Compared with those before blood collection,respiration and heart rate were significantly higher and blood oxygen saturation were significantly lower(P <0.05),heart rate,percutaneous oxygen saturation,and respiratory contrast were significantly different during the blood sampling procedure(P <0.05),heart rate and respiration were significantly lower than the control group(P <0.05),blood oxygen saturation significantly higher than that of the control group(P <0.05).5.The time required for the mother’s voice intervention group and the light music intervention group to return to normal respiration,heart rate and blood oxygen saturation was significantly lower than that of the control group(P <0.05),and the time required for the mother’s voice intervention group to return to normal respiration and blood oxygen saturation was lower than that of the light music intervention group(P <0.05).6.The rate of no crying in the mother’s audio intervention group was 13.33%,the rate of no crying in the light music intervention group was 30.00%,and the rate of no crying in the control group was 46.67%.There was a statistically significant difference in the rate of no crying among the three groups(P <0.05).7.The a EEG scores of the three groups were significantly improved after 1 week of birth,and there was a statistically significant difference compared with the a EEG scores 72 hours after birth(P <0.05).The a EEG scores of the audio intervention group and the light music intervention group were significantly higher than those of the control group after 1week of birth(P <0.05);One week after birth,the a EEG score of the audio intervention group was significantly higher than that of the light music intervention group(P <0.05).Conclusion1.Maternal audio intervention can effectively relieve pain caused by plantar blood collection.2.Maternal audio intervention can reduce heart rate and respiratory fluctuation during blood collection,stabilize percutaneous oxygen saturation,shorten breathing,heart rate and percutaneous oxygen saturation to normal time.3.Maternal audio intervention can effectively improve brain electrical activity of premature infants;4.Maternal audio intervention is a safe and practical measure which is worth promoting in the premature infant ward. |
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