基于听、触、视觉以及前庭的多感官干预在早产儿经口喂养中的应用效果
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摘要
目的探讨基于听、触、视觉以及前庭的多感官干预在早产儿经口喂养中的应用效果。方法选取我院2017年6月至2018年6月收治的早产儿80例,将其随机等分成对照组和观察组。对照组早产儿接受常规经口喂养干预,观察组早产儿接受听、触、视觉以及前庭的多感官干预。比较两组早产儿经口喂养过渡时间、鼻胃管留置时间、体质量增长情况、不良反应、经口喂养程度、胃肠道转运时间。结果观察组早产儿经口喂养过渡时间、鼻胃管留置时间短于对照组(P <0. 05)。两组早产儿入组时体质量比较差异无统计学意义(P> 0. 05),观察组早产儿完全喂养时体质量、出院时体质量显著大于对照组(P <0. 05)。观察组早产儿不良反应发生率显著低于对照组(P <0. 05)。干预第10天时,观察组早产儿完全经口喂养率显著高于对照组(P <0. 05)。干预2周时,观察组早产儿胃肠道转运时间短于对照组(P <0. 05)。结论基于听、触、视觉以及前庭的多感官干预能促进早产儿经口喂养,改善胃肠道功能,促进排便,减少不良反应发生率,值得推广使用。
Objective To discuss the application effect of multi-sensory intervention based on hearing,touch,vision and vestibular in oral feeding of premature infants. Methods To select 80 cases of premature infants admitted to our hospital from June 2017 to June 2018 as the study subjects,and they were divided into control group and observation group with the same number of patients randomly. Premature infants in the control group received routine oral feeding intervention,while premature infants in the observation group received multiple sensory interventions based on hearing,touch,vision,and vestibular. The transitional time of oral feeding,nasogastric tube indwelling time,body mass gain conditions,adverse reactions,oral feeding degree,and gastrointestinal transit time were compared between the premature infants of the two groups. Results The transitional time of oral feeding and nasogastric tube indwelling time in the observation group were shorter than those in the control group (P < 0. 05). There was no significant statistical difference in body mass between the two groups of premature infants when they were enrolled in the groups (P > 0. 05). The body mass of the premature infants in the observation group was significantly heavier than that of the control group at the time of complete feeding and discharge from the hospital (P < 0. 05). The incidence of adverse reaction in the observation group was significantly lower than that in the control group (P < 0. 05). On the 10 th day of intervention,the rate of complete oral feeding in preterm infants of the observation group was significantly higher than that in the control group (P < 0. 05). After 2 weeks of intervention,the gastrointestinal transit time of the premature infants in the observation group was shorter than that of the control group (P < 0. 05). Conclusion Multi-sensory intervention based on hearing,touch,vision and vestibular can promote oral feeding in premature infants. Besides,it can improve gastrointestinal function,promote defecation,and reduce the incidence of adverse reactions,which was worth popularizing and applying.
Objective To discuss the application effect of multi-sensory intervention based on hearing,touch,vision and vestibular in oral feeding of premature infants. Methods To select 80 cases of premature infants admitted to our hospital from June 2017 to June 2018 as the study subjects,and they were divided into control group and observation group with the same number of patients randomly. Premature infants in the control group received routine oral feeding intervention,while premature infants in the observation group received multiple sensory interventions based on hearing,touch,vision,and vestibular. The transitional time of oral feeding,nasogastric tube indwelling time,body mass gain conditions,adverse reactions,oral feeding degree,and gastrointestinal transit time were compared between the premature infants of the two groups. Results The transitional time of oral feeding and nasogastric tube indwelling time in the observation group were shorter than those in the control group (P < 0. 05). There was no significant statistical difference in body mass between the two groups of premature infants when they were enrolled in the groups (P > 0. 05). The body mass of the premature infants in the observation group was significantly heavier than that of the control group at the time of complete feeding and discharge from the hospital (P < 0. 05). The incidence of adverse reaction in the observation group was significantly lower than that in the control group (P < 0. 05). On the 10 th day of intervention,the rate of complete oral feeding in preterm infants of the observation group was significantly higher than that in the control group (P < 0. 05). After 2 weeks of intervention,the gastrointestinal transit time of the premature infants in the observation group was shorter than that of the control group (P < 0. 05). Conclusion Multi-sensory intervention based on hearing,touch,vision and vestibular can promote oral feeding in premature infants. Besides,it can improve gastrointestinal function,promote defecation,and reduce the incidence of adverse reactions,which was worth popularizing and applying.
引文
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[5]冼鸿欢.发展性照顾护理模式对改善早产儿喂养状况的影响[J].护理实践与研究,2016,13(15):70-71.
[6]傅春红.抚触、非营养性吸吮治疗早产儿喂养困难的效果[J].中国妇幼保健,2018,33(4):825-828.
[7]王仁媛,轩妍,刘清华,等.NNS干预联合口腔按摩对早产儿喂养质量和体质量的影响[J].海南医学,2016,27(20):3436-3438.
[8]韦毅,秦吉秀,李红艳,等.不同干预方法对早产儿经口喂养的效果评价[J].中国妇幼卫生杂志,2018,9(2):14-18.
[2]马丹,刘小芹,王华,等.吞咽功能训练对NICU早产儿经口喂养的干预效果分析[J].中国儿童保健杂志,2016,24(2):123-126.
[3]刘树艳,于燕,刘文红,等.口腔运动干预对改善早产儿经口喂养的效果评价[J].中国煤炭工业医学杂志,2016,19(5):763-766.
[4]乐琼,吴丽芬,张岚,等.多感官干预对早产儿经口喂养效果的影响[J].护理学杂志,2018,33(1):22-24.
[5]冼鸿欢.发展性照顾护理模式对改善早产儿喂养状况的影响[J].护理实践与研究,2016,13(15):70-71.
[6]傅春红.抚触、非营养性吸吮治疗早产儿喂养困难的效果[J].中国妇幼保健,2018,33(4):825-828.
[7]王仁媛,轩妍,刘清华,等.NNS干预联合口腔按摩对早产儿喂养质量和体质量的影响[J].海南医学,2016,27(20):3436-3438.
[8]韦毅,秦吉秀,李红艳,等.不同干预方法对早产儿经口喂养的效果评价[J].中国妇幼卫生杂志,2018,9(2):14-18.