CAJ | 학술논문

目的：探讨早产儿使用喂养支持现状及停止经口进食相关因素。方法选取2014年6~12月收治的103例经口喂养困难早产儿，记录早产儿达到开始经口喂养和完全经口喂养时的纠正胎龄，并在这2个时间点观察其使用喂养支持情况，计算经口喂养进程、每日增长体质量、恢复出生体质量时间、辅助通气时间和住院时间等。结果103例早产儿在开始经口喂养时需使用喂养支持96例，在完全经口喂养时需使用喂养支持58例。Logistic回归分析的结果显示，出生胎龄（OR=2.195，P＜0.01）、出生体质量（OR=1.003，P＜0.01）、疾病严重程度（OR=0.121，P＜0.01）和喂养耐受情况（OR=0.007，P＜0.01）是早产儿经口喂养的重要影响因素。结论临床上多关注出生胎龄小、低出生体质量、病情严重和喂养不耐受的早产儿，其发生停止进食的可能性较高。护士应通过评估及时进行干预，从而减少停止经口进食的发生。
목적：탐토조산인사용위양지지현상급정지경구진식상관인소。방법선취2014년6~12월수치적103례경구위양곤난조산인，기록조산인체도개시경구위양화완전경구위양시적규정태령，병재저2개시간점관찰기사용위양지지정황，계산경구위양진정、매일증장체질량、회복출생체질량시간、보조통기시간화주원시간등。결과103례조산인재개시경구위양시수사용위양지지96례，재완전경구위양시수사용위양지지58례。Logistic회귀분석적결과현시，출생태령（OR=2.195，P＜0.01）、출생체질량（OR=1.003，P＜0.01）、질병엄중정도（OR=0.121，P＜0.01）화위양내수정황（OR=0.007，P＜0.01）시조산인경구위양적중요영향인소。결론림상상다관주출생태령소、저출생체질량、병정엄중화위양불내수적조산인，기발생정지진식적가능성교고。호사응통과평고급시진행간예，종이감소정지경구진식적발생。
Objective To investigate the use of feeding support and influencing factors of oral feeding among premature infants. Methods Totally 103 premature infants with oral feeding problems hospitalized during June to December 2014 were enrolled. The postmenstrual age and feeding support were observed at the time of initiation oral feeding and full oral feeding. Moreover, the progress and performance of oral feeding, the daily increase in weight, the time of body weight regain, the time of assisted ventilation and length of hospital stay and so on were calculated. Results There were 96 premature infants using feeding support at the time of initiation oral feeding and 58 premature infants at the time of full oral feeding. Logistic regression analysis showed that birth gestational age(OR=2.195, P<0.01), birth weight(OR=1.003, P<0.01), severity of illness(OR=0.121, P<0.01) and feeding tolerance(OR=0.007, P<0.01)were important factors of oral feeding among premature infants. Conclusions The premature infants with small gestational age at birth, low birth weight, severity of illness, and feeding intolerance are high risk populations of oral feeding. Nurses should take timely risk assessment and interventions to reduce the occurrence of stopping oral feeding.