Programa de Pós-Graduação em Distúrbios da Comunicação Humana, Faculdade de Fonoaudiologia, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil.
Departamento de Fonoaudiologia, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil.
Codas. 2023 Aug 4;35(5):e20220070. doi: 10.1590/2317-1782/20232022070. eCollection 2023.
analyze the effects of hospitalization in the Kangaroo Neonatal Intermediate Care Unit (UCINCa), the second stage of the Kangaroo Care (KC), on the development of oral feeding skills in preterm neonates.
an analytical observational study of the prospective longitudinal type, carried out in a public hospital in Southern Brazil, where infants were accompanied until hospital discharge. The sample consisted of 20 preterm neonates hospitalized at the UCINCa and 26 preterm neonates at the Conventional Neonatal Intermediate Care Unit (UCINCo), that were periodically evaluated through the levels of oral skill, in a bottle, according to the criteria of proficiency and milk transfer rate. The outcomes considered were a progression of the oral skill level, days of transition to obtain the full oral route, and days of hospital stay.
the duration of transition to exclusive oral feeding was shorter for preterm neonates at the UCINCa (4.5 vs. 10 days) relative to those at the UCINCo (p = 0.041). By the third assessment, all preterm neonates at the UCINCa had reached level 4, while participants at the UCINCo only achieved this level of performance on the fifth assessment. The average number of days of hospitalization was four days shorter in UCINCa participants (p=0.098).
the admission to the UCINCa had been a further acceleration in the maturation of oral skills, which allowed for a faster transition to exclusive oral feeding as compared to neonates admitted in UCINCo.
分析新生儿袋鼠护理中级病房（UCINCa）住院对早产儿口腔喂养技能发展的影响，这是袋鼠护理（KC）的第二阶段。
这是一项在巴西南部一家公立医院进行的前瞻性纵向分析观察性研究，对婴儿进行了随访，直到出院。样本包括 20 名在 UCINCa 住院的早产儿和 26 名在常规新生儿中级护理病房（UCINCo）住院的早产儿，通过奶瓶喂养的口腔技能水平定期评估，根据熟练程度和奶量转移率的标准进行评估。考虑的结果是口腔技能水平的进展、过渡到完全口腔喂养的天数以及住院天数。
与 UCINCo 组相比，UCINCa 组早产儿完全口腔喂养的过渡时间更短（4.5 天 vs. 10 天）（p = 0.041）。到第三次评估时，UCINCa 组的所有早产儿都达到了第 4 级水平，而 UCINCo 组的参与者仅在第五次评估时达到了这一水平。UCINCa 组的平均住院天数减少了 4 天（p=0.098）。
与在 UCINCo 住院的早产儿相比，在 UCINCa 住院加速了口腔技能的成熟，从而更快地过渡到完全口腔喂养。
