Science of Emotion and Sensibility (감성과학)

Korean Society for Emotion and Sensibility (한국감성과학회)
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The Development of the Smart Sensibility Mat with Kangaroo Mother Care

캥거루 케어를 반영한 스마트 감성 매트의 개발

  • Cho, Soo-Min (The Global School of Media, Soongsil University)
  • 조수민 (숭실대학교 IT대학 글로벌미디어학부)
  • Received : 2016.09.09
  • Accepted : 2017.04.03
  • Published : 2017.06.30
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Abstract

'Smart Sensibility Mat (SSM)' was developed and manufactured for positive sensibility of newborn with fiber, digital, and sensibility technology to reflect features and advantages of kangaroo care. For tactile stimuli, the tube of the silicon material to provide a constant temperature of $32^{\circ}C$ was inserted into the mat and connected to the water-thermostat. To provide a uniform temperature throughout the mat, the fabric by the inserting conductive yarn was attached to the mat surface. After wrapping the mat with cotton pad, the polyurethane foam used as medicine in order to similar to the human skin was bonded to the surface of the mat. To provide the auditory stimuli of a level of 30dB with mother's heartbeat sounds and voice recorded in advance, the Bluetooth speaker was inserted into the mat. To investigate the effects of SSM, 10 newborns who born within two weeks were involved in this experiment. While the baby was lying on each of the general mat (GM) and SSM, the baby's physiological signals-heart rate, breathing rate, temperature- were measured and then, those were conducted t-test to examine the difference between the signals of SSM and GM. The results were as follows: heart rate (t=8.131, p<.001) and respiratory rate (t=7.227, p<.001) among the physiological signals of SSM decreased significantly than GM within the normal range. Temperature (t=1.062, p=0.292) at SSM showed a tendency to decrease than GM within the normal range. This means the tactile stimuli and the auditory stimuli providing from SSM give stable physiological responses. Thus, SSM leads to have psychological comfort and stability of newborns.

캥거루 케어의 특징을 반영하여 신생아의 감성에 긍정적인 영향을 미치는 스마트 감성 매트(SSM; Smart Sensibility Mat)를 개발, 제작하였다. 청감 자극의 경우 사전에 녹음된 어머니의 심장박동소리와 목소리를 30dB로 제공할 수 있는 블루투스 스피커를 매트에 삽입하였다. 촉감 자극의 경우 $32^{\circ}C$의 일정한 온도를 제공하기 위해 실리콘 소재의 온수 튜브를 매트의 표면에 삽입하고 자동온도조절장치와 연결하였다. 매트의 전체에 균일한 온도 제공을 위해 열전도성 실을 삽입한 직물을 매트 표면에 부착하였다. 면 패드로 매트를 감싼 후 피부 접촉과 비슷한 촉감 자극을 주기 위해 폴리우레탄 폼을 매트 표면에 접착하였다. SSM이 신생아의 감성에 미치는 효과를 보기 위해 생후 2주 이내의 건강한 신생아 10명을 대상으로 일반 매트(GM; General Mat) 및 SSM에 있을 때 생리신호인 심박수, 호흡수와 체온을 10분 간격으로 2회씩 측정하였다. 이를 3일에 걸쳐 1일 1회씩 측정한 후 대응표본 t검정을 실시하였다. 그 결과, GM에 있을 때 보다 SSM에 있을 때 심박수(t=8.131, p<.001)와 호흡수(t=7.227, p<.001)가 정상범위 안에서 유의적으로 감소하였다. 이는 SSM의 감각 자극이 신생아의 심리적 안정에 긍정적인 영향을 미쳐 GM보다 빠른 시간 내에 심리적 안정을 주는데 기여한 것으로 볼 수 있다.

Keywords

References

  1. Bang, K. S. (2011). Perception of nurses and physicians in neonatal intensive care units on kangaroo care. Journal of Korean Academy of Child Health Nursing, 17(4), 230-237. https://doi.org/10.4094/jkachn.2011.17.4.230
  2. Becker, P. T., Grunwald, P. C., Moorman, J., & Stuhr, S. (1991). Outcomes of developmentally supportive nursing care for very low birth weight infants. Nursing Research., 40(3), 150-155.
  3. Charpak N., Ruiz-Pelἀez J. G., Figueroa de C. A., & Charpak Y. (2001). A randomized controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics, 108(5), 1072-1079. https://doi.org/10.1542/peds.108.5.1072
  4. Chia P., Sellick K., & Gan S. (2006). The attitudes and practices of neonatal nurses in the use of kangaroo care. Australian Journal of Advanced Nursing, 23(4), 20-27.
  5. Chiu, S. H., & Anderson, G. C. (2009). Effect of early skin-to-skin contact on mother-preterm infant interaction through 18 months: randomized controlled trial. International Journal of Nursing Studies, 46(9), 1168-1180. https://doi.org/10.1016/j.ijnurstu.2009.03.005
  6. Cho, H. K., Lee, J. H., Lee, C. K., & Lee, M. H. (2006). An exploratory research for development of design of sensor-based smart clothing: focused on the healthcare clothing based on bio-monitoring technology. Science of Emotion and Sensibility, 9(2), 141-150.
  7. Jang, E. H., Woo, T. J., Lee, Y. C., & Sohn, J. H. (2007). Psychophysiological responses evoked by fear and disgust emotion using audiovisual film clips in children. Science of Emotion and Sensibility, 10(2), 273-280.
  8. Jang, M. Y. (2008). The effect of kangaroo care on weight and stress hormone (cortisol) in premature infants. Journal of Korean Academy of Child Health Nursing, 14(2), 138-145.
  9. Jeni S., Virginia S., Elaine B., & Hannah D. (2014). Immediate or early skin-to skin contact after a caesarean section: a review of the literature. Maternal and Child Nutrition, 10(4), 456-473. https://doi.org/10.1111/mcn.12128
  10. Karlstrom A., Lindgren H., & Hildingsson I. (2013). Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case-control study. BJOG: An International Journal of Obstetrics & Gynaecology, 120(4), 479-486. https://doi.org/10.1111/1471-0528.12129
  11. Keribig, S. D. (2010). Autonomic nervous system activity in emotion: a review. Biological Psychology, 84(3), 394-421. https://doi.org/10.1016/j.biopsycho.2010.03.010
  12. Kim, M. Y., Koo, H. Y., Kwon I. S., Kim, T. I., Kim, H. Y., Shim, M. K., Yoon, H. O., Lee, S. Y., Jang, K. J., Chung, S. E., & Cho, G. C. (2014). Newborn Nursing (신생아 간호학). Paju: Soomoonsa.
  13. Lee, E. J., Kim, E. S., Lee. Y. N., Park. S. H., Lee, K. M., & Lee, Y. H. (2014). Development of the kangaroo care protocol and its effect on premature infants. Journal of Korean Clinical Nursing Research, 20(3), 313-325. https://doi.org/10.22650/JKCNR.2014.20.3.313
  14. Lee, H. K. (2007). Baby massage. Specialist seminar baby touch of love. Seoul: Johson & Johnson.
  15. Lee, J. H., & Bang K. S. (2011). The effect of kangaroo care on maternal self-esteem and premature infants' physiological stability. Korean Journal of Women Health Nursing, 17(5), 454-462. https://doi.org/10.4069/kjwhn.2011.17.5.454
  16. Lee, S. B., & Shin, H. S. (2012). Effects of kangaroo care on physiological marker of preterm infant in neonatal intensive care unit. Journal of East-West Nursing Research, 18(2), 59-65.
  17. Lim, J. H., Kim G., E., & Shin, Y. H. (2016). Effect for kangaroo care: systematic review & meta analysis. Journal of the Korea Academia-Industrial cooperation Society, 17(3), 599-610. https://doi.org/10.5762/KAIS.2016.17.3.599
  18. Long, J., Philip, A., & Lucey, J. (1980). Excessive handling as a cause of hypoxemia. Pediatrics, 65(2), 203-207.
  19. Ludington-Hoe S. M., Ferreira C., Swinth J., & Ceccardi J. J. (2003). Safe criteria and procedure for kangaroo care with intubated preterm infants. Journal of Obstetric, Gynecology, and Neonatal Nursing, 32(5), 579-588. https://doi.org/10.1177/0884217503257618
  20. McCorkle (1974). Effect of touch on seriously ill patient. Nursing Research, 23(2), 125-132.
  21. Moon, H. S., Cho, H. S., Lee, J. H., & Jung, H. I. (2006). An investigation on the development of healthcare smart clothing. Science of Emotion and Sensibility, 9(1), 77-84.
  22. Murphy, P. J., & Campbell, S. S. (1997). Nighttime drop in body temperature: a physiological trigger for sleep onset. Sleep, 20(7), 505-511. https://doi.org/10.1093/sleep/20.7.505
  23. Park, M. S., Park, J. E., & Sohn, J. H. (2011). Toward an integrated model of emotion recognition methods based on reviews of previous work. Science of Emotion and Sensibility, 14(1), 101-116.
  24. Seong, M. H., & Kim, M. K. (2005). A Study of the effects of behavior contact in early mother-infant attachment. Journal of Korean Academy of Nursing, 35(5), 842-849. https://doi.org/10.4040/jkan.2005.35.5.842
  25. Tuoni C., Scaramuzzo R. T., Ghirri P., Boldrini A., & Bartalena L. (2012). Kangaroo mother care: four years of experience in very low birth weight and preterm infants. Minerva Pediatrica, 64(4), 377-383.