The effects of kangaroo mother care and music listening on physiological parameters, oxygen saturation, crying, awake state and sleep in infants in NICU.

OBJECTIVE: Kangaroo mother care and musical stimulation are recommended nursing interventions in the NICU. However, there is little research on the combination of kangaroo care with musical stimulation and their relationship with the health condition of infants. The aim of the study was to compare the parameters of the physiological state and behavior of infants during kangaroo mother care as well as kangaroo mother care and musical stimulation.

STUDY DESIGN: The study included 100 infants, with corrected gestational ages of 35 weeks, with an average body weight of 2704 g. During kangaroo care the child was supported by their parent, then musical stimulation was added to kangaroo care. Measurements were made in an incubator after the 1st and the 15th minute of each intervention.

RESULTS: Neonatal parameters differed in the incubator and during each intervention. During kangaroo care and kangaroo care and musical stimulation, heart rate ( p  < .0001), respiration rate ( p  < .0001), crying ( p  < .0001) and awake state ( p  < .0001) decreased, oxygen saturation levels ( p  < .0001) and the number of children who fell asleep ( p  < .0001) increased. During kangaroo care and musical stimulation significantly fewer children were awake ( p  = .0003) and more fell asleep ( p  < .0001) than after kangaroo care alone ( p  < .0001).

CONCLUSIONS: This study suggests that kangaroo care and kangaroo care and musical stimulation can be used to stabilize the physiological functions of infants. Kangaroo care and musical stimulation can be one of the most effective nursing interventions in the neonatal intensive care unit for the care of infants.