Volume 21 Issue 1
Jan.  2023
Turn off MathJax
Article Contents
ZHU Wen-juan, WANG Xiao-hui, GUO Li-ping, WEI Hong-qing, TANG Xiao-ying. Effect of cluster feeding intervention mode on growth and development of infants with very low/ultra-low birth weight[J]. Chinese Journal of General Practice, 2023, 21(1): 77-80. doi: 10.16766/j.cnki.issn.1674-4152.002816
Citation: ZHU Wen-juan, WANG Xiao-hui, GUO Li-ping, WEI Hong-qing, TANG Xiao-ying. Effect of cluster feeding intervention mode on growth and development of infants with very low/ultra-low birth weight[J]. Chinese Journal of General Practice, 2023, 21(1): 77-80. doi: 10.16766/j.cnki.issn.1674-4152.002816

Effect of cluster feeding intervention mode on growth and development of infants with very low/ultra-low birth weight

doi: 10.16766/j.cnki.issn.1674-4152.002816
Funds:

 Z20200072

  • Received Date: 2021-11-25
    Available Online: 2023-04-07
  •   Objective  The cluster feeding interventions mode for infants with very low/ultra-low birth weight was explored to investigate the effect of its application on growth and development and to provide reference for clinical practice.  Methods  A total of 105 infants with very low/ultra-low birth weight who were born in the Obstetrics Department of Nanxishan Hospital of Guangxi Zhuang Autonomous Region and external hospital admission from October 2019 to October 2020 were selected. They were divided into the observation group (55 cases) and the control group (50 cases) by using the random number table. The control group was given routine intervention mode, whereas the observation group was given cluster feeding intervention mode. Breast feeding, formula feeding, feeding intolerance, incidence of complications and changes in growth and development were compared between the two groups.  Results  The rate of pure breast-feeding in the observation group was 52.73%, which was higher than that in the control group (32.00%). The rate of pure formula feeding was 21.82%, which was lower than that in the control group (40.00%). In addition, the incidence rate of feeding intolerance, necrotising enterocolitis, infection, hypoglycaemia and anaemia in the observation group were 9.09%, 3.64%, 3.64%, 1.82% and 3.64%, respectively, which were lower than those in the control group (24.00%, 16.00%, 16.00%, 12.00% and 16.00%, respectively), and the difference was statistically significant (P < 0.05). The weight, height and head circumference of the observation group were (2 581.12±273.03) g, (47.22±2.78) cm and (32.37±2.05) cm, respectively, which were higher than those of the control group (2 217.34±240.71) g, (42.01±2.50) cm and (31.40±2.10) cm, respectively, and the differences were statistically significant (all P < 0.05).  Conclusion  The cluster feeding intervention model has a significant effect on infants with very low/ultra-low birth weight, which can improve the breastfeeding rate, reduce the incidence of feeding intolerance and complications and promote the growth and development of newborns.

     

  • loading
  • [1]
    赵晨凯, 胡俊梅, 冀云鹏, 等. 内蒙古自治区2012—2016年早产或低出生体重儿死亡的影响因素分析[J]. 中国生育健康杂志, 2019, 30(1): 47-50. https://www.cnki.com.cn/Article/CJFDTOTAL-SYJK201901011.htm

    ZHAO C K, HU J M, JI Y P, et al. Analysis on influencing factors of premature birth or low birth weight infant mortality in Inner Mongolia Autonomous Region from 2012 to 2016[J]. Chinese Journal of Reproductive Health, 2019, 30(1): 47-50. https://www.cnki.com.cn/Article/CJFDTOTAL-SYJK201901011.htm
    [2]
    姚丽平, 蒙丹华, 韦秋芬, 等. 超低出生体重儿住院、转归及其随访研究[J]. 中华妇幼临床医学杂志(电子版), 2019, 15(4): 444-452. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHFY201904019.htm

    YAO L P, MENG D H, WEI Q F, et al. Research of hospitalization, outcomes and follow-up results of extremely low birth weight infants[J]. Chinese Journal of Maternal and Child Clinical Medicine (electronic edition), 2019, 15(4): 444-452. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHFY201904019.htm
    [3]
    霍言言, 陈津津. 早产/低出生体重儿的合理喂养[J]. 中国儿童保健杂志, 2018, 26(12): 1336-1339. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201812016.htm

    HUO Y Y, CHEN J J. Rational feeding of premature/low birth weight infants[J]. Chinese Journal of Child Health Care, 2018, 26(12): 1336-1339. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201812016.htm
    [4]
    董梁, 李占魁, 张莉. 极低/超低出生体重儿母乳喂养的研究现状与进展[J]. 中国儿童保健杂志, 2020, 28(4): 427-430. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202004020.htm

    DONG L, LI Z K, ZHANG L. Research status and progress of breastfeeding for very low birth weight and extremely low birth weight infants[J]. Chinese Journal of Child Health Care, 2020, 28(4): 427-430. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202004020.htm
    [5]
    顾利燕. 重力喂养联合非营养性吸吮对早产低出生体重儿喂养不耐受及生长发育的影响[J]. 护士进修杂志, 2019, 34(23): 2143-2145. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201923007.htm

    GU L Y. Effect of gravity feeding combined with non-nutritive sucking on feeding intolerance and growth of preterm low birth weight infants[J]. Journal of Nurses Training, 2019, 34(23): 2143-2145. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201923007.htm
    [6]
    经连芳, 李燕, 韦秋芬, 等. 母乳喂养质量改进对极低和超低出生体重儿母乳喂养率的影响[J]. 中国儿童保健杂志, 2020, 28(6): 692-695. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202006025.htm

    JING L F, LI Y, WEI Q F, et al. Effect of breast-feeding quality improvement on breastfeeding rate of very low and extremely low birth weight infants[J]. Chinese Journal of Child Health Care, 2020, 28(6): 692-695. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202006025.htm
    [7]
    石怡. 集束化干预管理措施在ICU妊娠期急性脂肪肝并发多器官功能衰竭产妇中的应用及对产妇妊娠结局的影响[J]. 中国妇幼保健, 2018, 33(23): 5397-5400. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201823031.htm

    SHI Y. Application of cluster intervention management in ICU pregnant women with acute fatty liver complicated with multiple organ failure and its effect on pregnancy outcome[J]. Maternal and Child Health Care of China, 2018, 33(23): 5397-5400. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201823031.htm
    [8]
    刘英, 杭菲, 彭巧君. 集束化干预对口腔癌术后患者心理状态及生活质量改善效果的分析[J]. 癌症进展, 2018, 16(13): 1680-1683. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ201813031.htm

    LIU Y, HANG F, PENG Q J. Effect of cluster intervention on psychological status and quality of life of postoperative patients with oral cancer[J]. Oncology Progress, 2018, 16(13): 1680-1683. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ201813031.htm
    [9]
    黄永文, 张枫, 刘燕, 等. 实用临床儿科学[M]. 天津: 天津科学技术出版社, 2011: 18-19.

    HUANG Y W, ZHANG F, LIU Y, et al. Practical Clinical Pediatrics[M]. Tianjin: Tianjin Science and Technology Press, 2011: 18-19.
    [10]
    邵肖梅, 叶鸿瑁, 丘小汕, 等. 实用新生儿学[M]. 4版. 北京: 人民卫生出版社, 2013: 477.

    SHAO X M, YE H M, QIU X S, et al. Practical Neonatology[M]. 4th Ed. Beijing: People' s Medical Publishing House, 2013: 477.
    [11]
    林玲, 张丽珊, 王蒂, 等. 上海市浦东新区0~3岁低出生体重儿的生长轨迹研究[J]. 中国儿童保健杂志, 2020, 28(10): 1157-1161. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202010023.htm

    LIN L, ZHANG L S, WANG D, et al. Study on growth trajectory of low birth weight infants aged 3 years in Shanghai Pudong district[J]. Chinese Journal of Child Health Care, 2020, 28(10): 1157-1161. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO202010023.htm
    [12]
    王笑, 徐艳, 王军. 极低、超低出生体重儿存活情况及住院并发症分析[J]. 现代医学, 2020, 48(1): 82-87. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX202001017.htm

    WANG X, XU Y, WANG J. Survival rate and hospitalization complications of very and extremely low birth weight infants[J]. Modern Medical Journal, 2020, 48(1): 82-87. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX202001017.htm
    [13]
    沈理笑. 早产低出生体重儿常见的生长发育问题及处理[J]. 中国实用儿科杂志, 2019, 34(10): 830-833. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201910010.htm

    SHEN L X. Common growth and development problems of premature or low birth weight infants and the management[J]. Chinese Journal of Practical Pediatrics, 2019, 34(10): 830-833. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSEK201910010.htm
    [14]
    刘芳, 王军陵, 姚宝珍. 早产低出生体重儿的追赶生长研究进展[J]. 中国儿童保健杂志, 2019, 27(7): 741-744. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201907013.htm

    LIU F, WANG J L, YAO B Z. Research progress on catch-up growth of low birth weight premature infants[J]. Chinese Journal of Child Health Care, 2019, 27(7): 741-744. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201907013.htm
    [15]
    林星光, 刘伟, 李伟, 等. 母乳喂养质量改进对极低出生体重儿健康及其母亲泌乳的影响[J]. 贵州医科大学学报, 2019, 44(9): 1064-1068, 1073. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB201909016.htm

    LIN X G, LIU W, LI W, et al. Effect of Breast Feeding Quality Improvement on Maternal Lactation and Health of Infants with Very Low Birth Weights[J]. Journal of Guizhou Medical University, 2019, 44(9): 1064-1068, 1073. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB201909016.htm
    [16]
    熊小云, 孙盼盼, 杨传忠, 等. 1周内母乳喂养量对极低/超低出生体重儿的影响[J]. 护理学杂志, 2020, 35(16): 32-35. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202016012.htm

    XIONG X Y, SUN P P, YANG C Z, et al. Effect of first-week breastfeeding volume on necrotizing enterocolitis in very low/extremely low birth weight neonates[J]. Journal of Nursing Science, 2020, 35(16): 32-35. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202016012.htm
    [17]
    陈广明, 赖春华, 宋小娃, 等. 母乳喂养对NICU中极低/超低出生体重儿营养生长发育及预后的影响[J]. 中国实用医药, 2020, 15(12): 160-162. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA202012072.htm

    CHEN G M, LAI C H, SONG X W, et al. Effects of breastfeeding on nutritional growth and prognosis of very low/ultra-low birth weight infants in NICUs[J]. China Practical Medicine, 2020, 15(12): 160-162. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA202012072.htm
    [18]
    王丹妮, 韦婷, 罗小婷, 等. 445例早产儿6个月内纯母乳喂养影响因素分析[J]. 中华全科医学, 2021, 19(10): 1685-1688. doi: 10.16766/j.cnki.issn.1674-4152.002142

    WAN D N, WEI T, LUO X T, et al. Analysis of influencing factors of exclusive breastfeeding within 6 months in 445 preterm infants[J]. Chinese Journal of General Practice, 2021, 19(10): 1685-1688. doi: 10.16766/j.cnki.issn.1674-4152.002142
    [19]
    李慧, 邓晰明, 张飞鹏, 等. 集束化干预措施在急诊外科急危重症患者院内转运中的效果研究[J]. 中华全科医学, 2020, 18(8): 1414-1416, 1424. doi: 10.16766/j.cnki.issn.1674-4152.001520

    LI H, DENG X M, ZHANG F P, et al. Study on the effect of cluster intervention in hospital transport of critical patients in emergency surgery[J]. Chinese Journal of General Practice, 2020, 18(8): 1414-1416, 1424. doi: 10.16766/j.cnki.issn.1674-4152.001520
    [20]
    高丽娟, 王金秀, 莫革琴. 集束化护理策略对早产儿喂养不耐受的影响[J]. 中华现代护理杂志, 2019, 25(31): 4109-4111.

    GAO L J, WANG J X, MO G Q. Effects of bundle care on feeding intolerance in premature infant[J]. Chinese Journal of Modern Nursing, 2019, 25(31): 4109-4111.
    [21]
    尹小乐. 鸟巢式护理模式在早产新生儿护理中的应用效果及对生长状况、疼痛程度和胃肠功能的影响分析[J]. 实用临床护理学电子杂志, 2020, 5(26): 136-137. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL202026124.htm

    YIN X L. The application effect of bird' s nest nursing mode in premature newborn care and its influence on growth status, pain degree and gastrointestinal function[J]. Electronic Journal of Practical Clinical Nursing Science, 2020, 5(26): 136-137. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL202026124.htm
    [22]
    范歆颀, 叶天惠. 鸟巢式多功能新生儿护理用具的设计及应用[J]. 中华护理杂志, 2020, 55(9): 1436-1438. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202009036.htm

    FAN X Q, YE T H. The design and application of the multifunctional bird nest type care tool[J]. Chinese Journal of Nursing, 2020, 55(9): 1436-1438. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202009036.htm
    [23]
    吴春花, 孙晶晶. 喂养困难早产儿行抚触和非营养性吸吮护理干预的应用效果观察[J]. 中国性科学, 2019, 28(12): 94-96. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ201912026.htm

    WU C H, SUN J J. Observation on the effect of touching and non-nutritive sucking nursing intervention on premature infants with feeding difficulties[J]. Chinese Journal of Human Sexuality, 2019, 28(12): 94-96. https://www.cnki.com.cn/Article/CJFDTOTAL-XKXZ201912026.htm
    [24]
    PALMER C F, RINDLER D, LEVERONE B. Moving into tummy time, together: touch and transitions aid parent confidence and infant development[J]. Infant Ment Health J, 2019, 40(2): 277-288.
    [25]
    张萌, 李文星, 唐军. 母乳中生物活性物质对婴儿生长发育影响的研究进展[J]. 中国当代儿科杂志, 2020, 22(1): 82-87. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202001019.htm

    ZHANG M, LI W X, TANG J. Research advances in the effect of bioactive substances in breast milk on the growth and development of infants[J]. Chinese Journal of Contemporary Pediatrics, 2020, 22(1): 82-87. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202001019.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (312) PDF downloads(5) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return