早产儿经口喂养综合干预方案的构建与实践
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女,硕士在读,护士

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Construction and application of integrated intervention program for oral feeding in premature infants
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    目的 探讨经口喂养综合干预 对NICU早产儿经口喂养能力的影响。 方法 便利选取104例在NICU住院的早产儿,按时间段分为对照组和干预组各52例。对照组进行常规发育支持护理;干预组在常规发育支持护理的基础上进行口腔运动干预、吞咽训练及触觉/动觉刺激联合应用的经口喂养综合干预 。 结果 对照组49例,干预组47例完成全程研究。两组早产儿非营养性吸吮功能评分均逐渐升高,干预组干预第7天、14天时非营养性吸吮功能评分显著高于对照组(均P<0.05);开始经口喂养时,干预组经口喂养效率、喂养成效、摄入奶量比显著高于对照组(均P<0.05);达完全经口喂养时,干预组早产儿喂养效率和喂养成效显著高于对照组(均P<0.05);干预组实现完全经口喂养所需时间显著低于对照组(P<0.05)。 结论 经口喂养综合干预有助于提高早产儿经口喂养能力,改善经口喂养表现,缩短早产儿经口喂养进程。

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    Objective To explore the effect of integrated intervention on oral feeding ability of premature infants in NICU. Methods A total of 104 premature infants hospitalized in NICU were conveniently selected and divided into 2 groups of 52 cases each accor-ding to the time period they were hospitalized.The control group received the routine developmental support nursing.The intervention group received integrated intervention of oral motor intervention, swallowing training and tactile/kinesthetic stimulation on the basis of routine developmental support nursing. Results There were 49 cases in the control group and 47 cases in the intervention group completing the study.The non-nutritive sucking (NNS) scores of premature infants in both groups increased gradually, with NNS scores of the intervention group significantly higher than those of control group on the 7th and 14th day of intervention (P<0.05 for both).At the beginning of oral feeding, the oral feeding efficiency, feeding effectiveness and milk intake ratio in the intervention group were significantly higher than those in control group (P<0.05 for all).When exclusive oral feeding was achieved, the feeding efficiency and feeding effectiveness of the intervention group were significantly higher than those in the control group (P<0.05 for both).The time required for exclusive oral feeding in the intervention group was significantly lower than that in the control group (P<0.05). Conclusion The integrated intervention can enhance oral feeding ability, improve oral feeding perfor-mance, and shorten oral feeding process of premature infants.

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苏杉杉,燕美琴,冯瑶,范洪媛,赵希林.早产儿经口喂养综合干预方案的构建与实践[J].护理学杂志,2023,38(11):5-9

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  • 收稿日期:2023-01-03
  • 最后修改日期:2023-03-04
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  • 在线发布日期: 2024-01-13