Nonnutritive sucking modulates behavioral state for preterm infants before feeding.
Nonnutritive sucking modulates behavioral state for preterm infants before feeding.
复制标题
非营养性吸吮可调节早产儿在喂养前的行为状态。
DOI：
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发表时间：
1992
影响因子：
1.9
通讯作者：
G. Anderson
中科院分区：
文献类型：
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作者：
N. E. Gill;M. Behnke;M. Conlon;G. Anderson
研究人员对 42 名早产儿进行了研究，以确定非营养性吸吮预喂养对行为状态的影响。婴儿被随机分配到安抚奶嘴组或休息组。在常规护理后以及前 16 次奶瓶喂养之前，给予奶嘴或休息 5 分钟。使用 12 类量表来测量 5 分钟之前和之后的状态。与休息相比，使用安抚奶嘴的婴儿在最佳喂养之前的状态频率发生了变化：警觉不活动（+6 vs. -2）、安静清醒（+19 vs. -6）和活跃清醒（-24 vs. +12）；使用安抚奶嘴的婴儿睡眠时间更长，焦躁不安的情况也更少。非营养性吸吮前组间差异不显着 (p = 0.16)，但非营养性吸吮后组间差异显着 (p = 0.00001)。当不允许基于早期饥饿线索的自我调节喂养政策时，喂养前 5 分钟的非营养性吸吮是简单、简短的，并且适合繁忙的重症监护病房。这些发现证实了早期结论性较差的研究结果，并表明非营养性吸吮可调节行为状态。
Forty-two pre-term infants were studied to determine the effect of nonnutritive sucking pre-feeding on behavioral state. Infants were randomly assigned to pacifier or rest groups. Pacifiers or rest were given for 5 minutes following routine caregiving and before each of the first 16 bottle feedings. A 12-category scale was used to measure state immediately before the 5-minutes and after. Frequencies of states that precede optimal feedings changed for infants given pacifiers versus rest: alert inactivity (+6 vs. -2), quiet awake (+19 vs. -6), and active awake (-24 vs. +12); infants given pacifiers had more sleep and fewer restless states. Group differences were non-significant before nonnutritive sucking (p = 0.16) but significant after (p = 0.00001). When self-regulatory feeding policies based on early hunger cues are not allowed, nonnutritive sucking for 5 minutes pre-feeding is simple, brief, and appropriate for busy intensive care units. These findings confirm those from earlier less conclusive research and indicate that nonnutritive sucking modulates behavioral state.