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新生儿进食评估工具 - 混合母乳喂养和奶瓶喂养:健康足月儿喂养问题症状的参考值及相关因素

Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding: Reference values and factors associated with problematic feeding symptoms in healthy, full-term infants.

作者信息

Pados Britt Frisk, Johnson Jamarii, Nelson Madeline

机构信息

Boston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts.

出版信息

J Am Assoc Nurse Pract. 2020 Aug 7;33(11):938-946. doi: 10.1097/JXX.0000000000000476.

DOI:10.1097/JXX.0000000000000476
PMID:32773534
Abstract

BACKGROUND

The Neonatal Eating Assessment Tool-Mixed Breastfeeding and Bottle-feeding (NeoEAT-Mixed Feeding) is a parent-report assessment of symptoms of problematic feeding in infants who are feeding by both breast and bottle.

PURPOSE

To establish reference values for the NeoEAT-Mixed Feeding and evaluate factors that contribute to symptoms of problematic feeding in healthy, full-term infants.

METHODS

Parents of 409 infants less than 7 months old completed an online survey. Median and percentile scores are presented for infants aged 0-2, 2-4, 4-6, and 6-7 months old.

RESULTS

Neonatal Eating Assessment Tool-Mixed Feeding total score and scores for the Gastrointestinal Tract Function and Energy & Physiologic Stability subscales decreased with increasing infant age. Infant Regulation and Feeding Flexibility subscale scores remained stable over time, whereas Sensory Responsiveness subscale scores increased with increasing infant age. Infants with more gastrointestinal symptoms had higher NeoEAT-Mixed Feeding total scores.

IMPLICATIONS FOR PRACTICE

The reported reference values may be used to identify infants in need of further assessment, referral, and intervention. In healthy, full-term infants with concurrent gastrointestinal symptoms and problematic feeding, interventions targeted at gastrointestinal symptoms may help to improve symptoms of problematic feeding as well.

摘要

背景

新生儿喂养评估工具-混合母乳喂养和奶瓶喂养(NeoEAT-混合喂养)是一种由家长报告的针对同时采用母乳喂养和奶瓶喂养的婴儿喂养问题症状的评估工具。

目的

建立NeoEAT-混合喂养的参考值,并评估健康足月婴儿喂养问题症状的影响因素。

方法

409名7个月以下婴儿的家长完成了一项在线调查。给出了0-2个月、2-4个月、4-6个月和6-7个月婴儿的中位数和百分位数得分。

结果

新生儿喂养评估工具-混合喂养总分以及胃肠道功能和能量与生理稳定性子量表得分随婴儿年龄增长而降低。婴儿调节和喂养灵活性子量表得分随时间保持稳定,而感觉反应性子量表得分随婴儿年龄增长而增加。胃肠道症状较多的婴儿NeoEAT-混合喂养总分较高。

对实践的启示

报告的参考值可用于识别需要进一步评估、转诊和干预的婴儿。在同时存在胃肠道症状和喂养问题的健康足月婴儿中,针对胃肠道症状的干预措施可能也有助于改善喂养问题症状。

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