Effectiveness of Oral-Motor Stimulation on Oral Feeding in Premature Infants: A Protocol for Systematic Review and Meta-Analysis of Controlled Randomized Trials.
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引用次数: 0
Abstract
Objectives: Premature infants (born before 37 weeks of gestational age) frequently experience feeding difficulties due to underdeveloped oral motor skills and poor chewing, swallowing, and breathing coordination. In order to improve oral feeding efficiency in these infants, Oral-Motor Stimulation (OMS) has been used in various studies. This systematic review study will aim to assess the effectiveness of OMS for oral feeding in preterm infants.
Materials & methods: The authors will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. They will conduct a search in electronic databases, including PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials in The Cochrane Library (CENTRAL), Medline via PubMed, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) for nursing and related healthcare texts without language restrictions from the first month of 1991 to the fifth month of 2024 to achieve the study objectives. All Randomized Controlled Clinical Trials (RCT) examining the effect of OMS on oral feeding in preterm infants will be included in this study.
Results: The primary outcome of this systematic review will be oral feeding, and the secondary outcomes will include duration of hospitalization, weight gain, and feeding efficiency. Two independent reviewers will select and extract data for the study. The Cochrane Risk of Bias Tool (RoB2) will be used to evaluate potential biases in the study. Publication bias will be evaluated using funnel plots, Begg's, and Egger's tests. The degree of heterogeneity among the studies will be assessed using the I2 statistic and the χ2 test. Analyses of subgroups will also be carried out. All meta-analyses will be conducted using Stata V.14.
Conclusion: This systematic review protocol for preterm infants will aim to promote evidence-based decision-making and support the development of clinical practice guidelines in preterm feeding.
目标：早产儿（胎龄 37 周前出生）由于口腔运动技能发育不足，咀嚼、吞咽和呼吸协调能力差，经常会出现喂养困难。为了提高这些婴儿的口腔喂养效率，各种研究都采用了口腔运动刺激法（OMS）。本系统性综述研究旨在评估口腔运动刺激对早产儿口腔喂养的有效性：作者将遵循《系统综述和元分析首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses，PRISMA）指南。他们将在电子数据库中进行检索，包括 PubMed、Scopus、Web of Science、Cochrane 图书馆对照试验中央注册中心（Cochrane Central Register of Controlled Trials in The Cochrane Library，简称 CENTRAL）、通过 PubMed 检索的 Medline 以及《护理与联合健康文献累积索引》（Cumulative Index to Nursing and Allied Health Literature，简称 CINAHL），检索范围为 1991 年第一个月至 2024 年第五个月期间的护理及相关医疗保健文献，不受语言限制，以实现研究目标。所有研究 OMS 对早产儿口腔喂养效果的随机对照临床试验（RCT）都将纳入本研究：本系统综述的主要结果是口服喂养，次要结果包括住院时间、体重增加和喂养效率。两名独立评审员将为本研究选择和提取数据。科克伦偏倚风险工具（RoB2）将用于评估研究中的潜在偏倚。将使用漏斗图、Begg's 和 Egger's 检验来评估发表偏倚。研究之间的异质性程度将使用 I2 统计量和χ2 检验进行评估。还将进行亚组分析。所有荟萃分析都将使用 Stata V.14 进行：该早产儿系统综述方案旨在促进循证决策，支持早产儿喂养临床实践指南的制定。
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