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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 new
surroundings with increased levels of agitation, which can cause
fluctuations in both the heart rate and blood pressure, oxygen
saturation andfeeding. Exposure to music therapy has been proven to
calm the infant and helps reverse the stress response. A number of
studies reveal that babies who experience music therapy are more
content, feed better and experience shorter length of stay in the hospital
less crying, maintain physiological parameters and an increase in
weight gain. Objectives of the Study: To assess the selected physiological parameters of the
premature babies before music therapy 2) To assess the effectiveness of music therapy on
selected physiological parameters of the premature babies. 3) To correlate the findings with
selected demographical variables Material and Method: In order to achieve the desired
objective of the study a Quantitative research approach was adopted for this study and the
pre test post test quasi experimental research design for the study. This study was proposed to
be conducted in Bharati hospital sangli with non probability purposive sampling method The
reliability of the tool correlation and split half technique was used and the „r‟ value is more
than 0.7 hence the tool found to be reliable. The pilot study was conducted from 25 jan to 28
March on 20 premature babies control 10 and experimental 10 samples were selected from
Bharati hospital sangli and Amanapure hospital Miraj. Music therapy was given with head
phones with recommoned decibel level that is 50 to 70 DB. before starting the music
physiological parameters were assessed as a pre test, Music was given for 10 minutes and
stopped 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.


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