The effect of position on feeding performance in infants with cleft lip and palate: Quasiexperimental study

IF 1.2 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing Pub Date : 2024-05-27 DOI:10.1111/jspn.12428

Şerife Kartal Erdost PhD, RN, Duygu Gözen PhD, RN

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引用次数: 0

Abstract

Purpose

This single-group, quasiexperimental study was conducted to determine the effect of feeding position on the physiological parameters and feeding performance of term-born infants with cleft lip and palate (CLP) in the preoperative period.

Methods

The study sample consisted of 45 infants aged 0–6 months with CLP followed up preoperatively in our outpatient clinic between January 2021 and 2022. Infants who were being fed with a specialty bottle for babies with CLP and whose families consented to participate in the study were included. After 2 h of fasting, the infants were fed in the elevated supine (ESU) position for the first meal, then in the elevated side-lying (ESL) position for the second meal after another 2 h of fasting. The infants' heart rate and oxygen saturation values before, during, and after each feed and indicators of feeding performance were compared between the positions.

Results

There was no significant difference between the positions in terms of heart rate and oxygen saturation before, during, or after feeding (p > .05). There was no statistically significant difference in measures of feeding performance according to the infants' feeding position (p > .05).

Conclusion

According to the findings obtained in this study, infants with CLP showed no statistically significant differences in heart rate, oxygen saturation, or feeding performance when fed in the ESL and ESU positions.

Practice Implications

However, despite the lack of statistical significance, both physiological values and feeding performance tended to be better when the infants were fed in the ESL position, nurses can practice ESL position according to the infant's opposite direction of the side of the cleft lip or palate.

Abstract Image

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体位对唇腭裂婴儿喂养表现的影响：准实验研究

目的：本研究为单组准实验研究，旨在确定喂养姿势对唇腭裂足月产婴儿术前生理指标和喂养表现的影响：研究样本包括 2021 年 1 月至 2022 年 1 月期间在我院门诊进行术前随访的 45 名 0-6 个月唇腭裂婴儿。研究对象包括正在使用 CLP 患儿专用奶瓶喂养且其家人同意参与研究的婴儿。禁食 2 小时后，婴儿以仰卧位（ESU）进食第一餐，再禁食 2 小时后以侧卧位（ESL）进食第二餐。对婴儿每次喂食前、喂食中和喂食后的心率和血氧饱和度值以及喂食表现指标进行了比较：结果：喂奶前、喂奶中和喂奶后，不同姿势婴儿的心率和血氧饱和度没有明显差异（P > .05）。婴儿的喂养姿势不同，喂养表现的测量结果也没有明显的统计学差异（P > .05）：根据本研究的结果，以 ESL 和 ESU 体位喂养时，CLP 患儿的心率、血氧饱和度或喂养表现没有明显的统计学差异：尽管没有统计学意义，但采用 ESL 体位喂养的婴儿在生理值和喂养表现方面都有更好的趋势，护士可根据婴儿唇腭裂侧的相反方向练习 ESL 体位。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.