The Effect of Noise Modifying in NICU on Premature Infants’ Behavioral Responses

Authors

  • Roghayyeh Karimi
  • Mahboobeh Khajeh
  • Soniya Arezumaniyans
  • Abbas Mehran
  • Mohammad Heidarzadeh

DOI:

https://doi.org/10.22100/jkh.v9i3.9

Keywords:

NICU, Premature infant, Noise

Abstract

Introduction: High auditory stimulation puts preterm infants at high risk for adverse health effects. Present study was conducted with this aim to determine the effect of noise modifying in NICU on premature infants’ behavioral responses.

Methods: Research samples were 110 premature infants that divided in experiment and control groups. These infants had 28 days age, hospitalized in NICUs more than 2 days, below 37 week gestational age and below 2500 gram birth weight without mechanical ventilation. In the first section of time, each infant with inclusion criteria, inserted in control group and then in second section of time, infant with inclusion criteria placed in experiment group. In first section, educated nurse measured the LAeq, LC, LA and infants’ behavioral responses. In second section, noise modifying interventions implemented in experimental group for 6 weeks, and then LAeq, LC and LA and infants’ behavioral responses were measured with the same methods.

Results: No statistical significant differences were observed in two groups in the mean frequency of crying, sleeping and startle. Moreover, recorded mean LC in experiment group (P=0.021) as well as mean LA (P=0.008) was lower than control group. In addition, no statistical significant difference was observed in LAeq between two groups.

Conclusions: This study showed that noise in studied NICUs was higher than standards and had reached to psychological damage. Since, change in NICUs environment in order to modifying noise, had no effect on premature infants’ behavioral responses, as well as, the observed reduction in LC and LA is clinically negligible; it seems that, more research is needed in this area.

References

Yamada Y, Yoshida F, Hemmi H, Ito M, Kakita H, Yoshikawa T, et al. Atypical social development in neonatal intensive care unit survivors at 12 months. Pediatrics International 2011;53(6):858-66.

Chaudhari S. Neonatal intensive care practices harmful to the developing brain. Indian Pediatrics 2011;48(6):437-40.

Wubben S, Brueggeman P, Stevens D, Helseth C, Blaschke K. The sound of operation and the acoustic attenuation of the Ohmeda medical giraffe omniBed TM. Noise and Health 2011;13(50):37.

McMahon E, Wintermark P, Lahav A. Auditory brain development in premature infants: the importance of early experience. Annals of the New York Academy of Sciences 2012;1252(1):17-24.

Shepley MMC, Harris DD, White R. Open-bay and single-family room neonatal intensive care units. Environment and Behavior 2008;40(2):249-68.

Bremmer P, Byers JF, Kiehl E. Noise and the premature infant: physiological effects and practice implications. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2003;32(4):447-54.

Abril A, Terron A, Boschi C, Gomer M. Review of noise in neonatal intensive care units-regional analysis. Journal of Physics :Conference Series 90 2007:1-6.

Berg AL, Chavez CT, Serpanos YC. Monitoring noise levels in a tertiary neonatal intensive care unit. CICSD 2010;37:69-72.

Trapanotto M, Benini F, Farina M, Gobber D, Magnavita V, Zacchello F. Behavioural and physiological reactivity to noise in the newborn. Journal of paediatrics and child health. 2004;40(5-6):275-81.

Wong DL, Hochenberry M.J. Essentials of pediatric nursing. 7th ed. st.Louis: MosBy;2005.

Altuncu E, Akman I, Kulekci S, Akdas F, Bilgen H, Ozek E. Noise levels in neonatal intensive care unit and use of sound absorbing panel in the isolette. International Journal of Pediatric Otorhinolaryngology 2009;73(7):951-3.

Wong DL. Nursing care of infants and children. 8 ed. st.Louis: MosBy; 2007.

Xie H, Kang J, Mills GH. Clinical review: The impact of noise on patients' sleep and the effectiveness of noise reduction strategies in intensive care units. Crit Care 2009;13(2):208.

Johnson AN. Neonatal response to control of noise inside the incubator. Pediatric Nursing 2001;27(6):600.

Darcy AE, Hancock LE, Ware EJ. A Descriptive study of noise in the neonatal intensive care unit ambient levels and perceptions of contributing factors. Advances in Neonatal Care 2008;8(3):165.

Richardson A, Thompson A, Coghill E, Chambers I, Turnock C. Development and implementation of a noise reduction intervention programme: a pre and postaudit of three hospital wards. Journal of Clinical Nursing 2009;18(23):3316-24.

Milette I. Decreasing noise level in our nicu: the impact of a noise awareness educational program. Advances in Neonatal Care 2010;10(6):343.

Philbin MK, Gray L. Changing levels of quiet in an intensive care nursery. Journal of Perinatology 2002;22(6):455-60.

Levy GD, Woolston DJ, Browne JV. Mean noise amounts in level II vs level III neonatal intensive care units. Neonatal Network: The Journal of Neonatal Nursing 2003;22(2):33-8.

Slevin M, Farrington N, Duffy G, Daly L, Murphy J. Altering the NICU and measuring infants' responses. Acta Paediatrica 2000;89(5):577-81.

Brandon DH, Ryan DJ, Barnes AH. Effect of environmental changes on noise in the NICU. Advances in Neonatal Care 2008;8(5):S5.

Brandon DH, Ryan DJ, Barnes AH. Effect of environmental changes on noise in the NICU. Neonatal Network: The Journal of Neonatal Nursing 2007;26(4):213-8.

Thomas KA, Uran A. How the NICU environment sounds to a preterm infant: update. MCN: The American Journal of Maternal/Child Nursing 2007;32(4):250.

Wachman EM, Lahav A. The effects of noise on preterm infants in the NICU. Archives of Disease in Childhood-Fetal and Neonatal Edition 2011;96(4):F305-F9.

Chang YJ, Lin CH, Lin LH. Noise and related events in a neonatal intensive care unit. Acta Paediatrica Taiwanica= Taiwan er ke yi xue hui za zhi 2001;42(4):212.

Zahr LK, Balian S. Responses of premature infants to routine nursing interventions and noise in the NICU. Nursing Research 1995;44(3):179.

Brown G. NICU noise and the preterm infant. Neonatal Network: The Journal of Neonatal Nursing 2009;28(3):165-73.

Published

2014-06-01

Issue

Section

Original Article(s)

How to Cite

The Effect of Noise Modifying in NICU on Premature Infants’ Behavioral Responses. (2014). Knowledge and Health in Basic Medical Sciences, 9(3), Page:45-53. https://doi.org/10.22100/jkh.v9i3.9

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