ABSTRACT
The effect of touch on growth of newborns has been achieved by educated staff, but touch therapy by mothers as the most important care provider for their infants, had not been focused in previous studies. The aim of this work was to study effect of touch therapy by mothers on weight gaining of preterm newborns. In a randomized controlled trail and double blind study, 60 preterm newborns who discharged from neonatal intensive care unit [NICU] to home, randomly allocated to control and touch therapy group [30 newborns in each group]. Touch therapy was educated to mother in a direct education, also with offering guide booklet to the mothers. Touch was provided for three 20 minute period per day, until term corrected age. Neonate weight in two groups was measured at the time of discharge and then at the term corrected age by the electronic weighing scale with an accuracy of +/- 10 gr. In two groups, mean of age, kind of delivery, level of education, employment and socioeconomic status in mothers, also weight, sex and other neonate characteristics had no statistical differences. At the term corrected age, interventional group showed a weight gain of 10 g/day [30%] more than control, which was statistically significant [31 g/day vs 21 g/day] [P=0.04]. An important aspect of this study is that all stimulations were provided by mothers which had positive impact for preterm newborns, So, education of touch therapy to mothers can be recommended before discharge of pre-term newborns
ABSTRACT
During recent years, despite remarkable advances in medicine and survival rates of premature infants, they still suffer from neurological disability and abnormal development. Based on theories, complementary cares are necessary for growth and development in preterm infants and neurobehavioral function provide by appropriate infant stimulations. The aim of this research is to study the effects of holly Quran recitation on physiological responses in premature infants. In a randomized control trail and double blind study, from August through September 2009, 120 premature infants who admitted to the NICU of Shahid Akbarabadi hospital, Tehran and had inclusion criteria of this study, were randomly assigned to two groups: control group and holly Quran recitation group, and observed for three dependent variables; oxygen saturation levels, heart rate, respiration rate. Holly Quran recitation was including 20 minutes recitation of Yusuf Quaranic chapters, by Shahhat Mohammad Anvar sound that was played for experimental group via headphone of the morning shift. The volume range was 50-60 db. Two groups were observed for physiological responses from 10 minutes before to 10 minutes after intervention by monitor, and recorded numerous before and 10, 20, 30 minutes after beginning of intervention, were used to analysis. Our results showed that the mean of respiratory and heart rate significantly decreased and oxygen saturation levels increased in Quran group as compared to the basic measurement of this changes continued to 10 minutes after intervention [P < 0.001]. The mean change of three variables in the end of intervention and after 10 minutes was significantly different between two groups [P < 0.001]. Holly Quran recitation can be used as a complementary and supportive care to improve of physiologic state in premature infant; because it effects on the physiological responses in premature infants comprising oxygen saturation level, respiration and heart rate