Annelerin Uyguladığı Masajın Prematüre Ve Düşük Doğum Ağırlıklı Bebeklerin Büyüme Gelişmesine Etkisi

Öz

Amaç: Bu çalışma, Mayıs 2001-Mayıs 2002 tarihleri arasında, Sağlık Bakanlığı Aydın Doğumevi Pediatri Servisinde, annelerin uyguladığı masajın prematüre ve DDA bebeklerin büyüme gelişmesine etkisini ölçmek amacıyla yarı deneysel olarak planlanmıştır. Gereç ve Yöntem: Araştırma örneklemini 30 prematüre ve DDA bebek 15 kontrol grubu, 15 deney grubu oluşturmuştur. Örnekleme alınan bebekler; 34-36 gestasyon haftasında doğmuş, doğum kiloları 1800-2500gr arasında olan, doğumdan sonra 15-35 gün içinde doktor kontrollerinin yapılarak sağlıklı, stabil masaj yapılabilir durumda olduğuna karar verilmiş ve taburcu olmuş, anne sütüyle beslenen, Apgar Skoru 1. dk 5 ve üzerinde olan bebeklerdir. Örnekleme alınan bebeklerin anneleri; en az ilkokul mezunu, herhangi bir metabolik ya da kronik hastalığa sahip olmayan kadınlardır. Araştırmada gerekli verileri toplamak amacıyla; Bilgi Toplama Formu, Eğitim Planı Formu, Masaj Kontrol Formu, Masaj Uygulama Rehberi, Masaj İzlem Formu, Ankara Gelişim Tarama Envanteri AGTE , bebek tartı aleti kullanılmıştır. Toplanan veriler Ki-kare ve Mann-Whitney U testleri ile analiz edilmiştir. Bulgular ve Sonuç: Deney grubu bebekler ile kontrol grubu bebeklerin ortalama kilo alımları arasında istatistiksel olarak anlamlı bir fark vardır p

Anahtar Kelimeler

• “Bebek Masajı”,”Prematüre Bebek”,“Hemşirelik”,“Bakım”

THE EFFECT OF MASSAGE ON GROWTH DEVELOPMENT OF PREMATURE INFANTS AND BABIES WITH LOW BIRTH WEIGHT

Öz

Objective: The study has been planned as semi-experimental for the purpose of measuring the effect of massage applied by mothers on growth development of premature infants and babies with low birth weight LBW . Metods: 30 15 control, 15 experiment premature and LBW babies have constituted the sampling. The babies included in the sampling; are the babies which were born on the 34-36 gestation week, of which the birth weights were between 1800-2500 gr, which were discharged upon the doctor controls made within 15-35 days from birth with the decision of being healthy and in suitable condition to be massaged, which are fed by mother milk, with Apgar Score 1.min 5 or above. The mothers of the babies included in the sampling; are the women who are at least elementary school graduates who do not possess any metabolic or chronic diseases. The collected data are analyzed with Ki-square and Mann-Whitney U tests. Results: While a statistically meaningful difference is present between the average weight gains and average mental development points of trial group babies and control group babies p0.05 . Conclusion: The massage applied by the mothers has a positive contribution on growth developments of premature and LBW babies

Anahtar Kelimeler

• Baby Massage, Premature Baby, Nursing, Care

Kaynakça

1. American Academy of Pediatrics (1990), Kangroo Baby Care: Just a Nice Experience or An İmportant Advence for Preterm?, Pediatrics; 85, 604-605.
2. Beyazova N (Ed) (2000), Gökçe Kutsal Y., Fiziksel Tıp ve Rehabilitaston, Cilt1, Güneş Kitabevi, Ankara, 842-53.
3. Bond C (2002), Positive Touch And Massage İn The Unit: A British Approach, Semin Neonatol; 7, 477-86.
4. Burns K,et al (1994), Infant Stimulatıon: Modification of An Intervention Based on Physiologic and Behavioral Cues, JOGNN; 23(7), 581-88.
5. Ekşi A (Ed) (1999), Ben Hasta Değilim: Çocuk Sağlığı ve Hastalıklarının Psikososyal Yönü, Nobel Kitabevi, İzmir, 17-21.
6. Elias M (2000), Touch Therapy-A hands on Approach to Promote Health, www.longevity101.com
7. Field T, et al (1986), Tactile Kinestetic Stimulatıon Effects on Preterm Neonates, Pediatrics; 77, 654-58.
8. Field T, et al (2006), Moderate Versus Light Pressure Massage Therapy Leads To Greater Weight Gain in Preterm Infants, Infant Behavior & Development: V: 29, 574- 78.

9. Field T,et al (1987), Massage of Preterm Newborns to Improve Growth and Development, Pediatric Nursing; V: 13, N: 6, 385-87.
10. Freeg V.D (1999), What Makes Pediatric Nursing So Special?, Pediatric Nursing; Sep- Oct, V: 25,Issue: 5, 468.
11. Işık S, Sezgin N, Erol N (1998), Ankara Gelişim Tarama Envanteri, Genişletilmiş 2. Basım, Ankara.
12. Jump V.K, Fargo J.D, Akers J.F (2006), Impact Of Massage Therapy On Health Outcomes Among Orphaned Infants in Ecuador, Family & Community Health; V:29, N: 4, 314-19.
13. Kavaklı A (1992), Çocukluk Yaşlarında Büyüme ve Gelişme, Hilal Matbaacılık, İstanbul.
14. Moore M.L (1978), Realities in Childbearing, Sounders Company: 479-82.
15. Moreno A.J, Posada G.E, Goldyn D. T (2006), Presence and Quality of Touch Influence Coregulation in Mother- Infant Dyads, Infancy; V: 9(1), 1-20.
16. Nelson W (1996), Nelson Textbook of Pediatrics, 15.th ed, Sounders Com.
17. Rice R (1979), The Effects of The Rice Infant Sensoriomotor Stimulation Thretment on the Development of High Risk Infants, Birth Defects: Orginal Article Series; V: 15,N: 7, 7-26.
18. Scafidi F, et al (1990), Massage Stimulates Growth in Preterm Infants: A replication, Infant Behavior and Development; V: 13, 167-188.
19. Servonsky J, Opas S (1987), Nursing Management of Children, Jones and Bartlett Publishers; 8.
20. Standley J.M (1998), The Effects of Music and Multimodal Stimulation on Responses of Prematüre Infants In Neonatal Intensive Care, Pediatric Nursing, Vol.24,No.6, November-December, 532-38.
21. Taylor P.S(1983), Massage in A Special Care Nursery, The Australian Nurses Journal; V: 12, N: 7, 42-45.
22. Touch Research Institute (1997), Touch Research Institute Studies,PR Newswirel.
23. Touch Research Institute (Erişim 2007), Research at TRI, http://www6.miami.edu /touch-research/research.htm
24. Uzuner Y.Y(1998), Dokunmanın Önemi, Hemşirelik Forumu; 1(6), 245-51.
25. Vickers A, et al (2004), Massage for Promoting Growth and Development of Pretem and Low Birth Weight İnfants, Cochrane Database of Systematic Reviews 2007 Issue 3, -HD-(2): CD: 000390, http://www.mrw.interscience.wiley.com/cochrane/clsysrev/ articles/CD000390/frame.html.
26. Vickers A, Zollman C (1999), Massage Therapies, British Medical Journal; Issue: 7219, 1254.
27. White-Traut R (1993), Patterns of Physiolojic and Behavioral Response of Intermediate Care Preterm Infants to Intervention, Pediatric Nursing; 19, 625-29.
28. Wong D.L, et al (2000), Wong’s Essentials of Pediatric Nursing, Sixth Ed., Mosby.
29. Wong D.L. (2003), Wong’s Nursing Care of İnfants and Children, Seventh Ed., Mosby.