2.50
Hdl Handle:
http://hdl.handle.net/10755/161025
Type:
Presentation
Title:
Single Exposure to Kangaroo Care Improves Sleep Organization
Abstract:
Single Exposure to Kangaroo Care Improves Sleep Organization
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Ludington, Susan, CNM, Ph.D.
P.I. Institution Name:Case Western Reserve University
Contact Address:Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Co-Authors:M. Scher, School of Medicine, Case Western Reserve University, Cleveland, OH and M. Johnson, Dept. of Pediatrics, University Hospitals of Cleveland, Cleveland, OH
Background/Significance. Preterm infant sleep in intensive care is fragmented. Because fragmented sleep negatively affects brain maturation and cardiorespiratory patterns, interventions to improve preterm sleep are needed. Purpose. Purpose was to determine effects of one Kangaroo Care (KC, aka skin contact with mother) session on electroencephalographic (EEG) sleep and cardiorespiratory patterns by comparing incubator (pretest) to KC (test) data. Methods. A randomized controlled trial was conducted. Randomization was by computerized minimization technique into the KC group that received 2-3 hours of KC after 2-3 hours in an incubator, or into the control group that remained in the incubator for both 2-3 hour pretest and test periods. In the incubator infants were inclined, prone, flexed and nested; in KC infants wore only a diaper, were inclined, prone, flexed and contained up against the mother's chest underneath a blanket. Mothers provided KC beside the incubator from the end of the noon feeding to the beginning of the next. Ninety complete data sets were obtained at 32 weeks postmenstrual age using Nihon-Koden polysomnographic recordings and computerized records of MasimoSET pulse oximetry for heart rate and Respitrace for respiratory rate. Data was sampled at 1000Hz. Percent time in Quiet Sleep, Active Sleep, Indeterminate Sleep, and Arousals, number of rapid eye movements and duration of cycles were scored manually by one neurologist blind to group and period. Cardiorespiratory patterns were analyzed using spectral measures. Differences between groups were analyzed by regression analysis using test-pretest differences Results. Percent of time in arousals and number of rapid eye movements were less in KC than control infants. Heart rate increased more during KC than during incubator care. Respiratory rate was higher and cardiorespiratory patterns more regular in KC than control group during the test period. Conclusions. KC infants had less disrupted sleep, better sleep organization, and more regular cardiac and respiratory rates than control infants. Changes in sleep were robust and suggestive of better sleep organization. Kangaroo Care may also impact sleep-mediated brain maturation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSingle Exposure to Kangaroo Care Improves Sleep Organizationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161025-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Single Exposure to Kangaroo Care Improves Sleep Organization</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ludington, Susan, CNM, Ph.D.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Susan.ludington@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M. Scher, School of Medicine, Case Western Reserve University, Cleveland, OH and M. Johnson, Dept. of Pediatrics, University Hospitals of Cleveland, Cleveland, OH</td></tr><tr><td colspan="2" class="item-abstract">Background/Significance. Preterm infant sleep in intensive care is fragmented. Because fragmented sleep negatively affects brain maturation and cardiorespiratory patterns, interventions to improve preterm sleep are needed. Purpose. Purpose was to determine effects of one Kangaroo Care (KC, aka skin contact with mother) session on electroencephalographic (EEG) sleep and cardiorespiratory patterns by comparing incubator (pretest) to KC (test) data. Methods. A randomized controlled trial was conducted. Randomization was by computerized minimization technique into the KC group that received 2-3 hours of KC after 2-3 hours in an incubator, or into the control group that remained in the incubator for both 2-3 hour pretest and test periods. In the incubator infants were inclined, prone, flexed and nested; in KC infants wore only a diaper, were inclined, prone, flexed and contained up against the mother's chest underneath a blanket. Mothers provided KC beside the incubator from the end of the noon feeding to the beginning of the next. Ninety complete data sets were obtained at 32 weeks postmenstrual age using Nihon-Koden polysomnographic recordings and computerized records of MasimoSET pulse oximetry for heart rate and Respitrace for respiratory rate. Data was sampled at 1000Hz. Percent time in Quiet Sleep, Active Sleep, Indeterminate Sleep, and Arousals, number of rapid eye movements and duration of cycles were scored manually by one neurologist blind to group and period. Cardiorespiratory patterns were analyzed using spectral measures. Differences between groups were analyzed by regression analysis using test-pretest differences Results. Percent of time in arousals and number of rapid eye movements were less in KC than control infants. Heart rate increased more during KC than during incubator care. Respiratory rate was higher and cardiorespiratory patterns more regular in KC than control group during the test period. Conclusions. KC infants had less disrupted sleep, better sleep organization, and more regular cardiac and respiratory rates than control infants. Changes in sleep were robust and suggestive of better sleep organization. Kangaroo Care may also impact sleep-mediated brain maturation.</td></tr></table>en_GB
dc.date.available2011-10-26T23:14:41Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:14:41Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.