Document Detail


Effect of Yakson and Gentle Human Touch versus usual care on urine stress hormones and behaviors in preterm infants: a quasi-experimental study.
MedLine Citation:
PMID:  18353332     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Touching, one of the most developed senses, is proven to relax preterm infants. Yakson is a Korean touching method for healing and relaxation similar to Gentle Human Touch (GHT), which is used in the United States. OBJECTIVE: The goal of this study was to test the effect of Yakson and GHT on preterm infants' stress and behaviors compared to usual nursing care. DESIGN: A quasi-experimental study design was used. PARTICIPANTS: Fifty-nine preterm infants (26-34 weeks gestational age) in the neonatal intensive care unit were chronologically assigned into three groups; Yakson (n=20), GHT (n=20), and control group (n=19). METHODS: The Yakson and GHT groups each received an intervention for 15min twice a day for 15 days while the control group received usual nursing care. Yakson consists of three five-minute phases: resting the hand on the infant, gentle caressing, and resting the hand again. GHT consists of hand resting for 15min. Twenty-four-hour urine cortisol and norepinephrine samples were collected both before and after the 15-day intervention period. The infants' sleep and awake states were observed before, during, and after each intervention. RESULTS: Following the intervention period, preterm infants in the Yakson and GHT groups had significantly lower stress hormone levels compared to the control group preterm infants. No significant difference was found in stress hormone levels between Yakson and GHT group preterm infants. After Yakson or GHT, the infants exhibited an increased percentage of sleep states and a decreased percentage of awake and fussy states. CONCLUSIONS: The findings suggest that Yakson is another touching method that is not aversive or stressful to preterm infants, and which may provide several positive effects on preterm infants.
Authors:
Hyesang Im; Eunjung Kim
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-03-18
Journal Detail:
Title:  International journal of nursing studies     Volume:  46     ISSN:  1873-491X     ISO Abbreviation:  Int J Nurs Stud     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-25     Completed Date:  2009-07-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400675     Medline TA:  Int J Nurs Stud     Country:  England    
Other Details:
Languages:  eng     Pagination:  450-8     Citation Subset:  IM; N    
Affiliation:
The Department of Family and Child Nursing, University of Washington, School of Nursing, Seattle, WA 98195, United States. hsim@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Humans
Hydrocortisone / urine*
Infant Behavior*
Infant, Newborn
Infant, Premature
Norepinephrine / urine*
Touch*
Chemical
Reg. No./Substance:
50-23-7/Hydrocortisone; 51-41-2/Norepinephrine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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