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瓶喂和注射器喂养方式对早产儿完全母乳喂养和吸吮成功过渡的影响:一项随机对照试验。

The effect of feeding methods of bottle and injector on the transition to full breastfeeding and sucking success in preterm newborns: A randomized controlled trial.

机构信息

Duzce University Hospital, Neonatology Clinic, Konuralp, Düzce 81100, Turkey.

Duzce University, Faculty of Health Sciences, Department of Pediatric Nursing, Konuralp, Düzce 81100, Turkey.

出版信息

J Pediatr Nurs. 2022 Nov-Dec;67:e65-e70. doi: 10.1016/j.pedn.2022.09.016. Epub 2022 Nov 3.

Abstract

PURPOSE

This study was conducted to investigate the effects of feeding methods of bottle and injector on the transition to full breastfeeding and sucking success in preterm newborns.

DESIGN AND METHODS

This study was a randomized controlled type experimental study. The study sample included 62 preterm newborns, resulting from the strength analysis, who were treated in the neonatal intensive care unit of a university hospital (31 bottle-feeding group, 31 injector feeding group). Data were collected using the Descriptive Information Form, Preterm Infant Follow-up Form and LATCH Breastfeeding Diagnostic Scale. The infants in the syringe and the bottle-feeding group were fed, and the sucking successes and transition times to breastfeeding were evaluated during the first breastfeeding, after 48 h and before discharge.

RESULTS

When sucking successes and transition times to breastfeeding were evaluated, LATCH scores of the mothers in the syringe feeding group were significantly higher than the mothers in the bottle-feeding group, and infants switched to full breastfeeding in a shorter time (p < 0.05). When the physical parameter results were evaluated, the mean heart rate of the babies in the bottlefed group was significantly higher than the injector-fed group (p < 0.05).

CONCLUSIONS

It has been seen that injecting feeding method has a positive effect on the success of the newborn, the time of transition to full breastfeeding and life signs according to the bottle-feeding method. The findings obtained in this study suggest that to increase the success of sucking, shortening the transition time to full breastfeeding and using the injector feding method to maintain stabile physical parameters.

APPLICATION TO PRACTICE

The findings obtained in this study suggest that to increase the success of sucking, shortening the transition time to full breastfeeding and using the injector feding method to maintain stabile physical parameters.

摘要

目的

本研究旨在探讨奶瓶喂养和注射器喂养方式对早产儿完全母乳喂养过渡和吸吮成功的影响。

设计和方法

这是一项随机对照型实验研究。研究样本包括在某大学附属医院新生儿重症监护病房接受治疗的 62 名早产儿(奶瓶喂养组 31 例,注射器喂养组 31 例)。通过使用描述性信息表、早产儿随访表和 LATCH 母乳喂养诊断量表收集数据。对注射器和奶瓶喂养组的婴儿进行喂养,并在第一次母乳喂养、48 小时后和出院前评估吸吮成功率和过渡到母乳喂养的时间。

结果

在评估吸吮成功率和过渡到母乳喂养的时间时,注射器喂养组母亲的 LATCH 评分明显高于奶瓶喂养组,婴儿更快地过渡到完全母乳喂养(p<0.05)。在评估生理参数结果时,奶瓶喂养组婴儿的平均心率明显高于注射器喂养组(p<0.05)。

结论

与奶瓶喂养相比,注射器喂养方法对新生儿的吸吮成功率、过渡到完全母乳喂养的时间和生命体征有积极影响。本研究的结果表明,为了提高吸吮成功率、缩短过渡到完全母乳喂养的时间以及维持稳定的生理参数,可以采用注射器喂养方法。

应用于实践

本研究的结果表明,为了提高吸吮成功率、缩短过渡到完全母乳喂养的时间以及维持稳定的生理参数,可以采用注射器喂养方法。

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