신생아 집중치료실의 다태아 미숙아에게 다중 감각을 활용한 물리치료가 행동 반응에 미치는 영향 : 사례군 연구
Effects of Physical Therapy Using Multiple Senses on the Behavioral Responses of Premature Infants with Multiple Fetuses in the Neonatal Intensive Care Unit : A Case Series
Premature infants in neonatal intensive care units, especially those from multiple births, have higher incidences of developmental disorders such as cerebral palsy and face increased risks of abnormal development. Early physical therapy intervention is crucial to promote normal behavioral responses and growth. However, physical therapy interventions using multisensory stimulation remain limited. The purpose of this study was to improve normal behavioral and reflex responses in premature infants born in multiple births through a multisensory physical therapy intervention based on Neonatal behavioral assessment scale (NBAS) evaluation. Three premature infants with pathological diagnoses participated in the study. A pre-test assessment using NBAS was conducted, followed by a 2-weeks multisensory physical therapy program consisting of kinesthetic, oral, and skin stimulation. After the intervention, a post-test behavioral assessment was conducted. Results showed the greatest improvement in interaction and supplementary items, with all three infants demonstrating positive changes in six areas: interaction, habituation, mobility, state organization, supplementary items, and reflex responses. It has a significant impact on the general neurobehavior of premature infants. The study demonstrates the effectiveness of multisensory physical therapy in premature infants from multiple births. Future research should expand the participant pool and assess the sustainability of these effects through long-term follow-up.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상자 2. 연구설계 및 절차 3. 임상적 특징 4. 중재 방법 5. 평가도구 Ⅲ. 결과 Ⅳ. 고찰 Ⅴ. 결론 인용문헌