• Published
    06-03-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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AN INTERVENTIONAL OBSERVATION STUDY TO ASSESS THE TACTILE SENSITIVITY AMONG PRETERM, EARLY TERM AND AT TERM NEONATES IN SELECTED HOSPITAL AT NAVI MUMBAI

  • Mrs.Anuja Deepak Saraf1,Dr. Deepa Ganesh Reddy2, Mrs. Nimi Susan Thomas3

Keywords: Tactile sensitivity, tactile stimulation, preterm, early term and at term, Physiological parameters, Neonatal Neuro Behavioral items.

ABSTRACT:-
Background & Aim of the work: Neonates, especially high-risk neonates, have been considered lack of sensory perception. In spite of a growing body of research on perinatal sensory abilities, data on the degree of tactile sensitivity and more particularly tactile stimulation (i.e., sensitivity to a stimulation imposed on the skin) are still scarce. As a result, it is still unclear how the tactile sensitivity interferes in the physiological and neurobehavioral activity of neonates. The present study was aimed to evaluate tactile sensitivity among preterm, early term and at term neonates. Materials and Methods: The Quantitative evaluatory approach with One-group pretest and post-test design was used in this study. The sample size was 90 (preterm babies: 30, early term: 30 and at term: 30) neonates at NICU unit. The samples were selected by using non probability purposive sampling method. The observational tool (Physiological parameters and Modified Neonatal Brazelton Neuro Behavioural Assessment Scale) was used in this study. Content validity and reliability of the tool was assessed. The data was analyzed and tabulated by using descriptive (frequency percentage distribution, Mean, median and standard deviation) and inferential statistics (Wilcoxon Signed rank test). Results: The present study revealed that tactile sensitivity with physiological parameters the majority of the preterm (before: 56.7%; after: 63.3%), early term (before: 66.7%; after:40%) and at term babies (before: 93.3%; after:16.7%) had moderate tactile sensitivity before and after tactile stimulation. But in Neuro-behavioral Parameters the majority of the preterm (before: 93.3%; after 63.3%) had moderate tactile sensitivity; whereas in early term (before: 60%; after: 83.3%) and at term baby’s (before: 50%; after: 93.3%) majority of them showed high tactile sensitivity after tactile stimulation. The statistically significant difference (p0.05) of the physiological parameter such as temperature in preterm and early term whereas, oxygen saturation in all three neonates and tactile sensitivity was seen only in preterm babies. The statistically significant difference (p0.05) of the behavioral parameter such as passive movements of legs and tactile sensitivity was seen in preterm and at term babies whereas, feeding pattern was seen in early term and at term babies. The statistically significant difference (p0.05) of the Neuro item such as sucking reflex and rooting reflex only was seen at term babies. Conclusion/Implication for Practice: This study findings suggest that nurses who work in NICU should provide appropriate tactile stimulations (neither more; nor less) for the development of the neonates.