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Journals / Ergoterapi ve Rehabilitasyon Dergisi / 2019 / Cilt: 7 - Sayı: 3

Investigation of the Relationship Between Neuromotor Behavior and Pain, Comfort, Apgar Score and Clinical Factors in Premature Neonates

Prematüre Yenidoğanda Ağrı, Konfor, Apgar Skoru Ve Klinik Özelliklerin Nöromotor Davranışla İlişkisinin İncelenmesi

Mustafa BURAK
Fatih TEKİN
Erdoğan KAVLAK
Pages
179–186
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There is no relationship between neuromotor skills and Apgar Score; neuromotor skills and delivery method.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: Abnormalities detected by neurological examinations and developmental tests performed in premature infants can be transient or severe enough to affect the survival of a baby.
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Key Findings & Data:Material and Methods: 13 neonates, (M:6, F:7) who were being treated for prematurity diagnosis, were included in study.
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Conclusion & Impact:There is no relationship between neuromotor skills and Apgar Score; neuromotor skills and delivery method.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: Abnormalities detected by neurological examinations and developmental tests performed in premature infants can be transient or severe enough to affect the survival of a baby. Aim of this study was to investigate the relationship between neuromotor behavior and pain, comfort, Apgar Score and clinical factors in premature neonates. Material and Methods: 13 neonates, (M:6, F:7) who were being treated for prematurity diagnosis, were included in study. A clinical data form, pain assessment, comfort evaluation for pain and stress, Apgar Score and neuromotor skills assessment were performed to neonates. Results: Presence of maternal psychological stress during one-year period before birth of baby and male gender caused retardation in terms of neuromotor behavior (p=0,038). Infants whose respiration depends on an inhaler are the worst in neuromotor behavior (p=0,023). There was a positive correlation between neuromotor behavior skills of premature neonate and duration of pregnancy and birth weight, and negative correlation with pain and comfort status (p=0,042). There was no correlation between Apgar Score and neuromotor behavior (p=0,016). Discussion: Presence of maternal psychological stress, male gender, using respiratory device, pain and worse comfort status adversely affect neuromotor skills. Conversely, breastfeeding, longer duration of pregnancy period, and higher birth weight positively affect neuromotor skills. There is no relationship between neuromotor skills and Apgar Score; neuromotor skills and delivery method.

Özet

Amaç: Prematüre infantlarda nörolojik muayeneler ve gelişimsel testlerle tespit edilen anormallikler, geçici veya bebeğin yaşamını etkileyecek kadar ciddi olabilir. Bu çalışmanın amacı, prematüre yenidoğanlarda nöromotor davranış ile ağrı, konfor, Apgar Skoru ve klinik özellikler arasındaki ilişkiyi araştırmaktı. Gereç ve Yöntem: Çalışmaya prematürite tanısı ile tedavi gören 13 yenidoğan (E=6, K=7) dahil edildi. Olgulara klinik bilgi formu dolduruldu ve ağrı değerlendirmesi, ağrı ve strese dayalı konfor değerlendirmesi, Apgar Skoru ve nöromotor davranış değerlendirmesi yapıldı. Sonuçlar: Bebeğin doğumundan önceki 1 yıllık dönemde maternal psikolojik stresin varlığının ve bebeğin erkek cinsiyette olmasının, nöromotor davranışların gelişiminde gecikmelere neden olduğu görülmüştür (p=0,038). Solunum cihazına bağlı olarak respirasyon yapabilen infantlar, nöromotor davranış bakımından en kötü durumdadır (p=0,023). Prematüre yenidoğanın nöromotor davranış becerileri ile hamilelik süresi ve doğum ağırlığı arasında pozitif; ağrı ve konfor durumu ile ise negatif bir korelasyon mevcuttur (p=0,042). Nöromotor davranış becerileri ile Apgar Skoru arasında ise herhangi bir ilişki bulunamamıştır (p=0,016). Tartışma: Maternal psikolojik stresin varlığı, erkek cinsiyet, solunum cihazına bağlı solunum, ağrı varlığı ve daha kötü konfor durumu nöromotor becerileri olumsuz yönde etkiler. Buna karşılık emzirme yoluyla beslenme, daha uzun gebelik süresi ve daha yüksek doğum ağırlığı nöromotor becerileri olumlu yönde etkiler. Nöromotor beceriler ile Apgar Skoru ve doğum yöntemi arasında ise ilişki yoktur.

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Cite This Article

BURAK, M., TEKİN, F., KAVLAK, E. (2022). Investigation of the Relationship Between Neuromotor Behavior and Pain, Comfort, Apgar Score and Clinical Factors in Premature Neonates. Ergoterapi ve Rehabilitasyon Dergisi, Cilt: 7 - Sayı: 3, 179–186. https://ajindex.com/articles/504544

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