Kinneer M D, Beachy P
University of Colorado School of Nursing, Denver 80262.
J Obstet Gynecol Neonatal Nurs. 1994 Feb;23(2):105-12. doi: 10.1111/j.1552-6909.1994.tb01859.x.
To rank factors considered important by neonatal intensive-care unit (NICU) nurses in identifying hunger in infants weighing 1,800 g or less, to rank factors considered important in making decisions about nipple feeding such infants, to determine whether the two rankings varied among hospitals, and to identify the caregiver with the greatest influence over feeding decisions.
Descriptive comparative survey.
NICUs of three metropolitan hospitals.
Forty-seven NICU nurses in those hospitals.
Nurses ranked factors indicating hunger in preterm infants and factors contributing to feeding decisions for such infants.
Vigorous sucking, rooting, and crying were ranked as hunger cues. Nonnutritive sucking and a gestational age of 34 weeks or more were considered indicators of readiness to begin nipple feeding. The centrality of the nurse's role in feeding decisions was confirmed.
Additional research is needed to determine whether nonnutritive sucking predicts nutritive sucking performance and to study the nurses' responses to infants who suck poorly or refuse to nipple feed.
对新生儿重症监护病房（NICU）护士认为在识别体重1800克及以下婴儿饥饿情况时重要的因素进行排序，对在决定此类婴儿奶瓶喂养方面重要的因素进行排序，确定这两种排序在不同医院之间是否存在差异，并找出对喂养决策影响最大的护理人员。
描述性比较调查。
三家大都市医院的新生儿重症监护病房。
这些医院的47名新生儿重症监护病房护士。
护士对表明早产儿饥饿的因素以及对此类婴儿喂养决策有影响的因素进行排序。
有力的吸吮、觅食和哭闹被列为饥饿线索。非营养性吸吮和胎龄34周或以上被视为开始奶瓶喂养的准备指标。护士在喂养决策中的核心作用得到了证实。
需要进一步研究以确定非营养性吸吮是否能预测营养性吸吮表现，并研究护士对吸吮不良或拒绝奶瓶喂养婴儿的反应。
