NICU早产儿基于行为线索的经口喂养模式的研究进展

doi:10.3761/j.issn.0254-1769.2022.08.019

摘要/Abstract

摘要：

基于行为线索的经口喂养模式指喂养者通过对早产儿所呈现的行为线索进行持续、动态的评估,来决策并提供不同的经口喂养策略。该文对NICU早产儿基于行为线索的经口喂养模式的发展背景、发展现状、理论基础、影响因素及经口喂养的准备度评估、吸吮质量评估、支持性策略等实施方法进行综述,旨在为国内NICU开展基于行为线索的早产儿经口喂养模式提供参考。

关键词: 经口喂养, 行为线索, 喂养准备度评估, 吸吮质量评估, 儿科护理学

Abstract:

Behavioral cue-based oral feeding pattern means that feeders make decisions and provide different oral feeding strategies through continuous and dynamic evaluation of the behavioral cues presented by premature infants. This paper reviewed the development background,development situation,theoretical basis,influencing factors and oral feeding readiness assessment,sucking quality evaluation,supporting strategy implementation method of behavioral cue-based oral feeding pattern for preterm infants in NICU. It aimed to provide the references to carry out the behavioral cue-based oral feeding pattern of premature infants at domestic NICU.

Key words: Oral Feeding, Cue-Based, Feeding Readiness Assessment, Sucking Quality Assessment, Pediatric Nursing

赵丽华, 万兴丽, 朱友菊, 蒲倩婷, 胡艳玲, 史泽瑶, 刘玉兰, 陈晓娟, 付丽. NICU早产儿基于行为线索的经口喂养模式的研究进展[J]. 中华护理杂志, 2022, 57(8): 1013-1018.

ZHAO Lihua, WAN Xingli, ZHU Youju, PU Qianting, HU Yanling, SHI Zeyao, LIU Yulan, CHEN Xiaojuan, FU Li. Application of behavioral cue-based oral feeding in the change of preterm infants’ feeding concept in NICU[J]. Chinese Journal of Nursing, 2022, 57(8): 1013-1018.

参考文献 35

[1]	邢海英, 陈京立.促进早产儿经口喂养策略的研究进展[J]. 中国儿童保健杂志, 2017, 25(8):806-808.
	Xing HY, Chen JL.Strategies of promoting the full oral feeding for preterm infants[J]. Chin J Child Heal Care, 2017, 25(8):806-808.
[2]	Lau C.Development of infant oral feeding skills:what do we know[J]. Am J Clin Nutr, 2016, 103(2):616S-621S. DOI URL
[3]	Shaker CS.Cue-based feeding in the NICU:using the infant’s communication as a guide[J]. Neonatal Netw, 2013, 32(6):404-408. DOI URL
[4]	White-Traut R, Pham T, Rankin K, et al. Exploring factors rela-ted to oral feeding progression in premature infants[J]. Adv Neo-natal Care, 2013, 13(4):288-294.
[5]	彭文涛, 赵谦宏, 王丹华, 等.早产儿经口喂养进程的临床研究[J]. 中国实用护理杂志, 2010, 26(22):60-62.
	Peng WT, Zhao QH, Wang DH, et al. Clinical study of oral feeding process in premature infants[J]. Chin J Pract Nurs, 2010, 26(22):60-62.
[6]	Eichenwald EC, Blackwell M, Lloyd JS, et al. Inter-neonatal intensive care unit variation in discharge timing:influence of apnea and feeding management[J]. Pediatrics, 2001, 108(4):928-933. PMID
[7]	McGrath JM, Braescu AV.State of the science:feeding readiness in the preterm infant[J]. J Perinat Neonatal Nurs, 2004, 18(4):353-368.
[8]	Ludwig SM, Waitzman KA.Changing feeding documentation to reflect infant-driven feeding practice[J]. Newborn Infant Nurs Rev, 2007, 7(3):155-160. DOI URL
[9]	Wellington A, Perlman JM.Infant-driven feeding in premature infants:a quality improvement project[J]. Arch Dis Child Fetal Neonatal Ed, 2015, 100(6):F495-F500. DOI URL
[10]	Chrupcala KA, Edwards TM, Spatz DL.A continuous quality im-provement project to implement infant-driven feeding as a standard of practice in the newborn/infant intensive care unit[J]. J Obstet Gynecol Neonatal Nurs, 2015, 44(5):654-664. DOI URL
[11]	Newland L, L’Huillier MW, Petrey B.Implementation of cue-based feeding in a level Ⅲ NICU[J]. Neonatal Netw, 2013, 32 (2):132-137. DOI URL
[12]	Jones LR.Oral feeding readiness in the neonatal intensive care unit[J]. Neonatal Netw, 2012, 31(3):148-155. DOI URL
[13]	Thoyre SM, Shaker CS, Pridham KF.The early feeding skills assessment for preterm infants[J]. Neonatal Netw, 2005, 24(3):7-16.
[14]	Gennattasio A, Perri EA, Baranek D, et al. Oral feeding readiness assessment in premature infants[J]. MCN Am J Matern Child Nurs, 2015, 40(2):96-104. DOI PMID
[15]	陈琳, 何淑贞.非营养性吸吮和口腔支持对早产儿经口喂养进程及表现的影响[J]. 护理学杂志, 2015, 30(9):1-4.
	Chen L, He SZ.Effect of non-nutritive sucking and oral support on oral feeding process and performance in preterm infants[J]. J Nurs Sci, 2015, 30(9):1-4.
[16]	Heidelise A.Infant individuality:assessing patterns of very early development[J]. Front Infant Psychia, 1983, 6(7):72.
[17]	Pickler RH, Best A, Crosson D.The effect of feeding experience on clinical outcomes in preterm infants[J]. J Perinatol, 2009, 29(2):124-129. DOI PMID
[18]	Price M. Cue-based feeding to support oral feeding success for preterm infants in a neonatal intensive care unit[M]. Car-bondale: Southern Illinois University, 2014.
[19]	Thoyre S, Park J, Pados B, et al. Developing a co-regulated,cue-based feeding practice:the critical role of assessment and reflection[J]. J Neonatal Nurs, 2013, 19(4):139-148. DOI URL
[20]	Fry TJ, Marfurt S, Wengier S.Systematic review of quality improvement initiatives related to cue-based feeding in preterm infants[J]. Nurs Women’s Heal, 2018, 22(5):401-410.
[21]	Dodrill P, Donovan T, Cleghorn G, et al. Attainment of early feeding milestones in preterm neonates[J]. J Perinatol, 2008, 28(8):549-555. DOI PMID
[22]	吕天婵, 张玉侠, 胡晓静, 等.早产儿经口喂养结局影响因素的概况性评价[J]. 护理学杂志, 2019, 34(1):87-90.
	Lü TC, Zhang YX, Hu XJ, et al. Scoping review of factors asso-ciated with oral feeding outcomes in preterm infants[J]. J Nurs Sci, 2019, 34(1):87-90.
[23]	Harrison LL, Roane C, Weaver M.The relationship between phy-siological and behavioral measures of stress in preterm infants[J]. J Obstet Gynecol Neonatal Nurs, 2004, 33(2):236-245. DOI URL
[24]	Griffith T, Rankin K, White-Traut R.The relationship between behavioral states and oral feeding efficiency in preterm infants[J]. Adv Neonatal Care, 2017, 17(1):E12-E19.
[25]	Lehtonen L, Martin RJ.Ontogeny of sleep and awake states in relation to breathing in preterm infants[J]. Semin Neonatol, 2004, 9(3):229-238. DOI URL
[26]	Fujinaga CI, Zamberlan NE, Rodarte MD, et al. Reliability of an instrument to assess the readiness of preterm infants for oral feeding[J]. Pro Fono, 2007, 19(2):143-150. DOI URL
[27]	Arvedson J, Clark H, Lazarus C, et al. Evidence-based systematic review:effects of oral motor interventions on feeding and swallowing in preterm infants[J]. Am J Speech Lang Pathol, 2010, 19(4):321-340. DOI URL
[28]	Sheppard JJ, Fletcher KR.Evidence-based interventions for breast and bottle feeding in the neonatal intensive care unit[J]. Se-min Speech Lang, 2007, 28(3):204-212.
[29]	吕天婵, 张玉侠, 胡晓静, 等.早期口腔运动干预方案改善早产儿经口喂养的效果评价[J]. 中华护理杂志, 2013, 48(2):101-105.
	Lü TC, Zhang YX, Hu XJ, et al. Effect of early oral movement intervention on oral feeding of premature infants[J]. Chin J Nurs, 2013, 48(2):101-105.
[30]	Fucile S, Gisel E, Lau C.Oral stimulation accelerates the tran-sition from tube to oral feeding in preterm infants[J]. J Pedi-atr, 2002, 141(2):230-236.
[31]	王燕, 崔慧敏, 李胜玲, 等.综合口腔运动干预对早产儿喂养表现及临床结局的影响[J]. 中华护理杂志, 2019, 54(3):363-368.
	Wang Y, Cui HM, Li SL, et al. The effect of integrated oral motor interventions on clinical outcomes in premature infants[J]. Chin J Nurs, 2019, 54(3):363-368.
[32]	陈建香, 朱爱武, 胡蓉.早期口腔运动干预对极低体质量早产儿经口喂养效果的影响[J]. 中国预防医学杂志, 2020, 21(6):646-649.
	Chen JX, Zhu AW, Hu R.Effect of early oral movement intervention on oral feeding of premature infants with extremely low birth weight[J]. Chin Prev Med, 2020, 21(6):646-649.
[33]	Law-Morstatt L, Judd DM, Snyder P, et al. Pacing as a treatment technique for transitional sucking patterns[J]. J Perinatol, 2003, 23(6):483-488. PMID
[34]	彭文涛. 早产儿经口喂养准备的临床研究[D]. 北京: 中国协和医科大学, 2010.
	Peng WT. A study on oral feeding readiness in hospitalized preterm infants[D]. Beijing: Peking Union Medical College, 2010.
[35]	李敏敏, 司在霞, 刘进, 等.早产儿喂养不耐受预防及管理的最佳证据总结[J]. 中华护理杂志, 2020, 55(8):1163-1168.
	Li MM, Si ZX, Liu J, et al. Evidence summary for prevention and management of feeding intolerance in preterm infants[J]. Chin J Nurs, 2020, 55(8):1163-1168.