Cakirli Merve, Bayat Meral, Tekin Ayse Neslihan
Faculty of Health Science, Child Health and Disease Nursing, Eskisehir Osmangazi University, Eskisehir, Türkiye.
Child Health and Disease Nursing, Erciyes University, Faculty of Health Science, Kayseri, Türkiye.
Jpn J Nurs Sci. 2025 Apr;22(2):e70009. doi: 10.1111/jjns.70009.
This study aimed to evaluate the effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to full oral feeding in preterm infants.
This is a randomized controlled trial conducted between January 2021 and April 2023 in a neonatal intensive care unit in Eskişehir, Turkey. Preterm infants born between 29 and 34 weeks of gestation were included in the study. Infants were assigned to the groups by stratified randomization method. The study was completed with a total of 39 infants, 13 infants in each group (PIOMI, pacifier, and control). Data were collected using the "Preterm Infant Demographic Information Form," "Feeding Monitor Form," and "Early Feeding Skills Assessment Tool (EFS)." Statistical analysis used paired sample t-tests, ANOVA, Wilcoxon, Kruskal-Wallis H, and Pearson-χ test methods.
In the research findings, it was determined that infants receiving PIOMI and pacifier intervention had a shorter length of stay, transition to full oral feeding compared to infants in the control group, and consumed a higher amount of feed in the first minute (p < .05). The infants in the PIOMI group started full oral feeding on average 3 days earlier than the infants in the pacifier group and were discharged approximately 4 days earlier (p > .05). It was determined that infants in the PIOMI group had significantly higher EFS-total compared to infants in the control group.
PIOMI intervention and pacifier intervention should be included in nursing care in neonatal intensive care units to improve the oral feeding skills of preterm infants and shorten their discharge time.
本研究旨在评估早产儿口腔运动干预(PIOMI)和安抚奶嘴干预对早产儿过渡到完全经口喂养的影响。
这是一项于2021年1月至2023年4月在土耳其埃斯基谢希尔的一家新生儿重症监护病房进行的随机对照试验。纳入了妊娠29至34周出生的早产儿。采用分层随机化方法将婴儿分配到各组。该研究共纳入39名婴儿,每组13名(PIOMI组、安抚奶嘴组和对照组)。使用“早产儿人口统计学信息表”“喂养监测表”和“早期喂养技能评估工具(EFS)”收集数据。统计分析采用配对样本t检验、方差分析、威尔科克森检验、克鲁斯卡尔 - 沃利斯H检验和皮尔逊χ检验方法。
在研究结果中,确定接受PIOMI和安抚奶嘴干预的婴儿与对照组婴儿相比,住院时间更短,过渡到完全经口喂养的时间更短,且在第一分钟摄入的奶量更高(p < 0.05)。PIOMI组的婴儿开始完全经口喂养的时间平均比安抚奶嘴组的婴儿早3天,出院时间大约早4天(p > 0.05)。确定PIOMI组的婴儿与对照组的婴儿相比,EFS总分显著更高。
新生儿重症监护病房的护理中应纳入PIOMI干预和安抚奶嘴干预,以提高早产儿的经口喂养技能并缩短其出院时间。