Development and validation of a questionnaire regarding knowledge, attitude and practice of the ICU nurses′ family-centered sensory stimulation / 中国实用护理杂志

Objective:To establish a questionnaire regarding knowledge, attitude and practice on family-centered sensory stimulation among ICU nurses and examine its reliability and validity, so as to provide basis for subsequent nursing training targeted sensory stimulation.Methods:Based on the theory of knowledge, attitude and practice, the questionnaire of family-centered sensory stimulation for ICU nurses was constructed by literature review, semi-structured interview, expert consultation and questionnaire survey. From March to April 2022, convenience sampling was used to investigate 253 ICU nurses from 8 general hospitals in four provinces and cities to test the reliability and validity of the questionnaire.Results:The final questionnaire included 33 items in 3 dimensions, and the cumulative variance contribution rate was 76.248%. The average content validity index of the total questionnaire was 0.970, and the content validity index of each item ranged from 0.894 to 1.000. The Cronbach′s α coefficient of the questionnaire was 0.965, the split-half reliability was 0.799, and the retest reliability was 0.818 after 2 weeks.Conclusions:It has good validity and reliability in this questionnaire and can be used as a preliminary assessment tool to understand the status quo of family-centered sensory stimulation in ICU nurses.

Application and evaluation of multi-sensory stimulation therapy in agitation behavior of patients with Alzheimer′s disease / 中国实用护理杂志

Objective:To investigate the effect of multi-sensory stimulation therapy on agitation behavior in patients with Alzheimer's disease(AD).Methods:A total of 45 patients with AD hospitalized in the Department of Neurology of Xuanwu Hospital, Capital Medical University, from June 2021 to January 2022 were selected, including 23 cases in the control group and 22 cases in the experimental group. The control group was treated with routine nursing methods, and the experimental group was treated with multi-sensory stimulation. The scores of Cohen-Mansfield Agitation Inventory (CMAI) and Behavioral Pathology in Alzheimer′s Disease Rating Scale (BEHAVE-AD) were compared between the two groups before and after treatment.Results:CMAI comparison showed that after the intervention, the CMAI scores of the experimental group and the control group was 33.14 ± 3.72 and 37.13 ± 7.23 respectively. The difference was statistically significant ( t=-2.34, P<0.05). The total score of "physical non aggressive behavior" and "language non aggressive behavior" in the experimental group were (11.09±2.91), (5.73±2.16), which were lower than those in the control group (13.57±4.33), (8.22±2.71). The differences were statistically significant ( t=-2.26,-3.39, P<0.05). The BEHAVE-AD scores of the experimental group before and after the intervention were (13.14 ± 9.54), (9.50 ± 4.81), in the control group were (11.04 ± 8.34), (10.70 ± 9.81). There was significant difference in BEHAVE-AD score before and after the intervention in the experimental group ( t=2.21, P<0.05), but there was no significant difference compared with the control group ( t=-0.73, P>0.05). "Behavior disorder" of the experimental group improved significantly after the intervention, and the score was (2.41 ± 1.26) compared with the control group (4.48 ± 2.87), the difference was statistically significant ( t=-3.10, P<0.05). Conclusions:Compared with routine nursing, visual + auditory + tactile multi-sensory stimulation can improve the agitation behavior of AD patients, especially non aggressive agitation behavior, which has certain clinical significance and can provide reference for future related research.

Effects of manual digitorum sensory stimulation on spasticity of fingers for stroke patients: a surface electromyography study / 中国康复理论与实践

ObjectiveTo investigate the changes of surface electromyography (sEMG) of the flexors and extensors of the affected fingers after manual digitorum sensory stimulation (MDSS) in the hemiplegic patients after stroke. MethodsFrom April to August, 2020, 50 stroke patients in Department of Rehabilitation Medicine, the Second Hospital of Anhui Medical University accepted MDSS on the nail beds and the third knuckles of affected fingers, until the fingers extended actively. The tension of affected flexor pollicis brevis, flexor digitorum superficialis and extensor digitorum were assessed with modified Ashworth Scale (MAS) before and immediately after stimulation; while the root mean square (RMS) of sEMG of bilateral flexor pollicis brevis, flexor digitorum superficialis and extensor digitorum were recorded. ResultsThe MAS score of all the muscles decreased after stimulation (|Z| > 2.699, P < 0.01), while the RMS of affected extensor digitorum increased (t = -2.069, P < 0.05). Compared with the unaffected ones, RMS of affected flexor pollicis brevis and extensor digitorum decreased before and after stimulation (t > 2.450, P < 0.05). ConclusionMDSS may immediately relieve the spasm of flexors of hemiplegic fingers after stroke, which associates with the promoting muscle strength of the extensors.

Features in digitorum muscular tension and shear-wave elastography in hemiplegic patients with stroke before and after manual digitorum sensory stimulation / 中国康复理论与实践

@#Objective To demonstrate the changes in flexor digitorum and extensor digitorum tension in the affected hands with shear-wave elastography (SWE) before and after manual digitorum sensory stimulation (MDSS) in hemiplegic patients with stroke. Methods A total of 51 hemiplegic post-stroke inpatients in the Department of Rehabilitation Medicine in Second Hospital of Anhui Medical University from April to June, 2020, underwent MDSS completed by a researcher who used a bare thumb and index finger to squeeze each nail bed as well as the sides of each fingertip in the affected hand. The stimulation intensity was the minimum that could cause finger extension without obvious pain, and the interval between two stimulations was five to ten seconds. Muscular tension of the flexor digitorum superficialis, flexor digitorum profundus, flexor pollicis longus and extensor digitorum were assessed with modified Ashworth Scale (MAS) and shear-wave velocity (SWV) of SWE on the affected side before and immediately after MDSS. MAS score was -1 as low muscular tension. Results The MAS scores of all the muscles significantly reduced after MDSS (|Z| > 2.843, P < 0.001); while the changes of SWV were not significantly in all the muscles with initially MAS score of 0 or -1 (t < 1.052, P > 0.05), and it reduced in those muscles with initial MAS scores of one to three (t > 2.672, P < 0.05). The SWV were positively correlated with the MAS scores both before and after MDSS (r > 0.334, P < 0.05). Conclusion MDSS can effectively, immediately, and safely relieves muscle spasms of the flexor digitorum and facilitate active finger extension in the affected hand for hemiplegic patients with stroke. SWE is useful for quantitatively and objectively evaluating muscular tension in the affected hand for hemiplegic patients with stroke.

Propuesta de protocolo en pacientes comatosos tras lesión cerebral traumática grave / Protocol proposal in comatose patients after severe traumatic brain injury

Resumen Introducción: Para analizar cuál es la mejor alternativa para la recuperación del paciente comatoso tras la lesión cerebral traumática grave en su contexto agudo, entre 1-6 semanas tras el evento traumático, se realizó una búsqueda bibliográfica sistemática. Metodología: La búsqueda empleó las principales bases de datos (Pubmed, Embase, Ovid y Cochrane) con la finalidad de discernir qué terapias son las más propicias para una correcta mejora neurocognitiva del enfermo. Se profundizará en la estimulación sensorial, las diversas instrucciones que se han recopilado sobre su aplicación clínica, el por qué de su efectividad, cuáles son los mejores tipos de estimulación y el fenómeno de habituación. Resultados: Este campo será el de la estimulación sensorial multimodal: por un lado, el uso de la estimulación sensorial que surge de los familiares y que se muestra ciertamente efectiva; y por otro lado, la realización de sesiones en las que intervenga personal del hospital y que estimule los diferentes sentidos. A partir de ciertos estudios se deducirá y comprobará que habrá un efecto positivo significativo al combinar ambas terapias. Esta unión sinérgica terapéutica será la que se pueda protocolizar y llevar a cabo en cualquier hospital. Conclusiones: Por tanto, se presenta el tratamiento terapéutico definitivo para pacientes clínicamente estables que han sufrido una LCT grave en un contexto agudo. Se debe destacar que el principal objetivo de la propuesta es aportar indicaciones a partir de la experiencia clínica sobre cómo se tienen que hacer los diferentes tipos de estimulación para obtener un resultado favorable.

Introduction: To analyze which is the best alternative for the recovery of the comatose patient after severe traumatic brain injury in its acute context, between 1-6 weeks after the traumatic event, a systematic bibliographic search was carried out. Methodology: The search used the main databases (Pubmed, Embase, Ovid and Cochrane) in order to discern which therapies are most conducive to a correct neurocognitive improvement of the patient. The sensory stimulation will be deepened, the various instructions that have been compiled about its clinical application, the why of its effectiveness, which are the best types of stimulation and the habituation phenomenon. Results: This field will be that of multimodal sensory stimulation: on the one hand, the use of sensory stimulation that emerges from the relatives and that is certainly effective; and on the other hand, the realization of sessions in which hospital personnel intervene and stimulate the different senses. From certain studies it will be deduced and verified that there will be a significant positive effect when combining both therapies. This synergistic therapeutic union will be the one that can be protocolized and carried out in any hospital. Conclusions: Therefore, definitive therapeutic treatment is presented for clinically stable patients who have suffered a severe TBI in an acute context. It should be noted that the main objective of the proposal is to provide indications based on clinical experience on how different types of stimulation have to be done in order to obtain a favorable result.

Sensory Memory Workshop: An account of experience / Oficina de Memória Sensorial: um relato de experiência

Abstract Introduction: Across the world, population aging can lead to the emergence of chronic degenerative diseases, among them, the major neurocognitive disorder (TNM) known as dementia. It's a syndrome characterized by cognitive, perceptual and sensory losses that affect directly the individual's occupational performance in their everyday activities. Objective: Offer group treatment with cognitive and sensory stimulus for elderly with dementia in mild and moderate phase. Method: There were realized 7 meetings every fortnight between the months of March and July 2014. Five elderly participated. The meetings were organized with activities that involved a central sensory function to be stimulated in addition to cognition and perception. At the end of each meeting, questions were asked to the seniors about the performed activities in order to understand their problems, needs and perceptions. All of their lines were noted to be qualitatively analyzed according to the Bardin content analysis. Results: From the analysis of the reports emerged three thematic categories: 1. The sharing of memories;2. The exploration of new environments; and 3. The perception of the elderly and their caregivers on the participation in group for the cognitive and sensorial stimulation. Conclusion: We observed that the Sensory Memory Workshop is a possibility of intervention with dementia in elderly patients with mild/ moderate stage, as it allows gains in individual and social aspects.

Resumo Introdução: Em todo o mundo, o envelhecimento populacional pode acarretar o surgimento de doenças crônicas degenerativas, dentre elas, o Transtorno Neurocognitivo Maior (TNM), conhecido como demência. Esta é uma síndrome caracterizada por prejuízos cognitivos, perceptivos e sensoriais que afeta diretamente o desempenho ocupacional dos indivíduos em suas atividades cotidianas. Objetivo: Oferecer atendimento grupal com estimulação cognitiva e sensorial a idosos acometidos por síndromes demenciais nas fases leve e moderada. Método: Foi realizada uma Oficina de Memória Sensorial com 7 encontros e frequência quinzenal no período de março a julho de 2014. Participaram da oficina um total de cinco idosos. Os encontros foram organizados com atividades que envolviam a estimulação de uma função sensorial principal a ser estimulada, além da cognição. Ao final de cada encontro, os idosos avaliavam as atividades desenvolvidas por meio de questões abertas, com o intuito de compreender dificuldades, necessidades e percepções. Todas as falas foram anotadas e posteriormente analisadas de acordo com a análise de conteúdo de Bardin. Resultados: A partir da análise dos relatos emergiram três categorias temáticas: 1. O compartilhar de memórias; 2. A exploração de novos ambientes; e 3. A percepção de idosos e de seus cuidadores sobre a participação em grupo para a estimulação cognitiva e sensorial. Conclusão: Podemos observar que a Oficina de Memória Sensorial é uma possibilidade de intervenção junto a idosos acometidos com demências na fase leve/moderada, uma vez que possibilita ganhos nos aspectos individuais e sociais.

Efficacy of multi-sensory stimulation on psychological, behavioral symptoms and health-related quality of life in patients with Alzheimer's disease / 中华行为医学与脑科学杂志

Objective To investigate the effects of multisensory stimulation on mental behavioral symptoms and health-related quality of life in patients with Alzheimer's disease (AD).Methods From March 2018 to August 2018,159 AD patients (65-75 years old) in neurology and psychiatric clinic of the Second Affiliated Hospital of Fujian Medical University were enrolled.Randomized grouping was performed by randomized software,experimental group (multi-sensory stimulation),81 cases,control group (no intervention),78 cases.The experimental group had a multi-sensory stimulation for 16 weeks,twice a week,40 minutes each time,for a total of 32 times.At the time of enrollment and 16 weeks after the intervention,the simple neuropsychiatry scale (NPI-Q) and the health-related quality of life questionnaire (HRQLS) were filled out.The t-test and two-factor repeated measures analysis of variance were used to analyze the data.Results The NPI-Q scores of the two groups before and after intervention were compared by two-factor repeated measurement ANOVA.There was no significant difference in NPI-Q average score between the expermental group(2.20±0.22) and control group(2.17±0.35) before intervention (t=0.53,P=0.595).After intervention NPI-Q average score of the experimental group(2.17±0.46) was lower than that of the control group (1.71±0.29) (t =7.56,P＜ 0.01).The intervention effect (F=50.77,P＜ 0.0 1),the time effect (F=39.20,P＜0.01) and interaction effect (F=33.89,P＜0.01) were statistically significant.The HRQLS scores of the two groups before and after intervention were compared by two-factor repeated measurement ANOVA.The intervention effect(F=140.82,P＜0.01),the time effect (F=56.64,P＜0.01) and interaction effect (F=60.38,P＜0.01) were statistically significant.Conclusion Multisensory stimulation can improve mental behavioral symptoms in patients with Alzheimer's disease and improve health-related quality of life.

Efectos de la estimulación táctil en la planta del pie sobre la marcha en pacientes con enfermedad de Parkinson pertenecientes a un CESFAM de la ciudad de Los Ángeles / Effects of tactile stimulation on the plant of the foot on the gait in patients with Parkinson's disease belonging to a CESFAM of the city of Los Angeles

INTRODUCCION: La enfermedad de Parkinson es una enfermedad neurológica frecuente en personas mayores de 65 años, su incidencia es de 8,6 a 19 por cada 100.000 habitantes. El Ministerio de Salud reconoció el impacto de la enfermedad, y establece el abordaje rehabilitador integral. El objetivo del presente estudio es evaluar el efecto de la estimulación cutánea plantar sobre la marcha en pacientes con Parkinson. METODOS: Participaron 6 pacientes con estadio II y III según clasificación de Hoehn y Yahr, los que recibieron el tratamiento de estimulación cutáneo plantar mediante el uso de plantilla terapéutica con relieve según campos receptores del pie, durante 4 semanas. Al inicio y al finalizar la intervención se evaluó el test Timed up and Go como variable de cambio y resultado. Los datos recolectados fueron dispuestos en tablas y gráficos. Se llevó a cabo el análisis estadístico a través del programa SPSS 20.0 caracterizando la muestra a través de medidas de dispersión y tendencia central, y la evaluación de la variable de cambio a través de la prueba T student. RESULTADOS: El grupo compuesto por 6 sujetos registró a nivel pre-intervención un tiempo para TUG de 11,70 ± 3,42 seg, y a nivel post intervención un tiempo de 7,81 ± 2,99 seg. CONCLUSION: El uso de plantillas terapéuticas aumentan la funcionalidad de la marcha en pacientes con enfermedad de Parkinson, entregando una nueva herramienta kinésica para la rehabilitación de estos de pacientes.

INTRODUCCTION: Parkinson's disease is a frequent neurological disease in people older than 65 years. Its incidence is 8.6 to 19Per 100,000 inhabitants. The Ministry of Health acknowledged the impact of the disease and established the comprehensive rehabilitative approach. The aim of the present study is to evaluate the effect of plantar cutaneous stimulation on gait in patients with Parkinson's disease. METHODS: Six patients with stage II and III, according to Hoehn and Yahr classification, participated in the treatment of plantar skin stimulation using a therapeutic template with embossed foot fields for four weeks. Before and at the end of the intervention, the Timed up and Go Test was evaluated as the change and outcome variable. The data collected were arranged in tables and graphs. Statistical analysis was carried out through the SPSS 20.0 program, characterizing the sample through dispersion and central tendency measures, and the evaluation of the change variable through the T student test. RESULTS: The group composed of 6 subjects registered a time for TUG of 11.70 ± 3.42 sec at the pre-intervention level and a time of 7.81 ± 2.99 sec at post- intervention level. CONCLUSION: The use of therapeutic templates increases gait function in patients with Parkinson's disease, providing a new kinetic tool for the rehabilitation of these patients.

Effects of prefeeding oral stimulation on feeding performance of preterm infants.

Objective. To investigate the effects of a prefeeding oral stimulation program on the feeding performance of preterm infants. Methods. A crossover design was used. Nineteen preterm infants who were in the transitional time to full oral feeding served as their own controls. A 5-min oral stimulation program was applied to infants prior to feeding in two of 4 feedings on two consecutive days. Feeding, behavioral state, and physiological parameters of infants in the intervention and control feeding conditions were compared using SPSS software. Results. There were two significant findings: (1) Compared to the control condition, infants in the intervention condition achieved a greater intake rate in the initial 5 min of the feeding (P = 0.021). (2) After receiving oral stimulation, a higher percentage of infants moved to the drowsy or quiet alert state from sleep or restlessness before feeding, both on Day 1 (P= 0.016) as well as Day 2 (P = 0.016). No significant differences were found in other feeding parameters, feeding-induced physiological changes (peripheral oxygen saturation levels and pulse rate) and behavioral states between two feeding conditions. Conclusions. Oral stimulation had a modulating effect on the prefeeding behavioral states and short-lived beneficial effects on the feeding efficiency of preterm infants.

Modulation of Motor Cortical Excitability Induced by Combined Visual Attention to Guide Finger Movement

OBJECTIVE: To evaluate the effect of multiple sensory stimulation on cortical excitability by using transcranial magnetic stimulation (TMS). METHOD: Thirteen right handed young adults without neurological deficit were enrolled. Cortical excitability was tested by measuring recruitment of motor evoked potentials [recruitment curve (RC)], intracortical inhibition (ICI), and intracortical facilitation (ICF) at the abductor pollicis brevis of the dominant hand in two different conditions: (1) group A: active thumb and index finger pinch movement while observing the congruent finger movement in a screen with 0.2 Hz bell sound for 30 minutes, (2) group B: the same active finger movement in a dark screen with the same bell sound for 30 minutes. All of these procedures were done with a randomized crossover design. RESULTS: The amplitude of MEP and the slope of all RC (140%,160% of the resting motor threshold) of group A showed increment after visually-guided finger movement and the level of ICI showed decrement after visually guided finger movement (p0.05) in group A. In group B, the amplitude of MEP and the levels of ICI, ICF showed no significant changes following finger movement with no visual guidance (p>0.05), but the slope of RC with 140% showed increment (p<0.05). CONCLUSION: These findings suggest that cortical excitability can be enhanced by simple repetitive motor practice. The congruent sensori-motor stimulations lead to corresponding additional effect on cortical excitability, presumably by recruitment of remote motor neurons.

The Effects of Sensory Stimulation on Mother-Infant Interaction, Maternal Self-Esteem and Infant Temperament / 아동간호학회지

PURPOSE: The purpose of this study was to investigate the effects of sensory stimulation conducted by primiparas on mother-infant interaction, maternal self-esteem and infant temperament. METHOD: A non-equivalent control group post-test study design was used. The data were collected from December 1, 2001 to March 30, 2003. The participants were 39 primiparas with normal birth weight infants. They were divided into two groups, 20 mothers in the intervention group and 19 in the control group. The mothers in the intervention group were given instruction on sensory stimulation by the researcher, and the mothers, in turn, used this technique on their infants twice a day during the first 2 months of life. Both groups were measured for maternal self-esteem and infant temperament using the maternal self-report inventory (MSRI) and What My Baby Is Like (WBL) and a film was made of the feeding situation when each infant was between 8 and 10 weeks of age. RESULTS: Compared to the control group, the experimental group had significantly higher scores in mother-infant interaction, maternal self-concept and infant temperament. CONCLUSION: This suggests that sensory stimulation conducted by primiparas may improve the mother-infant interaction, maternal self-esteem and infant temperament.

The Effect of Sensory Stimulation on Mother-Infant Interaction in Premature Infants / 아동간호학회지

PURPOSE: This study was designed to investigate effect of sensory stimulation on the mother-infant interaction in premature infants. METHOD: The subjects of this study consisted of 36 pairs of premature infants and their mothers from NICU of one university hospital located in Taegu, 18 pairs for intervention group and 18 pairs for control group. The data were collected from May, 1999 to October, 2000. For the intervention group Field's sensory stimulation(tactile and kinesthetic stimulation) was applied 2 times a day for 10 days(10:00-11:00 in the morning and 7:00-8:00 in the afternoon by researcher and mother). To determine mother and infant interaction during feeding, tool developed by Kim Mi-Ye(1999) was used. Collected data were analyzed with SAS program using chi-square test and t-test. RESULT: Significant differences were found in mother-infant interaction between two groups(t=-5.38, p=.00). It indicates that sensory stimulation was effective in improving mother-infant interaction. In the aspects of the quality of mother-infant interaction, sensory stimulation was most effective in improving sensitivity to mother and infant's synchronic behaviors(t=-5.43. p=.00) and followed by growth fostering(t=-5.07, p=.00), sensitivity to infant's cues(t=-4.53, p=.00), clarity of infant's cues(t=-3.03, p=.00) and responsiveness to the mother's behaviors(t=-2.14, p= 0.04). CONCLUSION: Based on the result of this study, it is suggested that maternally administered sensory stimulation should be applied clinical practice to improve interaction of premature infants and their mothers.

Effects of Sensory Stimulation Program Conducted by Primipara on the Physical Growth and Mother-Infant Feeding Interaction for Full Term Infant / 간호학회지

PURPOSE: The purpose of this study was to identify the effectiveness of sensory stimulation program administered by primipara on the physical growth and mother-infant feeding interaction for the first 6 months of infancy. METHOD: Data were collected from December 1, 2001 to June 30, 2003. A total of 35 mothers and their infants were assigned to a control(n=17) and an experimental(n=18) group. Mothers in the experimental group received education related to sensory stimulation program and administered to their infants twice a day for 6 months. Both groups were measured the weight, length, head circumference and chest circumference of infants at 6 weeks, 10 weeks, 14 weeks, 18 weeks, and 22 weeks and the mother-infant feeding interaction at 6 weeks, 10 weeks through the home visiting. RESULT: Compared to the control group, the experimental group had significantly larger increases in head circumference for intervention period. In addition to, the experimental group showed significantly higher score in mother-infant interaction than control group. CONCLUSION: These data suggested that sensory stimulation program administered by primipara may improve the physical growth of full term infant and mother-infant feeding interaction.

Effects of Sensory Stimulation Program Conducted by Primipara on the Physical Growth and Mother-Infant Feeding Interaction for Full Term Infant / 간호학회지

PURPOSE: The purpose of this study was to identify the effectiveness of sensory stimulation program administered by primipara on the physical growth and mother-infant feeding interaction for the first 6 months of infancy. METHOD: Data were collected from December 1, 2001 to June 30, 2003. A total of 35 mothers and their infants were assigned to a control(n=17) and an experimental(n=18) group. Mothers in the experimental group received education related to sensory stimulation program and administered to their infants twice a day for 6 months. Both groups were measured the weight, length, head circumference and chest circumference of infants at 6 weeks, 10 weeks, 14 weeks, 18 weeks, and 22 weeks and the mother-infant feeding interaction at 6 weeks, 10 weeks through the home visiting. RESULT: Compared to the control group, the experimental group had significantly larger increases in head circumference for intervention period. In addition to, the experimental group showed significantly higher score in mother-infant interaction than control group. CONCLUSION: These data suggested that sensory stimulation program administered by primipara may improve the physical growth of full term infant and mother-infant feeding interaction.

Effects of Sensory Stimulation Therapy on the Improvement of Growth and Behavioral Development for Instituted Infants / 아동간호학회지

PURPOSE: The purpose of this study was to evaluate the effectiveness of sensory stimulation therapy on the physical growth and behaviors of infants accommodated at two Korean orphanages. METHOD: Thirty-eight full term infants were assigned to a control (n=20) or an experimental (n=18) group within 14 days of birth. In addition to routine orphanage care, infants in the experimental group received 15 minutes of massage twice a day, 5 days a week for 4 weeks. RESULT: Compared to the control group, the experimental group had gained significantly more weight and had larger increases in length and head circumference after the 4-week intervention period. In addition, the experimental group showed significantly better behavioral performance in the scoring of habituation (e.g., light), motor (e.g., motor maturity), and state range (e.g., peak of excitement, rapidity of build-up) behavioral clusters of Brazelton's NBAS. CONCLUSION: These data demonstrate that sensory stimulation therapy may facilitate the physical and behavioral development of the newborn infants placed in the orphanages.

Meta-analysis on the Effects of Sensory Stimulation of Preterm Infants / 아동간호학회지

PURPOSE: This study was meta-analysis study that it was to analyze the effect of sensory stimulation on preterm infants. METHOD: The sample of this study is 18 researches of selected by criteria. The conclusion of study was that sensory stimulation of preterm infants is effective.RESULT: Most large effect size was Katz(1991)'s study(d=1.96), small effect size was Caine(1991), s(d=0.37). Especially multimodal sensory stimulation(d=1.2) was more effective than unimodal sensory stimulation(0.53). Also behavioral variable of preterm infans was most sensitivity indicator. CONCLUSION: According to the result, the study on sensory stimulation should be research according to the gestational age and birth weight of preterm infants. In addition, the feasible sensory intervention should be develop.

An Analysis of Research on the Sensory Stimulation in Newborn Infants in Korea / 아동간호학회지

PURPOSE: The purpose of study was : 1) to analyse the trend of research on the sensory stimulation in newborn in Korea, 2) to suggest direction for further study on the sensory stimulation in newborn and contributing to the use of intervention in newborn. METHOD: Research studies on the sensory stimulation in newborn were selected from the dissertations, parents-child health. Academic Society Journal, and from Korean Journal of Pediatrcs which were conducted between 1984 and 2002. The total numbers of the studies were 15. These studies were analyzed for 1) time of publication or presentation 2) thesis for a degree or nondegree 3) characteristics of subjects 4) sample size 5) research design 6) type of sensory stimualtion 7) meaurement tool 8) result. RESULT: 1)The most year of studies were the 1996's~2000's. 2)The degree of studies were higher than nondegree. 3) The most characteristics of subjects were the premature infants. 4) The most frequent sample sizes were 11-20. 5)The all research design was nonequivalent control group pretest-posttest design in quasi experimental basis. 6)The most type of sensory stimulation was Field massage(tactile and kinesthetic). 7) The measurement tool used all objective tools. 8) The most research data were collected by the measure of the weight, heart rate, behavior state, respiration, stress hormon and positive results. CONCLUSION: 1) Human sensory stimulation did not seem to harm the infants. 2) several positive effects of sensory stimulation that have been reported previously must be reevaluated. 3)further research will be required large sample size, long-term outcome, individualized stimulation program, early parent-infant contact in order to enhance the development of attachment, to determine the underlying mechanism and theorical frame for these stimulation effect.

Effects of a Sensory Stimulation on Weight Gain, Behavioral State, and Physiological Responses in Premature Infants / 간호학회지

PURPOSE: The purpose of this study was to examine the effects of sensory stimulation on premature infants. METHOD: Thirty three premature infants admitted to NICU of D University Hospital in C city were randomly assigned in two groups (Experimental group: 16, Control group:17). For the experimental group, tactile and kinesthetic stimulation developed by Dr. Field was applied 2 times a day for 10 days. Behavioral state was measured using the Anderson Behavioral State Scale (ABSS). Heart rate, respiration, and oxygen saturation were obtained for each infant before and after sensory stimulation. Hypothesis testing was done using the X2- test, student t-test, and repeated measures of ANOVA. Result: Hypothesis 1: There was a significant difference in the daily body weight gain between experimental and control group (F= 40.77, p= .0001). Hypothesis 2: There was a significant difference in the frequency of 'inactive awake state' between two groups (X2= 39.778, p= .001). Hypothesis 3: There were significant differences in the mean of heart rate and O2 saturation between two groups (t= -2.174, p= .037; t= 3.080, p= .005). However, there was no significant difference in the mean of respiration rate between two groups (t= -1.966, p= .581). CONCLUSION: The effectiveness of a sensory stimulation on weight gain and behavioral state in premature infants was supported. Further study is recommended to develop a sensory stimulation method as an independent nursing intervention for premature infant.

Effects of a Sensory Stimulation on Weight, Stress Hormone and Behavioral State in Premature Infants / 간호학회지

This study has been conducted on the nonequivalent control group pretest-posttest design in quasi experimental basis and newly born premature infants from intensive care unit of G Medical University Hospital in Inchon Metropolitan were selected in two groups of 21 infants each. The first group for experimental and the other for control. Data has been collected form October 30, 1997 to August 29, 1998. For the experimental group tactile and kinesthetic stimulation was applied 2 times a day for 10 days(10:00~11:00 hours in the morning and 17:00~18:00 in the afternoon). As a weight weighing instrument, electronic indicator scale(Cas Co, Korea) was used. To determine urine cortisol concentration level in stress hormone, radio immuno assay method was used. And high performance liquid chlomatogarphy was used to determine urine norepinephrine, concentration level. To determine behavior status, tools developed by anderson et al(1990) and remodeled by Kim Hee-Sook(1996) were used. Collected data were analyzed with the SAS program using x2-test, student t-test, repeated measures ANOVA and paired t-test. The result were as follow. 1. As for the daily weight gain, the experimental group showed first change in weight and this group also showed higher weight in the average weight than the control group. Statistically, however, there was no significant factor between the two groups. 2. The cortisol concentration in urine showed decrease in the experimental group norepinephrine concentration in urine showed increase in both experimental and control groups. No statistical significance was shown between the two groups. 3. In the aspect of behavior status, the experimental group showed statistical significance by showing inactive in the state of alert and conversion to a positive state than the control group. In conclusion, the sensory stimulation in this study showed a positive aspect through there was no statistical significance n the weight gain and urine stress hormone concentration. In the behavior status, there was statistical significance in the frequency of staying inactive in the state of alert and conversion to a positive state.

Effetcs of a Sensory Stimulation on Weight Gain in Premature Infants / 아동간호학회지

This study has been conducted on the nonequivalent control group pretest-posttest design in quasi experimental basis and newly born premature infants from intensive care unit of G Medical University Hospital in Inchon Metropolitan were selected in two groups of 21 infants each. The first group for experimental and the other for control. Data has been collected form October 30, 1997 to August 29, 1998. For the experimental group tactile and kinesthetic stimulation was applied 2 times a day for10 days(10:00 ~ 11:00 hours in the morning and 17:00 ~ 18:00 in the afternoon). As a weight weighing instrument, electronic indicator scale(Cas Co. korea) was used. Collected data were analyzed with the SAS program using X2-test, student t-test, repeated measures ANOVA, Pearson correlated coefficient and Stepwise multiple regression. The result were as follow. 1. As for the daily weight gain, the experimental group showed first change in weight and this group also showed higher weight in the average weight than the control group. Statistically, however, there was no significant factor between the two groups. 2. In the correlation between general characteristics and weight gain, gestation period, apgar score, admission period before study, N.P.O. period after birth, recovery period to birth weight showed statistical significance negative correlation with weight gain in the experimental group than control group. 3. In the factor with affected the weight gain by general characteristics showed recovery period to birth weight and head circumference in the experimental group, control group showed recovery period to birth weight, N. P. O. period after birth, admission period before study, feeding amount, weight of study. In conclusion, the sensory stimulation in this study showed a positive aspect through there was no statistical significance in the weight gain. In the correlation of general characteristics and weight gain showed statistical significance negative correlation. The main factor which affected the weight gain by general characteristics showed recovery period to birth weight.