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首页> 外文期刊>American Journal of Nursing Research >Efficacy of Abdominal Massage on Feeding Intolerance of Preterm Neonates
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Efficacy of Abdominal Massage on Feeding Intolerance of Preterm Neonates

机译:腹部按摩对早产儿喂养不耐受的影响

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Preterm neonates have an increased susceptibility to feeding intolerance which is one of the most significant contributors to their growth failure. Establishing and tolerating adequate enteral nutrition is difficult due to the immaturity of the gastrointestinal system; therefore it is crucial for neonatology nurses to detected this condition as early as possible and use intervention for tackling this problem to improve newborn outcome. Massage is one therapeutic nursing method that can stimulate the parasympathetic activity and induce a more effective response of the digestive system. The aim of this study was to evaluate the efficacy of abdominal massage on feeding intolerance of preterm neonates. A quasi- experimental research design was utilized to meet the aim of this study. Setting This study was conducted in Neonatal Intensive Care Unit (NICU) at Assiut University Children Hospital. Sampling: The study sample comprised all preterm neonates (60 preterm neonates) hospitalized during six months period in Neonatal Intensive Care Unit (NICU) at Assiut University Children Hospital. Three tools were used to collect the required data for this study: - Tool1- An interviewing questionnaire sheet, Tool II - Follow -up sheet and Tool III - Feeding intolerance assessment tool. Results: Highly statistically significant differences were found between the first day and 5th day related to feeding intolerance measurements parameters of the massage group (P=0.001) and the means of the abdominal circumference, the frequency of vomiting episodes, and the gastric residual volume in the massage group had decreased significantly in the 5th day of the intervention of abdominal massage, as compared with those in the first day and the frequency of defecation and daily weight gain had increased significantly. Concluded that abdominal massage has the potential effect to decrease the gastric residual volume, frequency of vomiting episodes, abdominal distension, and increase the weight and frequency of defecation in enterally fed preterm neonates. The study recommended changing the nursing practice in NICU nurses by emphasizing the importance of applying abdominal massage twice a day as a safe non-invasive intervention as standard of care in enterally fed preterm neonates'.
机译:早产儿对喂养不耐受的敏感性增加,这是导致其生长衰竭的最重要因素之一。由于胃肠系统的不成熟,难以建立和耐受足够的肠内营养。因此,对于新生儿科护士来说,尽早发现这种情况并采取干预措施解决该问题以改善新生儿结局至关重要。按摩是一种治疗性护理方法,可刺激副交感神经活动并引起消化系统更有效的反应。这项研究的目的是评估腹部按摩对早产儿喂养不耐受的疗效。准实验研究设计用于满足本研究的目的。设置本研究在阿西乌特大学儿童医院的新生儿重症监护室(NICU)进行。抽样:研究样本包括在六个月期间在Assiut大学儿童医院新生儿重症监护病房(NICU)住院的所有早产儿(60例早产儿)。使用了三种工具来收集本研究所需的数据:-工具1-访谈问卷表,工具II-后续表和工具III-喂养不耐受评估工具。结果:在第一天和第五天之间,与按摩组的进食不耐受测量参数,腹围平均值,呕吐发作频率和胃残余量有关,差异具有统计学意义(P = 0.001)。与第一天相比,按摩组在接受腹部按摩的第5天明显减少,排便次数和每日体重增加显着增加。结论腹部按摩对降低肠内喂养早产儿的胃残余量,呕吐次数,腹胀和增加排便的重量和排便频率具有潜在的作用。该研究建议通过强调每天两次腹部按摩作为肠内喂养早产儿的标准护理安全无创干预的重要性,来改变重症监护病房(NICU)护士的护理习惯。

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