Ueki Shingo, Kumagai Yukari, Hirai Yumi, Nagatomo Eri, Miyauchi Shoko, Inoue Takuro, An Qi, Tashiro Eri, Miyata Junko
Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.
Department of Nursing, Osaka University Dental Hospital, Osaka 565-0871, Japan.
Nurs Rep. 2024 Sep 30;14(4):2695-2705. doi: 10.3390/nursrep14040199.
BACKGROUND/OBJECTIVES: This study aimed to identify the P-bottle feeding techniques systematically organized by Ms. Kumagai, an expert in nursing care for children with a cleft lip and/or palate (CLP), which were developed as she gained expertise in feeding affected children.
We recruited three nurses who had mastered the Kumagai method for feeding with a P-bottle. Through analysis of participants' voices and videos during interviews, we focused on aspects such as dealing with a closed mouth, inserting the nipple in cases of unilateral and bilateral CLP, dealing with the child's movements after insertion, and key considerations when squeezing the bottle.
The interview analyses revealed numerous techniques used by nurses to manage the difficulties encountered while feeding children, ensuring successful provision of nourishment. Specifically, the nurses employed techniques such as placing the nipple along the midline of the child's tongue and varying the application of force on the nipple depending on the cleft type. The nurses reported that the objectives of these techniques were to prevent ulcer formation and encourage the use of the tongue, simulating original feeding movements.
We explored feeding techniques and the management of associated challenges. Our results suggest that the "Kumagai Method" could be valuable in improving feeding practices.
背景/目的：本研究旨在确定唇腭裂（CLP）患儿护理专家熊谷女士系统整理的P奶瓶喂养技术，这些技术是她在喂养患病儿童的过程中积累经验而形成的。
我们招募了三名掌握熊谷P奶瓶喂养方法的护士。通过分析访谈过程中参与者的声音和视频，我们关注了诸如应对紧闭的嘴巴、单侧和双侧唇腭裂时插入奶嘴、插入后应对儿童的动作以及挤压奶瓶时的关键注意事项等方面。
访谈分析揭示了护士们在喂养儿童时为应对困难所采用的众多技术，确保了营养的成功提供。具体而言，护士们采用了将奶嘴沿着儿童舌头中线放置以及根据腭裂类型改变对奶嘴施加的力等技术。护士们报告说，这些技术的目的是防止溃疡形成并鼓励使用舌头，模拟原始喂养动作。
我们探索了喂养技术及相关挑战的管理。我们的结果表明，“熊谷方法”可能对改善喂养实践有价值。
