Beyaz Gürültünün Bebek ve Yenidoğanlar Üzerindeki Etkileri: Uyku Kalitesi ve Ağrı Üzerine Bir Derleme

Yıl 2023, Cilt: 1 Sayı: 2, 64 - 67, 22.06.2023

Hilal Üstündağ

Öz

Bu derleme, beyaz gürültünün yenidoğan ve bebeklerdeki uyku kalitesi ve ağrı üzerindeki etkilerini değerlendirmeyi amaçlamaktadır. Beyaz gürültü, birçok farklı frekans aralığındaki seslerin karışımından oluşan monoton bir sestir. Günümüzde beyaz gürültü, uykuyu iyileştirme, yenidoğanlarda prosedürel ağrıyı azaltma ayrıca rahatlık ve huzur sağlama amacıyla çeşitli tıbbi tedavilerde, ev ve hastane ortamında yaygın olarak kullanılmaktadır. Beyaz gürültü, bebekler ve yenidoğanlar için rahatsız edici sesleri engelleme veya ortadan kaldırma amaçlı olarak kullanılan bir ses türüdür. Bu nedenle, bebek ve yenidoğanların henüz düzenli frekans değişikliklerini ve hareketli sesleri filtreleme yeteneğine sahip olmaması durumunda, rahat ve düzenli bir şekilde uyumalarına yardımcı olabilir. Bu ses, uykuya dalma sırasında bebek ve yenidoğanlar üzerinde rahatsız edici seslere karşı koruyucu bir bariyer oluşturması amacıyla kullanılan, ilaçsız bir yaklaşımdır ve uyku kalitesini iyileştirmeyi hedefler. Literatürde yapılan araştırmalar, beyaz gürültü seslerinin fizyolojik parametreleri pozitif yönde etkilediğini ve ağlama sürelerini azalttığını göstermiştir. Ancak, her bebek ve yenidoğan için beyaz gürültünün etkisi farklı olabilir ve bazıları için rahatsız edici bir ses olarak algılanabilir. Daha fazla araştırma yapılması gerektiğine değinilmiştir.

Anahtar Kelimeler

beyaz gürültü, bebek, ağrı, uyku kalitesi, yenidoğan

Kaynakça

• Karakoç A, Türker F. Effects of white noise and holding on pain perception in newborns. Pain Management Nursing 2014;15:864-870.
• Spencer J, Moran D, Lee A, Talbert D. White noise and sleep induction. Archives of disease in childhood 1990;65:135-137.
• Pickens TA, Khan SP, Berlau DJ. White noise as a possible therapeutic option for children with ADHD. Complementary Therapies in Medicine 2019;42:151-155.
• Bureš Z, Popelář J, Syka J. The effect of noise exposure during the developmental period on the function of the auditory system. Hearing research 2017;352:1-11.
• Cetinkaya S, Yavas Celik M, Ozdemir S. Effect of white noise on alleviating the pain of new-born during invasive procedures. The Journal of Maternal-Fetal & Neonatal Medicine 2022;35:1426-1432.
• Wachman EM, Lahav A. The effects of noise on preterm infants in the NICU. Archives of Disease in Childhood-Fetal and Neonatal Edition 2011;96:F305-F309.
• Sezici E, Yigit D. Comparison between swinging and playing of white noise among colicky babies: A paired randomised controlled trial. Journal of Clinical Nursing 2018;27:593-600.
• Xiao X, Wu Z-C, Chou K-C. A multi-label classifier for predicting the subcellular localization of gram-negative bacterial proteins with both single and multiple sites. PloS one 2011;6:e20592.
• Ren X-F, Wang Z-Z, Yang M, Li L, Kong X-Y, Feng Z-C. Clinical effect of white noise combined with glucose in reducing the pain of retinopathy screening in preterm infants. Zhongguo Dang dai er ke za zhi= Chinese Journal of Contemporary Pediatrics 2019;21:1159-1163.
• Döra Ö, Büyük ET. Effect of white noise and lullabies on pain and vital signs in invasive interventions applied to premature babies. Pain Management Nursing 2021;22:724-729.
• Riedy SM, Smith MG, Rocha S, Basner M. Noise as a sleep aid: A systematic review. Sleep Medicine Reviews 2021;55:101385.
• Ustundag H, Senturk E, Senturk M. Effect of White Noise and Light Exposure on Rat Testis Glutathione Reductase Enzyme. ACTA PHYSIOLOGICA; 2022: WILEY 111 RIVER ST, HOBOKEN 07030-5774, NJ USA: 79-79.
• Patterson EC. Effect of Lullaby Music versus Rain Sounds on Inducing Sleep in the First 20 Minutes of Daycare Naptime. 2011.
• Loewy J, Stewart K, Dassler A-M, Telsey A, Homel P. The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics 2013;131:902-918.
• Mindell JA, Williamson AA. Benefits of a bedtime routine in young children: Sleep, development, and beyond. Sleep medicine reviews 2018;40:93-108.
• Byars KC, Simon SL. American Academy of Pediatrics 2016 Safe Sleep Practices: implications for pediatric behavioral sleep medicine. Behavioral Sleep Medicine 2017;15:175-179.
• Rabat A. Extra-auditory effects of noise in laboratory animals: the relationship between noise and sleep. Journal of the American association for laboratory animal science 2007;46:35-41.
• Guzman-Marin R, Suntsova N, Bashir T, Nienhuis R, Szymusiak R, McGinty D. Rapid eye movement sleep deprivation contributes to reduction of neurogenesis in the hippocampal dentate gyrus of the adult rat. Sleep 2008;31:167-175.
• Akiyama A, Tsai J-D, WY Tam E, et al. The effect of music and white noise on electroencephalographic (EEG) functional connectivity in neonates in the neonatal intensive care unit. Journal of Child Neurology 2021;36:38-47.
• Hong SA, Kuziez D, Das N, Harris D, Brunworth JD. Hazardous sound outputs of white noise devices intended for infants. International Journal of Pediatric Otorhinolaryngology 2021;146:110757.
• Cruz MD, Fernandes A, Oliveira C. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. European Journal of Pain 2016;20:489-498.
• McPherson C, Miller SP, El-Dib M, Massaro AN, Inder TE. The influence of pain, agitation, and their management on the immature brain. Pediatric research 2020;88:168-175.
• Ludington-Hoe S, Cong X, Hashemi F. Infant crying: nature, physiologic consequences, and select interventions. Neonatal network 2002;21:29-36.
• Balice-Bourgois C, Zumstein-Shaha M, Vanoni F, Jaques C, Newman CJ, Simonetti GD. A systematic review of clinical practice guidelines for acute procedural pain on neonates. The Clinical journal of pain 2020;36:390-398.
• Kucukoglu S, Aytekin A, Celebioglu A, Celebi A, Caner I, Maden R. Effect of white noise in relieving vaccination pain in premature infants. Pain Management Nursing 2016;17:392-400.
• Chorna OD, Slaughter JC, Wang L, Stark AR, Maitre NL. A pacifier-activated music player with mother’s voice improves oral feeding in preterm infants. Pediatrics 2014;133:462-468.
• Taplak AŞ, Bayat M. Comparison the effect of breast milk smell, white noise and facilitated tucking applied to Turkish preterm infants during endotracheal suctioning on pain and physiological parameters. Journal of Pediatric Nursing 2021;56:e19-e26.
• Tekgündüz KŞ, Polat S, Gürol A, Apay SE. Oral glucose and listening to lullaby to decrease pain in preterm infants supported with NCPAP: a randomized controlled trial. Pain Management Nursing 2019;20:54-61.
• Kurdahi Badr L, Demerjian T, Daaboul T, Abbas H, Hasan Zeineddine M, Charafeddine L. Preterm infants exhibited less pain during a heel stick when they were played the same music their mothers listened to during pregnancy. Acta Paediatrica 2017;106:438-445.
• Shabani F, Nayeri ND, Karimi R, Zarei K, Chehrazi M. Effects of music therapy on pain responses induced by blood sampling in premature infants: A randomized cross-over trial. Iranian journal of nursing and midwifery research 2016;21:391.
• Cavaiuolo C, Casani A, Di Manso G, Orfeo L. Effect of Mozart music on heel prick pain in preterm infants: a pilot randomized controlled trial. Journal of Pediatric and Neonatal Individualized Medicine (JPNIM) 2015;4:e040109-e040109.
• Ren X, Li L, Lin S, Zhong C, Wang B. Effects of white noise on procedural pain-related cortical response and pain score in neonates: A randomized controlled trial. International journal of nursing sciences 2022;9:269-277.
• Ye X, Chen JQ, Zhu LL, Chui LB, Xu HZ. Intervention strategies for white noise alleviating procedural pain in newborns: A systematic review. Journal of Clinical Nursing 2022.