Tactile kinaesthetic methods without abdominal pressure promoting gastrointestinal passage in preterm infants: A scoping review

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-03-13 DOI:10.1016/j.jnn.2025.101643

Natalie Hurst , Jos M. Latour , Christian F. Poets , Christoph E. Schwarz

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引用次数: 0

Abstract

Background

Tactile kinaesthetic stimulation (TKS) might support enteral feeding and meconium excretion in preterm infants, but volvulus has been linked to abdominal massage.

Aim

To map the evidence and to identify knowledge gaps on TKS in preterm infants.

Methods

A scoping review was conducted in August 2024 using four databases.

Results

Ten studies (totaling 268 infants weighing 1000–2500g at birth) met inclusion criteria. All studies utilized whole-body TKS, involving stroking and movement with moderate to gentle pressure, administered 1 to 3 times daily by staff. Starting TKS in the first days of life seemed to improve meconium excretion, while later interventions were associated with enhanced vagal activity and gastric motility. The effect of TKS on enteral feeding remains unknown.

Conclusion

Research gaps exist regarding TKS for promoting enteral feeding and meconium excretion in preterm infants. Optimal methods and adaptations for this vulnerable patient group are uncertain.

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无腹压的触觉动觉方法促进早产儿胃肠通道：范围综述

背景：触觉动觉刺激（TKS）可能支持早产儿肠内喂养和胎粪排泄，但肠扭转与腹部按摩有关。目的绘制证据图，确定早产儿TKS的知识缺口。方法于2024年8月对4个数据库进行范围综述。结果10项研究（268例出生时体重1000-2500g的婴儿）符合纳入标准。所有研究均采用全身TKS，包括轻抚和运动，由工作人员每天进行1至3次。在生命的最初几天开始TKS似乎可以改善胎粪排泄，而后来的干预与迷走神经活动和胃运动的增强有关。TKS对肠内喂养的影响尚不清楚。结论TKS对早产儿肠内喂养和粪排泄的促进作用尚存在研究空白。这一弱势患者群体的最佳方法和适应尚不确定。

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 of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.