Preterm neonates who receive multi-sensory stimulation exhibit more neurobehavioral development than those who don't.
This study will be conducted at Neonatal Intensive Care Unit (NICU) of Alexandria University Children's Hospital (AUCH) at Smouha, Alexandria, egypt. A sample of 60 preterm neonates.The study subjects will be randomly assigned into two equal groups (control and multi-sensory stimulation groups) using random number table. Each group will be comprised of 30 neonates. The first neonate will be assigned to the control group and the second neonate will be assigned to the multi-sensory stimulation group. Control group: Preterm neonates will receive only routine care of the unit. Multi-Sensory Stimulation group: Preterm neonates will receive multi-sensory stimulation intervention beside routine care of the unit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
60
* Tactile Stimulation; Gentle stroking massage with moderate pressure, with warm palms for 3 min in a sequence of chest, upper limbs, and lower limbs in supine position. * Visual Stimulation; Black and white visual stimulation card hung at 8-10 in. from the neonate for 3 min. * Vestibular Stimulation; neonates placed in a hammock for 3 min. * Kinesthetic stimulation: It consist of passive exercises (flexion and extension) of upper and lower limbs; one of the hands support the stimulated limb, whereas the other hand will perform the movements for 3 min. in supine position. * Oral stimulation: the perioral structures will stroke by gently tapping the cheeks, lips and jaw by the index and middle finger for 2 min and stroking the intraoral structures by rubbing the gum and applying downward pressure of the tongue for 2 min. Non-nutritive sucking for 8 minutes. * Olfactory Stimulation for 3 min. using mother's milk. * Auditory Stimulation listening to mother's heart beats for 3 min.
Arafa
Alexandria, Egypt
Change of Neurobehavioral responses of preterm neonates will be assessed after two weeks.
It was monitored using Neonatal Neurobehavioral Examination Scale (NNE). it is reliable and valid scale for assessing neurobehavioral development of neonates.It includes three main categories: tone and motor patterns, primitive reflexes, and behavioral responses. the total items of scale were 27, with total score ranged between 27 to 81, which high score means a better outcome and low score means a worse outcome.
Time frame: It will be assessed "baseline, pre-intervention within 24 hours. of admission and after two weeks of study to identify change.
Birth weight of preterm neonate
In kilograms
Time frame: It will assessed initially before conducting the study.
Gestational age
/ weeks. by new ballard scale.
Time frame: It will assessed initially before conducting the study.
Apgar score at 1 and 5 minutes.
score
Time frame: It will assessed initially before conducting the study.
Neonate's weight
n kilograms.
Time frame: It will assessed initially before conducting the study.
Type of feeding.
NPO, oral, orogastric feeding
Time frame: It will assessed initially before conducting the study.
amount of feeding.
/ ml.
Time frame: It will assessed initially before conducting the study.
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Length of NICU stay
in days (date of discharge-date of admission).
Time frame: It will assessed initially before conducting the study.
Neonate mother's age
in years.
Time frame: It will assessed initially before conducting the study.
Residence.
Rural, urban areas
Time frame: It will assessed initially before conducting the study.
Type of delivery.
Cesarean section, Normal Vaginal Delivery
Time frame: It will assessed initially before conducting the study.
Number of gravida.
number
Time frame: It will assessed initially before conducting the study.
Number of para.
number
Time frame: It will assessed initially before conducting the study.
Number of abortion.
number
Time frame: It will assessed initially before conducting the study.
Plurality.
number
Time frame: It will assessed initially before conducting the study.