极低出生体重儿住院期间经口喂养方案的构建
Developing an oral feeding protocol for very low birth weight infants during hospi-talization
王源 1裘梦凡 1杨童玲 2李丽玲 2万凡 1胡晓静3
作者信息
- 1. 复旦大学附属儿科医院新生儿科(上海,201102);复旦大学护理学院
- 2. 复旦大学护理学院
- 3. 复旦大学附属儿科医院护理部(上海,201102)
- 折叠
摘要
目的 构建极低出生体重儿住院期间经口喂养方案,以规范经口喂养,推进其经口喂养进程、促进生长发育.方法 以统合发展理论为指导,通过循证方法学总结极低出生体重儿经口喂养的最佳证据,经过研究小组讨论形成极低出生体重儿住院期间经口喂养方案初稿,进行2次专家论证会议讨论,根据专家意见结合临床实践,对方案初稿进行修订完善.结果 形成包括入院后-经口喂养准备、微量经 口喂养(母乳滴注喂养、个性化奶嘴内母乳滴喂)、每12小时尝试经 口奶瓶喂养1次、每6小时尝试经口奶瓶喂养1次、每次喂养尝试经口奶瓶喂养、母乳亲喂6个环节的极低出生体重儿住院期间经口喂养方案.结论 基于循证的极低出生体重儿住院期间经口喂养方案具有较好的科学性和临床适宜性,可为临床开展有效规范的经口喂养提供参考.
Abstract
Objective To develop an oral feeding protocol for very low birth weight infants during their hospitalization,to provide a reference for standardized oral feeding practice for the infants,to smooth the process of oral feeding and promote infants'growth and development.Methods Guided by the Synactive Theory of Development,the best evidence for oral feeding in very low birth weight infants was summarized through evidence-based methodology.Following discussions in the research group,the first draft of the oral feeding protocol for very low birth weight infants during hospitalization was developed.This protocol underwent valida-tion through organizing two meetings of expert and was subsequently revised and improved according to expert opinion combined with clinical practice considerations.Results A comprehensive oral feeding protocol for very low birth weight infants during hospi-talization was finalized,which consisted of six stages:preparation for oral feeding upon admission,trophic feeding(breastmilk drip feeding,individualized breastmilk drip feeding through the pacifier),attempted oral bottle feeding every 12 hours,attempted oral bottle feeding every 6 hours,attempted oral bottle feeding at every feeding,and breastfeeding by mother.Conclusion The evidence-based oral feeding protocol for very low birth weight infants during hospitalization is scientific,and has good clinical appropriate-ness,offering a reference for effective and standardized oral feeding practices in clinical practice in the future.
关键词
极低出生体重儿/母乳/滴注喂养/经口喂养/奶瓶喂养/母乳亲喂/循证护理Key words
very low birth weight infants/breastmilk/drip feeding/oral feeding/bottle-feeding/breastfeeding by mother/evidence-based nursing care引用本文复制引用
基金项目
国家重点研发计划(2021YFC2701004)
上海市科委"科技创新行动计划"长三角科技创新共同体领域项目(21002411900)
出版年
2024
NETL
NSTL
万方数据