Abstract

1) EFFECT OF MUSIC THERAPY ON SELECTED PHYSIOLOGICAL PARAMETERS AMONG THE PREMATURE BABIESIN

*Aparna Kale and Dr. Sneha Pitre

Abstract

Background: NICU environment can be stressful to these little ones.Premature and low birth weight infants respond to their newsurroundings with increased levels of agitation, which can causefluctuations in both the heart rate and blood pressure, oxygensaturation andfeeding. Exposure to music therapy has been proven tocalm the infant and helps reverse the stress response. A number ofstudies reveal that babies who experience music therapy are morecontent, feed better and experience shorter length of stay in the hospitalless crying, maintain physiological parameters and an increase inweight gain. Objectives of the Study: To assess the selected physiological parameters of thepremature babies before music therapy 2) To assess the effectiveness of music therapy onselected physiological parameters of the premature babies. 3) To correlate the findings withselected demographical variables Material and Method: In order to achieve the desiredobjective of the study a Quantitative research approach was adopted for this study and thepre test post test quasi experimental research design for the study. This study was proposed tobe conducted in Bharati hospital sangli with non probability purposive sampling method Thereliability of the tool correlation and split half technique was used and the „r‟ value is morethan 0.7 hence the tool found to be reliable. The pilot study was conducted from 25 jan to 28March on 20 premature babies control 10 and experimental 10 samples were selected fromBharati hospital sangli and Amanapure hospital Miraj. Music therapy was given with headphones with recommoned decibel level that is 50 to 70 DB. before starting the musicphysiological parameters were assessed as a pre test, Music was given for 10 minutes andstopped then after 5 minutes the post test parameters were observed. Total for one baby 6 sessions were given on alternative days. so one baby was included in a study for 12 days. Result: overall there is significant difference seen in control and experimental group for physiological parameters with music therapy. In Heart rate the mean difference is 6.03 in control group and 28.06 is in experimental group. calculated t value is 18.12 which is more than t table value (1.734) and p is 0 which is less than 0.001. Hence There is sufficient evidence at the alpha level of significance to support the claim that there is reduction in HR in experiment group then control group. 2) In respiratory rate the mean difference is 1.4 in control group and 8.49 is in experimental group. calculated t value is 13.62 which is more than t table value (1.734) and p is 0 which is less than 0.001. Hence There is sufficient evidence at the alpha level of significance to support the claim that there is reduction in RR in experiment group then control group. 3) In oxygen saturation the mean difference is 2.2 in control group and 6.03 is in experimental group. calculated t value is 13.32 which is more than t table value (1.734) and p is 0 which is less than 0.001. Hence There is sufficient evidence at the alpha level of significance to support the claim that there is increment in SPO2 in experiment group then control group. 4) In oral intake the mean difference is 7.3 in control group and 12.9 is in experimental group. calculated t value is 3.3 which is more than t table value (1.734) and p is 0 which is 0.001. Hence There is sufficient evidence at the alpha level of significance to support the claim that there is increment in oral intake in experiment group then control group.5) In weight the mean difference is 0.032in control group and 0.036 is in experimental group. calculated t value is 0.1 is less than t table value (1.734) and p is 0.918 which is more than 0.001. Hence there is no significant difference is seen in experimental and control group, The effect of music on the physiological response of the neonates before and after the intervention was calculated using ANOVA. The calculated p values are less than 0.05 except for weight (0.167) Hence it is inferred that music was effective in improving the physiological responses of the preterm neonates. Except weight hence the null hypothesis is rejected.

Keywords: Premature babies, Music therapy, Behavioral parameters.