Effect of Cue-Based Feeding on the Feeding Outcomes of Preterm Infants: A Systematic Review and Meta-Analysis

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-01-28 DOI:10.1111/jan.16756

Xinyu Zhang, Huijuan Liu, Yuanyuan Yang, Chunna Mao

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引用次数: 0

Abstract

Objective

To systematically evaluate the effect of cue-based feeding (CBF) on feeding outcomes in preterm infants.

Methods

Databases including CNKI, Wanfang, PubMed, Embase, CINAHL and Cochrane Library were searched from the database's inception to November 2023. The literature screening and quality assessment were conducted by two researchers independently, and a meta-analysis was performed using Review Manager (RevMan) 5.4 software.

Results

A total of six randomised controlled trials and eight quasi-experimental studies involving 2239 preterm infants were included. The results indicated that CBF was effective in shortening the time to achieve full oral feeding (Z = 22.32, p < 0.01) and reducing the incidence of feeding intolerance (Z = 2.18, p < 0.05). Compared with scheduled feeding (SF), CBF was found to enhance parental participation and satisfaction. Health professionals such as paediatricians, nurses and feeding specialists, highly agreed on the positive effects of CBF.

Conclusion

Cue-based feeding has the potential to shorten the time to achieve full oral feeding, reduce the incidence of feeding intolerance and promote parental involvement in feeding behaviour for preterm infants.

Implications for Practice

Cue-based feeding is recommended for preterm infants, as it could enhance oral feeding competence, facilitate feeding progression and reduce the incidence of feeding complications.

No Patient or Public Contribution

Our paper is a systematic review and meta-analysis, and such details do not apply to our work.

Trial Registration: The detailed study protocol can be found on the PROSPERO website

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基于线索的喂养对早产儿喂养结果的影响：一项系统综述和meta分析

目的：系统评价线索喂养（CBF）对早产儿喂养结局的影响。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.