Music as a Nursing Intervention for Preterm Infants in the NICU

Neal, Diana Odland; Lindeke, Linda L.

doi:10.1891/0730-0832.27.5.319

Cited by 37 publications

(21 citation statements)

References 47 publications

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“…Music therapy is shown to benefit patients when provided in addition to the standard medical treatment [12]. Unlike noise, an inappropriate and annoying sound resulting negative effects on preterm infants, music can reduce the severity of some prematurity-associated morbidities [13].…”

Section: Introductionmentioning

confidence: 99%

Effect of lullaby and classical music on physiologic stability of hospitalized preterm infants: A randomized trial

Amini

Rafiei

Zarei

et al. 2013

Journal of Neonatal-Perinatal Medicine

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BACKGROUND: Music is considered a subset of developmental supportive care. It may act as a suitable auditory stimulant in preterm infants. Also, it may reduce stress responses in autonomic, motor and state systems. OBJECTIVE: To assess and compare the influence of lullaby and classical music on physiologic parameters. METHOD: This is a randomized clinical trial with cross-over design. A total of 25 stable preterm infants with birth weight of 1000-2500 grams were studied for six consecutive days. Each infant was exposed to three phases: lullaby music, classical music, and no music (control) for two days each. The sequence of these phases was assigned randomly to each subject. Babies were continuously monitored for heart rate, respiratory rate, and oxygen saturation and changes between phases were analyzed. RESULT: Lullaby reduced heart rate (p < 0.001) and respiratory rate (p = 0.004). These effects extended in the period after the exposure (p < .001 and p = 0.001, respectively). Classical music reduced heart rate (p = 0.018). The effects of classical music disappeared once the music stopped. Oxygen saturation did not change during intervention. CONCLUSION: Music can affect vital signs of preterm infants; this effect can possibly be related to the reduction of stress during hospitalization. The implications of these findings on clinical and developmental outcomes need further study.

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Section: Introductionmentioning

confidence: 99%

Effect of lullaby and classical music on physiologic stability of hospitalized preterm infants: A randomized trial

Amini

Rafiei

Zarei

et al. 2013

Journal of Neonatal-Perinatal Medicine

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“…However, the majority of them (60%) also used specific tools such as scales, tests, questionnaires, or interviews applied to the infants and/or parents. Specifically, the studies employed the following assessments to evaluate infants' signs: the “Behavioral State Instrument” (BSI) (Neal, ) (2), the “Brazelton Behavioural coding system” (Brazelton, ) (8) and the scales of behavioural states based on Als's research (Als, ; Als et al., ) (3; 8; 15; 20). Other tools were also used: the “Alarm Distress Baby Scale” (ADBB) (Guedeney & Fermanian, ) was used to assess socially interactive and socially withdrawn behaviours (27); the “Neurobehavioral Assessment of the Preterm Infant” (NAPI) (Korner & Thom, ) was used to evaluate infants' behavioural and neurological functioning (27); the “LATCH Breastfeeding Charting System” (Koyun, ) was employed to assess infant's sucking ability (18); the “Premature Infant Pain Profile” scale (PIPP) (Stevens, Johnston, Petryshen, & Taddio, ) or the “Bernese Pain Scale for Neonates” (BPSN) (Cignacco, Mueller, Hamers, & Gessler, ) were used to measure infants' pain (4; 5; 16); and the “Neonatal Therapeutic Intervention Scoring System” (NTISS) (Harrison, Johnston, & Loughnan, ) was employed to measure the severity of illness (27).…”

Section: Resultsmentioning

confidence: 99%

Music therapy and musical stimulation in the context of prematurity: A narrative literature review from 2010–2015

Palazzi

Nunes

Piccinini

2017

Journal of Clinical Nursing

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Aims and objectives To examine empirical studies of musical stimulation and music therapy carried out with preterm infants and their parents published from 2010–2015. Background Prematurity constitutes a global health problem that can impact the development of the preterm infant and the well‐being of the parents. Music‐based interventions may benefit the infant, parents and their relationship. In our review, we distinguished between musical stimulation and music therapy, as we found no previous studies that had made this distinction. Design This is a narrative literature review. Methods A search was undertaken in PubMed, PsycINFO and LILACS using the terms “music,” “music therapy,” “singing,” “prematurity” and “preterm.” Thirty studies were included and analysed according to the following categories: (i) aims of the study, (ii) participants, (iii) design, (iv) type of intervention, (v) assessment and measures and (vi) main results. Results The vast majority of the studies focused on the preterm infants and used an experimental design. Few studies carried out family‐centred interventions, despite this having been noted as an important factor in effective interventions. Musical stimulation studies used more recorded music, whereas music therapy studies used more individualised interventions with live music. Conclusions Both musical stimulation and music therapy demonstrated significant effects on preterm infants and their parents. However, compared to musical stimulation studies, interventions performed by music therapists provided more individualised care and tended to show greater effects on infants' physiological and behavioural responses. Relevance to clinical practice Our review showed that music therapy interventions may provide individualised, effective and family‐centred care. There is a significant need for these types of interventions in the neonatal intensive care unit (NICU).

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“…From weak 32, it is also responsive to repetitive sound tracks including "bi-bi", "ba-ba", and "bi-ba". Eventually, near to the term period fetus shows sensitivities to some complex sounds including music (14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Beat-to-Beat Variability During Auditory Music in Fetus and Mother: A Clinical Trial

et al. 2017

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Background: Non-stress test is the most widely used test to assess fetal status. The presence of beat-to-beat variability is reassuring while its absence is not reassuring. Methods: In this single-blind clinical trial, 213 pregnant women with gestational age of 37 -41 weeks were randomly allocated into three groups (auditory intervention for mother, auditory intervention for fetus, and control), each containing 71 subjects. The data were analyzed using one-way ANOVA followed by Tukey HSD test and Kruskal-Wallis test. In addition, paired t-test was used to compare each group before and after the intervention. Results:The results showed a significant difference among the three groups regarding beat-to-beat variability of fetal heart rate in the second 10 minutes of the test (P = 0.006). Besides, the results of Tukey HSD test indicated that this difference was significant between the control group and auditory intervention for mother group (P = 0.004). Moreover, the results of t-test showed a significant difference in beat-to-beat variability of fetal heart rate between the first and the second 10 minutes of the test in both groups of auditory intervention for mother (P < 0.001) and for fetus (P < 0.001). Conclusions:Since beat-to-beat variability of the fetal heart rate is indicator of fetal health, music intervention can be used to increase the number of accelerations and reduce false positive results in NST.

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Music as a Nursing Intervention for Preterm Infants in the NICU

Cited by 37 publications

References 47 publications

Effect of lullaby and classical music on physiologic stability of hospitalized preterm infants: A randomized trial

Effect of lullaby and classical music on physiologic stability of hospitalized preterm infants: A randomized trial

Music therapy and musical stimulation in the context of prematurity: A narrative literature review from 2010–2015

Beat-to-Beat Variability During Auditory Music in Fetus and Mother: A Clinical Trial

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