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Journals / Çocuk Dergisi / 2026 / Cilt: 23 Sayı: 1

Stress Levels of Premature Babies in Newborn Intensive Care Units: A Comparatıve Study in Hıgh/Low Light and Sound Environment

Yenidoğan Yoğun Bakım Ünitelerinde Prematüre Bebeklerin Stres Düzeyleri: Yüksek/Düşük Işık ve Ses Ortamında Karşılaştırmalı Çalışma

Esra Ertürk Tosun(Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Hastanesi, Konya, Turkiye)0000-0003-2702-2114
Emine Geçkil(Necmettin Erbakan Üniversitesi, Hemşirelik Fakültesi, Konya, Turkiye)0000-0003-3947-285X
Pages
16–26
Publication Date
2023-03-27
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AI Summary & Key Takeaways

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

Conclusion: The results of the study show the high light and high sound environment in the NICU to have caused stress in premature babies.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to examine and compare the stress levels of premature babies in high and low light and sound environments in a Neonatal intensive care unit (NICU).
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Key Findings & Data:Materials and Methods: This descriptive comparative study was conducted in the NICU of a university hospital between 2018-2019.
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Conclusion & Impact:Conclusion: The results of the study show the high light and high sound environment in the NICU to have caused stress in premature babies.
🔬Design:Research Article
📍Scope:2018-2019 Verileri
⚙️Variables:Işık · Gürültü · Prematüre Bebek

Abstract

Objective: The aim of this study is to examine and compare the stress levels of premature babies in high and low light and sound environments in a Neonatal intensive care unit (NICU). Materials and Methods: This descriptive comparative study was conducted in the NICU of a university hospital between 2018-2019. The sample consists of 67 premature babies who had been hospitalized in the NICU and were born between 28-37 weeks of gestation. Data were collected with a baby information form and the Newborn Stress Scale. The data were analyzed with the t test, Wilcoxon signed-rank test, Mann-Whitney U test, and Kruskal-Wallis test over dependent groups, with a p < .05 being considered significant. Results: Of the premature babies, 50.7% were found to be male and 62.7% to have been born between 33-37 weeks of gestation. The babies’ mean stress score (4.48 ± 2.52) in the high light and high noise environment was determined to be significantly higher than their mean under low light and noise levels (1.03 ± 1.95; p = .000). The infants’ average respiratory rate (54.37 ± 12.62) under high light and sound levels were found to be significantly higher than their average in low light and low sound environments (51.25 ± 9.85; p = .03). Stress levels were found to be significantly higher in premature babies whose mothers were not involved in their care and whose gestational age was between 28-32 weeks, and who’d been hospitalized in the 3rd-level unit in a high light and high sound environment (p < .05). Conclusion: The results of the study show the high light and high sound environment in the NICU to have caused stress in premature babies.

Özet

Amaç: Bu araştırmanın amacı, YYBÜ’nde, yüksek/düşük ışık ve ses ortamında prematüre bebeklerin stres düzeylerini incelemek ve karşılaştırmaktır. Yöntem: Bu tanımlayıcı ve karşılaştırılmalı araştırma 2018- 2019 yılları arasında bir üniversite hastanesinin YYBÜ’de yürütülmüştür. Örneklem YYBÜ’de yatan ve 28-37 gestasyonel hafta arasında doğan 67 prematüre bebekten oluşturmuştur. Veriler “Bebek Bilgi Formu” ve “Yenidoğan Stres Ölçeği” ile toplanmıştır. Veriler, bağımlı gruplarda t testi, Wilcoxon signed rank testi, Mann Whitney U testi ve Kruskal Wallis testleri ile analiz edilmiştir, p<.05 anlamlı kabul edilmiştir. Bulgular: Prematüre bebeklerin %50.7’sinin erkek, %62.7’sinin 33-37 gestasyonel hafta arasında doğduğu bulunmuştur. Bebeklerin yüksek ışık-ses ortamındaki stres puan ortalamasının (4.48±2.52) düşük ışık-ses seviyesindekine (1.03±1.95) göre anlamlı düzeyde yüksek olduğu belirlenmiştir (p=.000). Yüksek ışık-ses düzeyinde bebeklerin solunum hızlarının (54.37±12.62) düşük ışık-ses ortamındakine göre (51.25±9.85) anlamlı düzeyde yüksek olduğu bulunmuştur (p=.03). Yüksek ışık-ses ortamında 3. düzey ünitede yatan, annesi bakıma katılmayan ve gestasyonel yaşı 28-32 hafta arasında olan prematüre bebeklerin stres düzeylerinin anlamlı şekilde yüksek olduğu saptanmıştır (p<.05). Sonuç: Çalışmanın sonuçları YYBÜ’de yüksek ışık-ses ortamının prematüre bebeklerde strese yol açtığını göstermiştir.

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Cite This Article

Tosun, E. E., Geçkil, E. (2023). Stress Levels of Premature Babies in Newborn Intensive Care Units: A Comparatıve Study in Hıgh/Low Light and Sound Environment. Çocuk Dergisi, Cilt: 23 Sayı: 1, 16–26. https://doi.org/10.26650/jchild.2023.1123581

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References (38)

  1. World Health Organization. Preterm birth. https://www.who.int/ news-room/fact-sheets/detail/preterm-birth. 2018. Erişim tarihi: 04.02.2018. google scholar
  2. Dündar AS, Bayat M, Erdem E. Yenidoğan ünitelerinin düzeyleri ve organizasyonu. Sağlık Bilimleri Dergisi. 2011; 20(2): 137-142. google scholar
  3. Smith GC, Gutovich J, Smyser C, Pineda R, Newnham C, Tjoeng TH, et al. Neonatal intensive care unit stress is associated with brain development in preterm infants. Annals of neurology. 2011; 70(4): 541-549. https://doi.org/10.1002/ana.22545 google scholar
  4. Coston AD and Aune C. (2019). Reducing noise in the neonatal ıntensive care unit. Pediatrics, 144 (2): 154; DOI: https://doi. org/10.1542/peds.144.2_MeetingAbstract.154 google scholar
  5. Erdeve Ö, Atasay B, Arsan S, Türmen T. Yenidoğan yoğun bakım ünitesinde yatış deneyiminin aile ve prematüre bebek üzerine etkileri. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008; 51(2): 104- 109. google scholar
  6. Çalıkuşu İncekar M, Balcı S. (2017). The effect of training on noise reduction in neonatal intensive care units. Journal for Specialists in Pediatric Nursing, 22(3):e12181. https://doi.org/10.1111/ jspn.12181 google scholar
  7. Chen HL, Chen CH, Wu CC, Huang HJ, Wang TM, Hsu CC. the influence of neonatal intensive care unit design on sound level. Pediatr Neonatol. 2009; 50(6): 270-4. google scholar
  8. Wachman ME, Lahav A. The effects of noise on preterm ınfants in the NICU. Arch Dis Child Fetal Neonatal Ed. 2011; 96(4): 305-9. google scholar
  9. Cardoso SMS, Kozlowski L De C, De Lacerda ABM, Marques JM, Ribas A. Newborn physiological responses to noise in the neonatal unit. Braz J Otorhinolaryngol. 2015; 81(6): 583-8. google scholar
  10. Brandon DH, Holditch-Davis D, Belyea M. preterm ınfants born at less than 31 weeks’ gestation have ımproved growth in cycled light compared with continuous near darkness. J Pediatr. 2002; 140(2): 192-9. google scholar
  11. Karadağ ÖE. Preterm Yenidoğanlarda Kullanılan Kuvöz Örtüsünün Stres Belirtilerine Etkisi. İstanbul: İstanbul Üniversitesi. 2016. google scholar
  12. American Academy of Pediatrics Committee on Environmental Health. Noise: A hazard for the fetus and newborn. Pediatrics. 1997;100:724-7. google scholar
  13. Berglund, B, Lindvall T, Schwela DH. (1999). Guidelines for community noise. Geneva, Switzerland. World Health Organization. https://apps.who.int/iris/handle/10665/66217 google scholar
  14. Güven TŞ, Dalgıç İA. Prematüre yenidoğanlar için geliştirilmiş bireyselleştirilmiş destekleyici gelişimsel bakım programı. Uluslararası Hakemli Kadın Hastalıkları ve Anne Çocuk Sağlığı Dergisi. 2017; 9: 41-53. google scholar
  15. Sabetsarvestani R, Köse S, Geçkil E, Ertürk Tosun E, Tokan Özkılıçaslan F, Karaarslan F, et al. Noise in a neonatal ıntensive care unit. Advances in Neonatal Care. 2022; 0(0): 1-8. DOI: 10.1097/ ANC.0000000000000985 google scholar
  16. Smith SW, Ortmann AJ, & Clark W. Noise in the neonatal intensive care unit: a new approach to examining acoustic events. Noise & health. 2018; 20(95): 121-130. https://doi.org/10.4103/nah. NAH_53_17 google scholar
  17. Kol E, İlaslan E, İnce S. Yoğun bakım ünitelerinde gürültü kaynakları ve gürültü düzeyleri. J Turk Soc Intens Care. 2015;13:122-8. google scholar
  18. Als H, Lawhon G, Duffy FH, McAnulty GB, Gibes-Grossman R, Blickman JG. ındividualized developmental care for the very low birthweight preterm infant: medical and neurofunctional effects. JAMA. 1994; 272: 853-8. google scholar
  19. Arpacı T, Altay N. yenidoğan yoğun bakım ünitelerinde bireyselleştirilmiş gelişimsel bakım: güncel yaklaşımlar. Turkiye Klinikleri J Nurs Sci. 2017; 9(3): 245-54. google scholar
  20. Almadhoob A, Ohlsson A. Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants. Cochrane Database of Systematic Reviews 2020, Issue 1. Art. No.:CD010333.DOI:10.1002/14651858.CD010333.pub3. google scholar
  21. Ceylan SS, Bolışık B. yenidoğan stres ölçeği’nin psikometrik özelliklerinin incelenmesi. ACU Sağlık Bilimleri Dergisi. 2017; (2): 97-103. google scholar
  22. Altimier L, Phillips MR. The neonatal ıntegrative developmental care model: seven neuroprotective core measures for family-centered developmental care. Newborn&Infant Nursing Reviews. 2013; 13:9-22. google scholar
  23. Chen HF, Chang YJ. noise distribution of an ıncubator with nebulizer at a neonatal ıntensive care unit in southern taiwan. J. Nurs. Res. 2001; 9: 25-32. google scholar
  24. Szczepanski M, Kamianowska M. Evaluation of noise in the neonatal ıntensive care unit. Archieves of Perinatal Medicine. 2008; 14(4): 37-40. google scholar
  25. Neille J, George K, Khoza-Shangase K. A study ınvestigating sound sources and noise levels in neonatal intensive care units. South African Journal of Child Health. 2014; 8(1): 6. google scholar
  26. Vanderburg KA. Individualized developmental care for high risk newborns in the NICU: A PracticeGuideline. Early Hum Dev. 2007; 83: 433-42. google scholar
  27. Sözeri Ş. Yenidoğan Yoğun Bakım Ünitesinde İzlenen Prematüre Bebeklerin Stres Belirtileri İle Ebeveynlerin Stres Düzeylerinin Karşılaştırılması. İstanbul: Okan Üniversitesi. 2018. google scholar
  28. Long J, Lucey J, Philip A. Noise and hypoxemia in the ıntensive care nursery. Pediatrics. 1980; 65(1): 143-145. google scholar
  29. Zahr LK, Balian S. Responses of premature ınfants to routine nursing ınterventions and noise in the NICU. Nursing Research. 1995; 44(3): 179-85. google scholar
  30. Kargar M, Hashemi F, Razavi M, Zare N. A study on the performance of sounds control program on some physiological parameters of premature infants hospitalized at infants special care units (nıcus) of selected hospitals of shiraz university of medical sciences in 2013. Biomedical Research. 2017; 28(1): 3- 4. google scholar
  31. Çakır U. Gazi Üniversitesi yenidoğan yoğun bakım ünitesinde izlenen bebeklerin maruz kaldıkları gürültü düzeylerinin belirlenmesi. Ankara: Gazi Üniversitesi. 2010. google scholar
  32. Aly Hİ, Ahmed AM. effect of noise on neonatal vital data and behavior in NICU. Clinical Medicine and Diagnostics. 2016; 6(1): 1-6. google scholar
  33. Byers JF, Lowman LB, Francis J, Kaigle L, Lutz NH, Waddell T, et al. A quasi experimental on ındividualized, developmentally supportive family-centered care. JOGN. 2006; 35: 105-115. google scholar
  34. Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature ınfants’ length of stay and ımproving parents’ mental health outcomes with the creating opportunities for parent empowerment (cope) neonatal ıntensive care unit program: a randomized, controlled trial. Pediatrics. 2006; 118(5): 1414-27. google scholar
  35. Forsythe P. New practices in the transitional care center improve outcomes for babies and their families. J Perinatol. 1998;18(13): 7. google scholar
  36. Ortenstrand A, Westrup B, Broström EB, Sarman I, Akerström S, Brune T, Lindberg L, Waldenström U. The Stockholm Neonatal Family Centered Care Study: Effects on Length of Stay and Infant Morbidity. Pediatrics. 2010; 125(2): 278-85. google scholar
  37. Verma A, Maria A, Pandey RM, Hans C, Verma A, Sherwani F. Family centered care to complement care of sick newborns: a randomized controlled trial. Indian Pediatrics. 2017; 54(6): 455- 59. google scholar
  38. Verma A, Maria A, Pandey RM, Hans C, Verma A, Sherwani F. Family centered care to complement care of sick newborns: a randomized controlled trial. Indian Pediatrics. 2017; 54(6): 455- 59. google scholar