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袋鼠式护理中嵌入的针对小早产儿的吞咽和母乳喂养干预方案。

A swallowing and breastfeeding intervention programme for small and sick neonates embedded in kangaroo mother care.

机构信息

Department of Speech-Language Pathology and Audiology, Faculty of Humanities, University of Pretoria, Pretoria.

出版信息

S Afr J Commun Disord. 2024 Aug 9;71(1):e1-e7. doi: 10.4102/sajcd.v71i1.1055.

DOI:10.4102/sajcd.v71i1.1055
PMID:39221745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11369662/
Abstract

Available evidence of oral sensorimotor interventions for small neonates is not strong. Evidence of interventions for sick term neonates is largely lacking. Studies are limited by risk of bias and inconsistency. Evidence of interventions relying on a single stimulation technique only appears to be low to very low. Ongoing research is required.Contribution: We describe a five-component neonatal swallowing and breastfeeding intervention programme embedded in the practice of kangaroo mother care (KMC). Drawing on oropharyngeal physiology, neonatology, neurodevelopmental care, breastfeeding- and KMC science, the programme is the product of collaboration between a speech-language therapist and a medical doctor, and their team. Its implementation is dependent on coaching mothers and the neonatal care team. Researchers are invited to determine outcomes of the programme.

摘要

针对小早产儿的口腔感觉运动干预的现有证据并不充分。针对患病足月新生儿的干预措施的证据在很大程度上仍然缺乏。这些研究受到偏倚风险和一致性的限制。仅依靠单一刺激技术的干预措施的证据似乎很低或极低。需要开展进一步的研究。

贡献

我们描述了一个包含在袋鼠式护理（KMC）实践中的五个组成部分的新生儿吞咽和母乳喂养干预方案。该方案借鉴了口咽生理学、新生儿学、神经发育护理、母乳喂养和 KMC 科学，是言语治疗师和一名医生及其团队合作的产物。其实施依赖于对母亲和新生儿护理团队的指导。研究人员受邀确定该方案的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab4/11369662/05adbc32229b/SAJCD-71-1055-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab4/11369662/5e45c736f8fb/SAJCD-71-1055-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab4/11369662/05adbc32229b/SAJCD-71-1055-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab4/11369662/5e45c736f8fb/SAJCD-71-1055-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab4/11369662/05adbc32229b/SAJCD-71-1055-g002.jpg

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Children (Basel). 2023 Aug 28;10(9):1469. doi: 10.3390/children10091469.
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The beneficial effect of early and prolonged kangaroo mother care on long-term neuro-developmental outcomes in low birth neonates - A cohort study.
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Oral stimulation for promoting oral feeding in preterm infants.口腔刺激促进早产儿经口喂养。
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