摘要
目的 探讨在经口喂养早产儿护理中实施重力喂养与口腔按摩联合干预对患儿喂养不耐受的影响。方法 选取2021年3月—2022年3月医院收治的100例早产儿,按组间基本资料匹配原则将其分为观察组和对照组,各50例。对照组予以常规护理,观察组予以重力喂养与口腔按摩联合干预。比较两组早产儿的喂养能力、喂养进程、喂养表现、体质量增长情况及喂养不耐受情况。结果 经重力喂养与口腔按摩联合干预后,观察组早产儿的早产儿准备经口喂养评估量表(PIOFRA)评分高于对照组,差异有统计学意义(P<0.05);观察组早产儿的喂养进程短于对照组,差异有统计学意义(P<0.05);观察组早产儿开始经口喂养与完全经口喂养时的喂养效率均高于对照组,同时喂养成效与摄入奶量比也高于对照组,差异有统计学意义(P<0.05);观察组早产儿开始经口喂养、完全经口喂养时的体质量及体质量增长速率均高于对照组,差异有统计学意义(P<0.05);观察组中喂养不耐受的发生率低于对照组,差异有统计学意义(P<0.05)。结论 重力喂养与口腔按摩联合干预在早产儿经口喂养护理中的应用不仅能提高其喂养能力,缩短喂养进程,增强喂养表现,而且还能促进体质量增长,降低喂养不耐受的发生风险。
Objective To explore the eff ects of the combined intervention of gravity feeding and oral massage on feeding intolerance in the care of preterm mouth feeding infants.Methods 100 cases of preterm infants admitted to the hospital from March 2021 to March 2022 were selected and divided into the observation group and the control group according to the principle of matching the basic information between the groups,with 50 cases in each group.The control group was given routine care,and the observation group was given gravity feeding and oral massage combined intervention.The feeding ability,feeding process,feeding performance,body mass growth and feeding intolerance of preterm infants in the two groups were compared.Results After the combined intervention of gravity feeding and oral massage,the preterm infants in the observation group had higher scores on the Preterm Infant Readiness for Oral Feeding Assessment Scale(PIOFRA)than those in the control group,with statistically signifi cant diff erences(P<0.05).The feeding process of the preterm infants in the observation group was shorter than that of the control group,with statistically signifi cant diff erences(P<0.05).The feeding effi ciencies of preterm infants in the observation group were higher than those of the control group in both beginning oral feeding and complete oral feeding,while the feeding performance of preterm infants was higher than that of the control group in both beginning oral feeding and complete oral feeding.The ratio of feeding effi ciency to milk intake was also higher than that of the control group,with statistically signifi cant diff erences(P<0.05).The body mass and the rate of growth of body mass of preterm infants in the observation group were higher than those of the control group at the beginning of mouth-feeding and complete mouthfeeding,with statistically significant differences(P<0.05).And the incidence rate of feeding intolerance was lower than that of the control group in the observation group,with statistically signifi cant diff
作者
余婷
马月兰
沈婷
蔡会文
YU Ting;MA Yuelan;SHEN Ting;CAI Huiwen(Suzhou Hospital Affi liated to Nanjing Medical University,Suzhou,215000,China)
出处
《护理实践与研究》
2023年第15期2319-2323,共5页
Nursing Practice and Research
基金
南京医科大学姑苏学院临床新技术引导专项(编号:GSKY20220604)。
关键词
重力喂养
口腔按摩
早产儿
经口喂养护理
喂养不耐受
Gravity feeding
Oral massage
Preterm infants
Transoral feeding care
Feeding intolerance