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奶嘴对早产儿过渡到完全经口喂养和吸吮成功的影响以及听摇篮曲的作用。

The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success.

机构信息

Department of Child Health Nursing, School of Health, Abant Izzet Baysal University, Bolu, Turkey.

出版信息

J Clin Nurs. 2012 Mar;21(5-6):644-56. doi: 10.1111/j.1365-2702.2010.03634.x. Epub 2011 Jun 13.

DOI:10.1111/j.1365-2702.2010.03634.x
PMID:21668549
Abstract

AIM AND OBJECTIVE

This research aimed to assess the effect of giving pacifiers to premature infants and making them listen to lullabies on the transition period to total oral feeding, their sucking success and their vital signs (peak heart rate, respiration rate and oxygen saturation).

BACKGROUND

It is very important that preterm infants start oral feeding as soon as possible to survive and get healthy quickly. Previous studies have shown that by using some external stimuli, premature babies can move to oral feeding at an earlier period than 34th gestational week, have increased daily weight gain and be discharged from hospital earlier.

DESIGN

In this quasi-experimental and prospective study, 90 premature infants were studied with 30 premature infants allocated to each of pacifier, lullaby and control groups.

METHOD

The research was conducted at a neonatal intensive care clinic and premature unit of a university hospital in the east of Turkey between December 2007-January 2009. The data were collected through demographic information form for premature infants, the LATCH Breastfeeding Charting System and patient monitoring.

RESULTS

We found that the group who proceeded to the oral feeding in the shortest period was the pacifier group (p < 0·05), followed by the lullaby group and the control group, respectively (p > 0·05). We also found that the highest sucking success was achieved by infants in the pacifier group (p < 0·05) followed by the lullaby group (p > 0·05).

CONCLUSION

These results demonstrate that giving pacifiers to premature infants and making them listen to lullabies has a positive effect on their transition period to oral feeding, their sucking success and vital signs (peak heart rate and oxygen saturation).

RELEVANCE TO CLINICAL PRACTICE

Neonatal intensive care nurses can accelerate premature infants' transition to oral feeding and develop their sucking success by using the methods of giving them pacifiers and making them listen to lullabies during gavage feeding.

摘要

目的和目标

本研究旨在评估给早产儿奶嘴并让他们听摇篮曲对完全经口喂养过渡期、吸吮成功率和生命体征(心率峰值、呼吸频率和血氧饱和度)的影响。

背景

早产儿尽快开始经口喂养对于生存和快速康复非常重要。先前的研究表明,通过使用一些外部刺激,早产儿可以在 34 孕周前更早地过渡到经口喂养,增加每日体重增加,并更早出院。

设计

在这项准实验和前瞻性研究中,研究了 90 名早产儿,每个奶嘴组、摇篮曲组和对照组各有 30 名早产儿。

方法

该研究于 2007 年 12 月至 2009 年 1 月在土耳其东部的一家大学医院新生儿重症监护病房和早产儿病房进行。通过早产儿人口统计学信息表、Latch 母乳喂养图表系统和患者监测收集数据。

结果

我们发现,经口喂养最短的是奶嘴组(p<0·05),其次是摇篮曲组和对照组(p>0·05)。我们还发现,奶嘴组的吸吮成功率最高(p<0·05),其次是摇篮曲组(p>0·05)。

结论

这些结果表明,给早产儿奶嘴并让他们听摇篮曲对他们向经口喂养的过渡、吸吮成功率和生命体征(心率峰值和血氧饱和度)有积极影响。

临床相关性

新生儿重症监护护士可以通过在经胃喂养时给早产儿奶嘴和听摇篮曲的方法,加速早产儿向经口喂养的过渡,提高吸吮成功率。

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