基于婴儿提示行为的喂养模式在早产儿中应用的范围综述

doi:10.3761/j.issn.0254-1769.2025.15.019

摘要/Abstract

摘要：

目的对基于婴儿提示行为的喂养模式在早产儿中应用的研究进行范围综述，归纳总结该喂养模式的类型、内容要素、结局指标、应用效果和安全性监测，为临床实践及相关研究提供参考。方法系统检索PubMed、CINAHL、中国知网、万方数据库等数据库，检索时限为建库至2024年8月20日，对纳入文献进行汇总和分析。结果纳入28篇文献，其中随机对照试验15篇、类实验研究7篇、观察性研究6篇。基于婴儿提示行为的喂养模式的类型分为自由喂养、按需喂养、半需求喂养、基于提示行为线索的喂养。内容要素包括经口喂养评估、支持策略、推进策略。基于婴儿提示行为的喂养模式对早产儿喂养结局、发育结局、免疫功能、并发症发生率、住院时间等具有积极意义。安全性监测内容包括心率、血氧饱和度、血糖、每日体重增长情况。结论早产儿应用基于婴儿提示行为的喂养模式对改善其临床结局具有积极效果。未来应从重视临床个体化差异、细化喂养干预方案、完善效果评价和安全性监测等方面进一步验证并提高其应用价值，以推进基于婴儿提示行为的喂养模式在临床实践中的应用。

关键词: 早产儿, 经口喂养, 范围综述, 儿科护理学

Abstract:

Objective To generalize and summarize the types，content elements，outcome measures，application effects，and safety monitoring of the infant-cued behavior-based feeding，so as to provide guidance for the clinical application and research in the future. Methods The literature was retrieved from PubMed，CINAHL，CNKI，and Wanfang Data-base，with a retrieval timeframe from database establishment to August 20，2024. The included literature was sum-marized and analyzed. Results A total of 28 studies were included，of which 15 were randomized controlled trials，7 were quasi-experimental studies，and 6 were observational studies. The infant-cued behavior-based feeding pattern could be categorized as ad libitum feeding，demand feeding，semi-demand feeding，and behavioral cue-based feeding. The content elements included assessment，supporting strategies，and advancement of oral feeding. The infant-cued behavior-based feeding pattern had a positive impact on feeding and developmental outcomes，immune function，rate of complications and length of hospital stay in preterm infants. The safety monitoring consisted of heart rate，blood oxygen saturation，blood sugar，and daily weight gain. Conclusion It is beneficial to implement the infant-cued behavior-based feeding pattern in preterm infants，which leads to better clinical outcomes. To support its implementation in clinical practice，we need to validate and enhance the application value of the feeding pattern in the future by concentrating on clinically individual differences，refining feeding intervention programs，improving effect evaluation and safety monitoring.

Key words: Preterm Infant, Oral Feeding, Scoping Review, Pediatric Nursing

涂婷, 郭宏卿, 胡蓝, 袁颖. 基于婴儿提示行为的喂养模式在早产儿中应用的范围综述[J]. 中华护理杂志, 2025, 60(15): 1914-1921.

TU Ting, GUO Hongqing, HU Lan, YUAN Ying. Infant-cued behavior-based feeding pattern in preterm infants：a scoping review[J]. Chinese Journal of Nursing, 2025, 60(15): 1914-1921.

图/表 3

表1 PubMed检索策略

Table 1 Search strategy of PubMed database

表2 纳入文献的基本特征（n=28）

Table 2 Characteristics of the included studies（n=28）

表3 不同类型基于婴儿提示行为的喂养喂养模式的特征

Table 3 Characteristics of different patterns of Infant-cued behavior-based feeding

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