Comparison of motor self-regulatory and stress behaviors of preterm infants across body positions.
Occupational therapists working with infants in neonatal intensive care units (NICUs) make positioning recommendations to optimize self-regulation, with little published data supporting this practice. In this retrospective descriptive study, 15 hospitalized preterm infants (M(gestational age) = 32 w...
| Publicado en: | American Journal of Occupational Therapy Vol. 57; no. 3; pp. 289 - 298 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
May/Jun2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106886208&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106886208 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: May/Jun2003 vid: 57 iid: 3 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 106886208 106886208 86055675 2003154766 10.5014/ajot.57.3.289 NLM12785667 106886208 ppf: 289 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Comparison of motor self-regulatory and stress behaviors of preterm infants across body positions. aug: au: Grenier IR Bigsby R Vergara ER Lester BM sug: subj: Child Development Infant, Premature Motor Skills In Infancy and Childhood Pediatric Occupational Therapy Posture In Infancy and Childhood Stress, Psychological In Infancy and Childhood Analysis of Variance Coding Comparative Studies Descriptive Research Female Fisher's Exact Test Infant, Newborn Intensive Care Units, Neonatal Male P-Value Retrospective Design Self Regulation In Infancy and Childhood Videorecording Human Infant, Newborn: birth-1 month Female Male ab: Occupational therapists working with infants in neonatal intensive care units (NICUs) make positioning recommendations to optimize self-regulation, with little published data supporting this practice. In this retrospective descriptive study, 15 hospitalized preterm infants (M(gestational age) = 32 weeks) were videotaped during non-caregiving periods in order to record the frequency of specific behaviors in relation to six infant positions (prone nested, prone un-nested, side-lying nested, side-lying un-nested, supine nested, and supine un-nested). Behaviors coded were those that suggest infant stress or motor efforts at self-regulation, as defined for the original study. Mixed effects regressions and post-hoc Tukey Honestly Significant Difference tests were used to analyze the data, after the calculation of a ratio of the number of behaviors in each position. Higher ratio values reflect a greater occurrence of behaviors. The number of motor self-regulatory and stress behaviors were related to infant position, with the highest ratios of behaviors observed in side-lying un-nested and the lowest in prone nested. Behavior ratios did not differ between prone un-nested and prone nested, nor between supine un-nested and supine nested. More self-regulatory and stress behaviors were related to longer periods of fussing and crying. Longer periods of light sleep were related to fewer stress behaviors. Infants performed the fewest stress behaviors in prone nested, prone un-nested, or side-lying nested. These positions may benefit infants in the NICU by reducing the need for motor-based self-regulatory behaviors and potentially conserving energy for growth. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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