Effect of abdomen massage for prevention of feeding intolerance in preterm infants.

Effect of abdomen massage for prevention of feeding intolerance in preterm infants.
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DOI:
10.1186/s13052-014-0089-z
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发表时间:
2014-11-14
影响因子:
3.6
通讯作者:
Caner I
Caner I
中科院分区:
医学3区
文献类型:
--
作者:
Tekgündüz KŞ;Gürol A;Apay SE;Caner I

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本研究的目的是评估腹部按摩对稳定型早产儿喂养耐受性的影响。该研究于2012年3月至7月在土耳其一所大学医院的新生儿重症监护室进行,采用对照组前测、后测准实验设计。在为期5天的研究期间,在受试者开始进食前,对按摩组受试者进行腹部按摩,每天2次,每次15分钟。这项研究共有27名受试者,其中按摩组14名,对照组13名。当分析排便测量的频率时,研究的第一天和最后一天之间的差异在按摩组中没有统计学意义。然而,当对每日体重增加、呕吐频率、腹围和胃残留量测量值进行分析时,按摩组研究第一天和最后一天之间的差异具有统计学意义。根据研究结果,我们建议护士应每天进行两次腹部按摩,以帮助预防肠内喂养早产儿的胃残留量过多和腹胀。
The aim of this study was to evaluate the efficacy of abdominal massage on feeding tolerance in stable preterm infants fed minimal enteral nutrition. The study was conducted on a control-grouped pre-test, post-test quasi-experimental design at the neonatal intensive care unit of a university hospital in Turkey between March and July 2012. Abdominal massage was applied to the massage group subjects for 15 minutes, 2 times daily, before the subject was fed starting in the 5-day study period. The study was conducted with 27 subjects, 14 in the massage group and 13 in the control group. When frequency of defecation measurements were analysed, the difference between the first day and last day of the study was not statistically significant in the massage group. However, when daily weight gain, frequency of vomiting, abdominal circumference and gastric residual volume excess measurements were analysed, the differences between the first day and last day of the study were statistically significant in the massage group. In accordance with the results of the study, we suggest that nurses should apply abdominal massage twice a day as an intervention helping to prevent gastric residual volume excess and abdominal distension in enterally fed preterm infants.
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