Investigation of Factors Affecting Neuromotor Behavior in Premature Neonates

Abstract

Amaç: Prematüre infantlarda nörolojik muayeneler ve gelişimsel testlerle tespit edilen anormallikler, bebeğin yaşamını etkileyecek kadar ciddi veya geçici olabilir. Bu çalışmanın amacı prematüre yenidoğanlarda nöromotor davranışı etkileyen çeşitli faktörleri araştırmaktır.

Gereç ve Yöntem: Çalışmaya prematürite tanısı ile tedavi gören 13 yenidoğan (E=6, K=7) dahil edildi. Olgulara ağrı değerlendirmesi, ağrı ve strese dayalı konfor değerlendirmesi ve nöromotor beceri değerlendirmesi yapıldı.

Bulgular: Bebeğin doğumundan önceki 1 yıllık dönemde maternal psikolojik stresin varlığının ve bebeğin erkek cinsiyette olmasının, nöromotor davranışların gelişiminde gecikmelere neden olduğu görülmüştür (p<0,05). Solunum cihazına bağlı olarak respirasyon yapabilen infantlar, nöromotor davranış bakımından en kötü durumdadır (p<0,05). Prematüre yenidoğanın nöromotor davranış becerileri ile hamilelik süresi ve doğum ağırlığı arasında pozitif; ağrı ve konfor durumu ile ise negatif bir korelasyon mevcuttur (p<0,05). Nöromotor davranış becerileri ile Apgar Skoru arasında ise herhangi bir ilişki bulunamamıştır (p<0,05).

Sonuç: Maternal psikolojik stresin varlığı, erkek cinsiyet, solunum cihazına bağlı solunum, ağrı varlığı ve daha kötü konfor durumu nöromotor becerileri olumsuz yönde etkiler. Buna karşılık emzirme yoluyla beslenme, daha uzun gebelik süresi ve daha yüksek doğum ağırlığı nöromotor becerileri olumlu yönde etkiler. Nöromotor beceriler ile Apgar Skoru ve doğum yöntemi arasında ise ilişki yoktur.

Keywords

• Nöromotor Davranış,Prematürite,Ağrı,Konfor,Apgar Skoru

Investigation of Factors Affecting Neuromotor Behavior in Premature Neonates

Abstract

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.

Keywords

• Neuromotor Behavior,Prematurity,Pain,Comfort,Apgar Score

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