Mahmoodabadi Ghasem, Bavali-Gazik Ahmad, Mouhebati Fateme, Arab-Zozani Morteza, Boghrati Meysamreza
School of Medicine Birjand University of Medical Sciences Birjand Iran.
Social Determinants of Health Research Center Birjand University of Medical Sciences Birjand Iran.
Health Sci Rep. 2024 Aug 27;7(9):e70015. doi: 10.1002/hsr2.70015. eCollection 2024 Sep.
Oral feeding for preterm infants has been a challenging issue globally. In an effort to enhance the effectiveness of oral feeding in preterm infants, oral motor intervention (OMI) was developed. Present systematic review and meta-analysis study aims to examine the impact of various OMI techniques on key outcomes, including body weight at the time of discharge, the duration required to achieve independent oral feeding, and the length of hospital stay for preterm infants.
A systematic search of the literature was performed across various databases such as PubMed, Scopus, and Web of Science and Google Scholar up to September 28, 2023. Quality assessment was conducted using the Joanna Briggs Institute (JBI) checklist. The overall effect measure was calculated using a random-effects model and was presented as the standard difference of the mean (SDM), accompanied by the standard error and a 95% confidence interval (CI). We used statistic for investigating the heterogeneity between studies. Data analysis was performed by CMA software (Version 2).
Finally, 22 articles included in this review. The overall effect for body weight at discharge was found to be statistically significant in the prefeeding oral stimulation (PFOS) (SDM = 7.91, 95% CI: 5.62, 10.2, = 0.000, = 86.31) and Premature Infant OMI (PIOMI) (SDM = 3.71, 95% CI: 0.72, 6.69, = 0.01, = 96.64) groups versus control group. The overall effect of independent oral feeding was significant for PFOS-only (SDM = -0.64, 95% CI: -1.1, -0.17, = 0.007, = 75.45), PIOMI only (SDM = -1.48, 95% CI: -2.49, -0.46, = 0.004, = 93.73) and nonnutritive sucking (NNS) only (SDM = -0.53, 95% CI: -0.76, -0.30, = 0.001, = 0) groups versus control groups. The overall effect of length of hospital stay was significant for NNS group (SDM = -0.45, 95% CI: -0.67, -0.23, = 0.067, = 0) and PIOMI group (SDM = -0.42, 95% CI: -0.69, -0.15, = 0.002, = 20.18) versus control group.
Among OMIs, the PIOMI approach generally exhibited a more favorable impact on body weight gain at discharge, the duration required to achieve independent oral feeding, and the length of hospital stay.
全球范围内，为早产儿进行经口喂养一直是个具有挑战性的问题。为提高早产儿经口喂养的效果，人们开发了口腔运动干预（OMI）。本系统评价和荟萃分析研究旨在探讨各种OMI技术对关键结局的影响，包括出院时体重、实现自主经口喂养所需时间以及早产儿住院时间。
截至2023年9月28日，在PubMed、Scopus、Web of Science和谷歌学术等多个数据库中进行了系统的文献检索。使用乔安娜·布里格斯研究所（JBI）清单进行质量评估。采用随机效应模型计算总体效应量，并以均值标准差（SDM）表示，同时给出标准误和95%置信区间（CI）。我们使用统计量来研究各研究之间的异质性。数据分析由CMA软件（版本2）完成。
最终，本综述纳入了22篇文章。发现预喂养口腔刺激（PFOS）组（SDM = 7.91，95% CI：5.62，10.2， = 0.000， = 86.31）和早产儿口腔运动干预（PIOMI）组（SDM = 3.71，95% CI：0.72，6.69， = 0.01， = 96.64）与对照组相比，出院时体重的总体效应具有统计学意义。仅PFOS组（SDM = -0.64，95% CI：-1.1，-0.17， = 0.007， = 75.45）、仅PIOMI组（SDM = -1.48，95% CI：-2.49，-0.46， = 0.004， = 93.73）和仅非营养性吸吮（NNS）组（SDM = -0.53，95% CI：-0.76，-0.30， = 0.001， = 0）与对照组相比，自主经口喂养的总体效应显著。NNS组（SDM = -0.45，95% CI：-0.67，-0.23， = 0.067， = 0）和PIOMI组（SDM = -0.42，95% CI：-0.69，-0.15， = 0.002， = 20.18）与对照组相比，住院时间的总体效应显著。
在各种OMI中，PIOMI方法通常对出院时体重增加、实现自主经口喂养所需时间以及住院时间有更有利的影响。
