Investigation of Factors Affecting Neuromotor Behavior in Premature Neonates

Yıl 2019, , 179 - 186, 05.09.2019

Erdoğan Kavlak , Fatih Tekin , Mustafa Burak

https://doi.org/10.30720/ered.526931

Öz

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.

Anahtar Kelimeler

Nöromotor Davranış, Prematürite, Ağrı, Konfor, Apgar Skoru

Investigation of Factors Affecting Neuromotor Behavior in Premature Neonates

Öz

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.

Anahtar Kelimeler

Neuromotor Behavior, Prematurity, Pain, Comfort, Apgar Score

Kaynakça

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