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


Burak M., Tekin F., Kavlak E.

Ergoterapi ve Rehabilitasyon Dergisi, cilt.7, sa.3, ss.179-186, 2019 (Hakemli Dergi)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 3
  • Basım Tarihi: 2019
  • Doi Numarası: 10.30720/ered.526931
  • Dergi Adı: Ergoterapi ve Rehabilitasyon Dergisi
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.179-186
  • Gazi Üniversitesi Adresli: Evet

Özet

Purpose: Abnormalities detected by neurological examinations and developmental tests performed in premature infants can be severe or transient, which may be severe enough to affect survival of baby. The aim of this study was to investigate various factors affecting neuromotor behavior in premature neonates.


Materials and Methods: 13 neonates (M=6, F:7)  who were treating for prematurity diagnosis included in the study. A pain assessment, comfort evaluation for pain and stress, 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<0.05). Infants whose respiration is depending on inhaler are the worst in neuromotor behavior (p<0.05). 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<0.05). There was no correlation between Apgar Score and neuromotor behavior (p<0.05).


Conclusion: Presence of maternal psychological stress, male gender, respiration dependent on respiratory device, pain and worse comfort status adversely affect neuromotor skills. Conversely, breastfeeding, longer duration of pregnancy period, and higher birth weight positevely affect neuromotor skills. There is no relationship between neuromotor skills and Apgar Score; neuromotor skills and delivery method.