Sandra Fucile, Laurie Snider, Karel O'Brien, Lorraine Smith, Kimberly Dow
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引用次数: 0
摘要
目的：评估早产儿在新生儿重症监护室（NICU）期间，由家长管理的感知运动干预（PASI）项目对其发育结果的影响：我们进行了一项随机临床研究，94 名婴儿（平均胎龄 31 周 [SD 2.2 周]；体重 1658 克 [SD 478 克]；49 名男婴，45 名女婴）被初步纳入并随机分配到实验组或对照组。实验组婴儿接受为期 10 天的 PASI，包括对口腔结构、躯干/四肢的触觉输入和非营养性吸吮，每天一次，每次 15 分钟。对照组婴儿接受标准护理。研究结果包括婴儿实现完全口喂，出院时实现直接母乳喂养，以及使用婴儿运动能力测试（TIMP）评估运动功能：共有 80 名婴儿完成了研究。与对照组相比，实验组婴儿更早地实现了完全经口喂养（11.9 [SD 4.3] 天 vs 15.3 [SD 6.5] 天，p = 0.013），而且更多的婴儿接受了直接母乳喂养（22 vs 12，p = 0.010）。两组婴儿在 TIMP 中的运动功能得分相当（46.9 [SD 4.8], 46.8 [SD 8.4], p = 0.961）：PASI计划可提高婴儿的口腔喂养技能。这些研究结果为在新生儿重症监护室推行 PASI 提供了证据。
A parent-administered sensorimotor intervention for oral feeding in infants born preterm: A randomized clinical study.
Aim: To evaluate the effect of a parent-administered sensorimotor intervention (PASI) program on developmental outcomes of infants born preterm during their stay in the neonatal intensive care unit (NICU).
Method: A randomized clinical study was conducted with 94 infants (mean gestational age 31 weeks [SD 2.2 weeks]; 1658 g [SD 478 g]; 49 males, 45 females) initially enrolled and randomly assigned to an experimental or a control group. Infants in the experimental group received a PASI, consisting of tactile input to oral structures, trunk/limbs, and non-nutritive sucking for 15 minutes, once a day, for 10 days. Infants in the control group received standard care. Outcomes included attainment of complete oral feeds, occurrence of direct breastfeeding at hospital discharge, and motor function assessed using the Test of Infant Motor Performance (TIMP).
Results: A total of 80 infants completed the study. Infants in the experimental group achieved complete oral feeds sooner (11.9 [SD 4.3] vs 15.3 [SD 6.5] days, p = 0.013), and a greater number of them received direct breastfeeds (22 vs 12, p = 0.010) than controls. Infants in both groups had equivalent motor functions scores on the TIMP (46.9 [SD 4.8], 46.8 [SD 8.4], p = 0.961).
Interpretation: A PASI program may enhance an infant's oral feeding skills. These findings provide evidence to advocate for the institution of PASI in NICUs.
期刊介绍：
Wiley-Blackwell is pleased to publish Developmental Medicine & Child Neurology (DMCN), a Mac Keith Press publication and official journal of the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) and the British Paediatric Neurology Association (BPNA).
For over 50 years, DMCN has defined the field of paediatric neurology and neurodisability and is one of the world’s leading journals in the whole field of paediatrics. DMCN disseminates a range of information worldwide to improve the lives of disabled children and their families. The high quality of published articles is maintained by expert review, including independent statistical assessment, before acceptance.
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