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Combination of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies stabilize sleep and physiological function in preterm infants receiving minor invasive procedures
Affiliation:1. Istituto Giannina Gaslini, Department of Anesthesia, Genoa, IT;2. Great Ormond Street Hospital For Children NHS Trust, Anesthesia London, UK WC1N 3JH;3. Montreal Children’s Hospital, Department of Anesthesia, Montreal, CAN;4. Boston Children’s Hospital, Harvard Medical School, Department of Anesthesiology, Perioperative and Pain Medicine, Boston, USA;5. Royal Children''s Hospital, Department of Neonatal Medicine, Neonatal Research, Murdoch Childrens Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, AUS;6. Murdoch Children’s Research Institute, Clinical Epidemiology and Biostatistics Unit, Melbourne, AUS;7. Ospedale dei Bambini V. Buzzi, Department of Anesthesia, Milano, IT;8. University of Genova, DIMOGMI, Genoa, IT;9. University of Glasgow and Royal Hospital for Children, Department of Anaesthesia, Glasgow, UK;10. Royal Childrens Hospital, Department of Anaesthesia and Pain Management, Melbourne, AUS;11. Royal Children''s Hospital, Department of Anaesthesia, Murdoch Childrens Research Institute, Anaesthesia Research, Melbourne, AUS;12. Seattle Children’s Hospital/University of Washington, Department of Anesthesia & Pain Management, Seattle, WA, USA;13. UT Southwestern and Children''s Medical Center Dallas, Department of Anesthesiology, Dallas, and Outcome Research Consortium, Cleveland, USA;14. University of Minnesota, Department of Anesthesia, Minneapolis, USA;15. Istituto Giannina Gaslini, Department of Pediatric Surgery, Genoa, IT;p. Department of Anesthesiology Sophia Children''s Hospital, Erasmus Medical Center Rotterdam Room:3613 POBox: 2060, 3000CB Rotterdam, The Netherlands
Abstract:This study examines the effectiveness of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies for improving the sleep states and physiological function of preterm infants. Eighty-four infants who received minor invasive procedures were randomly allocated into four groups: (A) MTT, (B) MVS, (C) combined MTT + MVS, and (D) routine care. Concurrently, heart rate (HR), respiratory rate (RR), and oxygen saturation were measured using the multiple regression model of the generalized estimating equation (GEE) method. The MTT group showed the most stable sleep states, although this finding was not statistically significant (p = 0.202), followed by the combined intervention group (p = 0.018). The combined intervention group had the most stable states for HR (p = 0.085), RR (p = 0.509), and oxygen saturation (p = 0.700). The combination of MTT + MVS maintained sleep and stability of physiological functions in preterm infants who received invasive procedures. Nurses should implement a combination of MTT + MVS whenever possible to improve sleep quality and stability of physiological functions in preterm infants.
Keywords:Premature  Infants  Mother therapeutic touch  Maternal voice stimulus  Infant sleep  Physiological function
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