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极早产儿和足月儿出生的两岁儿童的喂养问题评分及其相关因素

Feeding Problems Score and Its Related Factors in Two-Year-Old Children Born Very-Preterm and Full-Term.

作者信息

Mokhlesin Maryam, Mirmohammadkhani Majid, Nooripour Shamsollah, Rashidan Saeed, Ahmadizadeh Zahra

机构信息

Neuromuscular Rehabilitation Research Centre, Semnan University of Medical Sciences, Semnan, Iran.

Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2019 Jul-Aug;24(4):256-260. doi: 10.4103/ijnmr.IJNMR_158_18.

Abstract

BACKGROUND

Many very-preterm infants have difficulty in oral feeding during the first months of life after discharge. Since studies surveying the presence of feeding problems after the first year of life are limited and cultural/psychosocial differences can affect results, so the aim of this study was to compare scores of a feeding problems test between very-preterm and full-term born children at the age of 2 and study the relationship between obtained scores and explanatory variables.

MATERIALS AND METHODS

This is a retrospective descriptive-analytic study conducted in 2014 in Semnan city of Iran. Thirty-eight 2-year-old children with the history of very-preterm birth were selected by census sampling method and 38 full-term babies born in the same hospital were selected randomly. The Iranian version of Lewinhson Feeding Disorders questionnaire was used and the relationship between explanatory variables and the total score of the questionnaire was surveyed in each group by Mann-Whitney and linear regression tests.

RESULTS

Mean (SD) gestational age and weight of birth were 30.47 (1.63) weeks and 1630 (310) grams respectively in the very-preterm group. Feeding scores were not significantly higher in very-preterm babies, neither in total score ( > 0.05) nor in subtests. A relationship was just found between total feeding score and female gender both in the exposed group (β = -0.36, = 0.01) and non-exposed group (β = -0.49, = 0.002).

CONCLUSIONS

Two-year-old children born very preterm did not have higher feeding problems scores than full-term born peers. Male gender was related to more feeding problems at 2 years of age.

摘要

背景

许多极早产儿在出院后的头几个月存在经口喂养困难。由于关于一岁以后喂养问题的研究有限,且文化/心理社会差异可能影响结果,因此本研究旨在比较极早产儿和足月儿在2岁时喂养问题测试的得分,并研究所得分数与解释变量之间的关系。

材料与方法

这是一项于2014年在伊朗塞姆南市进行的回顾性描述性分析研究。采用普查抽样法选取38名有极早产史的2岁儿童,并随机选取在同一家医院出生的38名足月儿。使用伊朗版的Lewinhson喂养障碍问卷,并通过Mann-Whitney检验和线性回归检验对每组中解释变量与问卷总分之间的关系进行调查。

结果

极早产组的平均(标准差)胎龄和出生体重分别为30.47(1.63)周和1630(310)克。极早产婴儿的喂养得分在总分(>0.05)和各子测试中均无显著升高。仅在暴露组(β = -0.36,P = 0.01)和非暴露组(β = -0.49,P = 0.002)中发现总喂养得分与女性性别之间存在关系。

结论

极早产出生的2岁儿童的喂养问题得分并不高于足月儿同龄人。男性性别与2岁时更多的喂养问题有关。

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Glob Pediatr Health. 2020 Sep 4;7:2333794X20952688. doi: 10.1177/2333794X20952688. eCollection 2020.

本文引用的文献

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A practical approach to classifying and managing feeding difficulties.一种实用的喂养困难分类和管理方法。
Pediatrics. 2015 Feb;135(2):344-53. doi: 10.1542/peds.2014-1630. Epub 2015 Jan 5.

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