护理学报
護理學報
호이학보
JOURNAL OF NURSING
2014年
13期
42-46
,共5页
口腔运动%早产儿%经口喂养%护理
口腔運動%早產兒%經口餵養%護理
구강운동%조산인%경구위양%호리
oral motor%premature infant%oral feeding%nursing
目的：探讨早产儿口腔运动的护理干预（prematrue infant oral motor intervention，PIOMI）用于存在经口喂养困难早产儿的干预效果。方法将60例存在经口喂养困难入住NICU的早产儿作为研究对象，采用随机数字表分为对照组和观察组各30例，对照组进行常规护理，观察组在常规喂养护理的基础上进行早产儿口腔运动的护理干预，应用新生儿口腔运动评估量表（Neonatal Oral Motor Assessment Scale,NOMAS）对早产儿进行评估。结果两组早产儿开始经口喂养时胎龄、体质量差异均无统计学意义。观察组达到完全经口喂养时胎龄显著低于对照组（P<0.01）；观察组从开始经口喂养过渡到完全经口喂养天数少于对照组（P<0.05）；但对照组达到完全经口喂养时的喂养效率高于观察组（P<0.05）。达到完全经口喂养时，观察组喂养失调型态得分低于对照组（P<0．05）；障碍型态得分显著低于对照组（P<0.01）。结论早产儿口腔运动的护理干预可以改善早产儿口腔运动功能，缩短喂养进，改善喂养表现。
目的：探討早產兒口腔運動的護理榦預（prematrue infant oral motor intervention，PIOMI）用于存在經口餵養睏難早產兒的榦預效果。方法將60例存在經口餵養睏難入住NICU的早產兒作為研究對象，採用隨機數字錶分為對照組和觀察組各30例，對照組進行常規護理，觀察組在常規餵養護理的基礎上進行早產兒口腔運動的護理榦預，應用新生兒口腔運動評估量錶（Neonatal Oral Motor Assessment Scale,NOMAS）對早產兒進行評估。結果兩組早產兒開始經口餵養時胎齡、體質量差異均無統計學意義。觀察組達到完全經口餵養時胎齡顯著低于對照組（P<0.01）；觀察組從開始經口餵養過渡到完全經口餵養天數少于對照組（P<0.05）；但對照組達到完全經口餵養時的餵養效率高于觀察組（P<0.05）。達到完全經口餵養時，觀察組餵養失調型態得分低于對照組（P<0．05）；障礙型態得分顯著低于對照組（P<0.01）。結論早產兒口腔運動的護理榦預可以改善早產兒口腔運動功能，縮短餵養進，改善餵養錶現。
목적：탐토조산인구강운동적호리간예（prematrue infant oral motor intervention，PIOMI）용우존재경구위양곤난조산인적간예효과。방법장60례존재경구위양곤난입주NICU적조산인작위연구대상，채용수궤수자표분위대조조화관찰조각30례，대조조진행상규호리，관찰조재상규위양호리적기출상진행조산인구강운동적호리간예，응용신생인구강운동평고량표（Neonatal Oral Motor Assessment Scale,NOMAS）대조산인진행평고。결과량조조산인개시경구위양시태령、체질량차이균무통계학의의。관찰조체도완전경구위양시태령현저저우대조조（P<0.01）；관찰조종개시경구위양과도도완전경구위양천수소우대조조（P<0.05）；단대조조체도완전경구위양시적위양효솔고우관찰조（P<0.05）。체도완전경구위양시，관찰조위양실조형태득분저우대조조（P<0．05）；장애형태득분현저저우대조조（P<0.01）。결론조산인구강운동적호리간예가이개선조산인구강운동공능，축단위양진，개선위양표현。
Objective To explore the effect of premature infant oral motor intervention (PIOMI) on oral feeding difficulties. Methods Sixty premature infants were divided into control group with conventional nursing and observation group with PIOMI in addition to conventional nursing. Neonatal Oral Motor Assessment Scale (NOMAS) was applied for the evaluation of infants oral motor function. Results There was no statistical significance of infants ’ gestational age and body mass at the very beginning of oral feeding in both groups. Gestational age when achieving full oral feeding in observation group was significantly lower than that in control group ( P<0.01) and the transition time to achieve fully oral feeding in observation group was statistically significant shorter than that in control group (P<0.05). Dysfunctional NOMAS scores and disorganized NOMAS scores in observation group were lower or significantly lower than those in control group (P<0.05, P<0.01). Conclusion Premature infant oral motor intervention benefits the improvement of oral motor function and shortening the feeding process.
