Fujinaga Cristina Ide, de Moraes Suzana Alves, Zamberlan-Amorim Nelma Ellen, Castral Thaíla Corrêa, de Almeida e Silva Andreara, Scochi Carmen Gracinda Silvan
Universidade Estadual do Centro-Oeste do Paraná, Brazil.
Rev Lat Am Enfermagem. 2013 Jan-Feb;21 Spec No:140-5. doi: 10.1590/s0104-11692013000700018.
Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants' feeding from gastric to oral, and encourage breast feeding practice in neonatal units.
To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants.
Global accuracy, sensitivity and specificity of Preterm Oral Feeding Readiness Assessment Scale cut-offs, compared to milk intake through translactation, were estimated through ROC curves (Receiver Operating Characteristic Curves).
The global accuracy of Preterm Oral Feeding Readiness Assessment Scale was 74.38%. The highest sensitivity and specificity were obtained for three cut-offs: 28, 29 and 30. Since higher specificity (75.68%) for the Preterm Oral Feeding Readiness Assessment Scale was found at a score cut-off=of 30 showed higher specificity (75.68%), it should be used as a cut-off score to select initiate breastfeeding the preterm newborns' oral feeding readiness.
The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.
医护人员在确定早产儿开始母乳喂养的适当且安全的时间方面存在很大困难。需要开发一种标准化工具，以帮助医护人员全面评估早产儿从胃饲过渡到经口喂养的准备情况，并促进新生儿病房的母乳喂养实践。
对60例临床状况稳定的早产儿使用早产口服喂养准备评估量表进行临床准确性验证。
通过ROC曲线（受试者工作特征曲线）估计早产口服喂养准备评估量表临界值与经转乳期奶量摄入相比的总体准确性、敏感性和特异性。
早产口服喂养准备评估量表的总体准确性为74.38%。在三个临界值28、29和30时获得了最高的敏感性和特异性。由于在临界值为30时早产口服喂养准备评估量表显示出更高的特异性（75.68%），因此应将其用作选择开始对早产新生儿进行经口喂养准备的临界值分数。
早产口服喂养准备评估量表被认为有助于医护人员开始对早产儿进行喂养，以促进安全和客观的母乳喂养，是有效的。
