DISTRESS CUES DURING FEEDING OF CARDIAC INFANTS

心脏病婴儿喂养期间的不适信号

• 批准号: 3419959
• 负责人: Marie Louise Lobo
• 金额: --
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1984
• 资助国家: 美国
• 起止时间: 1984-09-15 至 1986-03-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3419959
• 关键词: behavior test; child behavior; child physical development; congenital heart septum defect; cues; eating; heart rate; mother child interaction; nursing diagnosis; nutrition related tag; pediatric nursing; postnatal growth disorder; videotape /videodisc

The purpose of this observational study is to describe distress cues and heart rate changes during feeding of infants with congenital heart disease (CHD) and compare them to a group of healthy control infants. Infants with CHD frequently have patterns of physical growth attributed to the CHD which are different from healthy infants. This study will describe the presence of potent negative distress cues and heart rate changes during feeding in infants who are less than 4 months old with significant ventral septal defects with left to right shunting. Unusually frequent potent negative cues may be contributing to the altered growth pattern in these infants. Twenty mother-infant dyads (10 with CHD, 10 controls) will be videotaped during a feeding situation. The infant will be attached to a cardiac monitor with a digital readout of heart and respiratory rate. Using two cameras, the image of the mother-infant and the heart and respiratory rates will be recorded on 3/4" videotape. This will allow the examination of heart rate changes prior to potent distress cues. The interaction during feeding will also be evaluated using the Nursing Child Assessment Feeding Scale (NCAFS). The NCAFS will allow comparison to a large cohort of healthy infants of the same age. The knowledge generated from this study will be helpful to nurses, physicians, infant mental health specialists and others dealing with infants with CHD. Infants with CHD may present behaviors during feeding which are different from healthy infants. The presence of cueing which is different from cueing found in healthy infants may be contributing to the impaired growth patterns which have previously been attributed totally only to the pathophysiology of the heart defect exclusive of infant behavior. The results of this study will provide directions for future research and they will guide caregivers in teaching parents to better read their infant's cues during feeding, resulting in more normative growth patterns. Repeated measures of analysis of variance will be used to examine heart rate changes preceding distress cues. Simple correlated and descriptive statistics will be used where appropriate.

这项观察性研究的目的是描述痛苦线索和 先天性心脏病婴儿喂养期间的心率变化 （CHD）并将其与一组健康对照婴儿进行比较。 婴儿患有 CHD 通常具有归因于 CHD 的身体生长模式， 与健康婴儿不同。 这项研究将描述存在 喂养过程中强烈的负面痛苦线索和心率变化 4个月以下有明显腹间隔的婴儿 左向右分流的缺陷。 异常频繁的强阴性 线索可能导致这些婴儿生长模式的改变。 20 名母婴组合（10 名患有先天性心脏病，10 名是对照组）将被录像 在喂食情况下。 婴儿将被附着在心脏上 具有心率和呼吸频率数字读数的监视器。 使用两个 相机、母婴图像以及心率和呼吸频率 将被记录在 3/4" 录像带上。这将允许检查 在强烈的痛苦提示之前心率发生变化。 期间的互动 还将使用哺乳儿童评估喂养来评估喂养 规模（NCAFS）。 NCAFS 将允许与一大群人进行比较 同龄健康婴儿。 这项研究产生的知识将对护士有所帮助， 医生、婴儿心理健康专家和其他相关人员 患有先心病的婴儿。 患有先天性心脏病的婴儿可能会在喂养期间出现行为 与健康婴儿不同。 提示的存在是 与健康婴儿中发现的提示不同可能会导致 以前仅将其完全归因于生长模式受损 心脏缺陷的病理生理学（不包括婴儿行为）。 本研究的结果将为今后的研究和研究提供方向 他们将指导看护者教导父母更好地阅读他们的孩子 喂养过程中婴儿的暗示，导致更规范的生长模式。 方差分析的重复测量将用于检查心脏 遇险信号之前的速率变化。 简单的相关性和描述性 将在适当的情况下使用统计数据。