Volume 20 Issue 12
Dec.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2063-2067
WANG Ju, ZHANG Ran, WANG Qin, ZHAI Fang, ZHANG Xue. Effect of modified oral exercise intervention on oral feeding ability and outcome of premature infants[J]. Chinese Journal of General Practice, 2022, 20(12): 2063-2067. doi: 10.16766/j.cnki.issn.1674-4152.002770
Citation: WANG Ju, ZHANG Ran, WANG Qin, ZHAI Fang, ZHANG Xue. Effect of modified oral exercise intervention on oral feeding ability and outcome of premature infants[J]. Chinese Journal of General Practice, 2022, 20(12): 2063-2067. doi: 10.16766/j.cnki.issn.1674-4152.002770
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Effect of modified oral exercise intervention on oral feeding ability and outcome of premature infants

doi: 10.16766/j.cnki.issn.1674-4152.002770
  • 1.

    Department of Obstetrics, Nanyang Central Hospital, Nanyang, Henan 473000, China

Funds:

 182103210412

  • Received Date: 2022-03-12
    Available Online: 2023-02-07
    Abstract
  •   Objective  To explore the effect of modified oral exercise intervention on oral feeding ability and outcome of premature infants.  Methods  A total of 146 premature infants who were hospitalised in the Neonatal Intensive Care Unit (NICU) of Nanyang Central Hospital from May 2018 to July 2020 were selected as research objects. The infants were divided into study and control groups using a random-number table method, with 73 cases in each group. The control group received conventional treatment, and for developmental support intervention, a modified oral exercise intervention was adopted for premature infants in the study group until the intervention can be a complete oral feeding. The oral feeding ability, feeding process and performance of the two groups of children and the occurrence of adverse reactions were observed.  Results  On the day of intervention, no significant difference was observed in the scores in the Chinese version of preterm infant oral feeding readiness assessment scale (PIOFRA Scale-CV) between the two groups of preterm infants (P>0.05). With the extension of intervention period, the PIOFRA Scale-CV scores of the two groups showed an upward trend. The differences between groups were statistically significant (Fbetween group=14.297, Pbetween group < 0.001). No statistically significant difference was noticed between the intravenous nutrition time and the effectiveness of oral feeding (all P>0.05). The transition time of complete oral feeding, efficiency of starting oral feeding, efficiency of complete oral feeding, and the weight at the time of complete oral feeding were statistically significant (both P < 0.05). The total incidence of adverse reactions reached 18.31% and 29.17% in the study and control groups, respectively, and the difference was not statistically significant (χ2=2.325, P=0.127). The incidences of single adverse reaction of decreased oxygen saturation and fatigue in the study group were lower than those in the control group, and the difference was statistically significant (all P < 0.05).  Conclusion  Improved oral exercise intervention can improve the oral feeding ability of premature infants, shorten the transition time to total oral feeding, improve the feeding efficiency and reduce the incidence of oxygen saturation decline and fatigue adverse reactions.

     

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