Effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to oral feeding in preterm infants: A randomized controlled study

IF 1.7 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2025-04-22 DOI:10.1111/jjns.70009

Merve Cakirli, Meral Bayat, Ayse Neslihan Tekin

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引用次数: 0

Abstract

Aim

This study aimed to evaluate the effect of premature infant oral motor intervention (PIOMI) and pacifier intervention on the transition to full oral feeding in preterm infants.

Methods

This is a randomized controlled trial conducted between January 2021 and April 2023 in a neonatal intensive care unit in Eskişehir, Turkey. Preterm infants born between 29 and 34 weeks of gestation were included in the study. Infants were assigned to the groups by stratified randomization method. The study was completed with a total of 39 infants, 13 infants in each group (PIOMI, pacifier, and control). Data were collected using the “Preterm Infant Demographic Information Form,” “Feeding Monitor Form,” and “Early Feeding Skills Assessment Tool (EFS).” Statistical analysis used paired sample t-tests, ANOVA, Wilcoxon, Kruskal–Wallis H, and Pearson-χ² test methods.

Results

In the research findings, it was determined that infants receiving PIOMI and pacifier intervention had a shorter length of stay, transition to full oral feeding compared to infants in the control group, and consumed a higher amount of feed in the first minute (p < .05). The infants in the PIOMI group started full oral feeding on average 3 days earlier than the infants in the pacifier group and were discharged approximately 4 days earlier (p > .05). It was determined that infants in the PIOMI group had significantly higher EFS-total compared to infants in the control group.

Conclusions

PIOMI intervention and pacifier intervention should be included in nursing care in neonatal intensive care units to improve the oral feeding skills of preterm infants and shorten their discharge time.

Abstract Image

查看原文本刊更多论文

早产儿口腔运动干预（PIOMI）和安抚奶嘴干预对早产儿向口服喂养过渡的影响：一项随机对照研究

目的探讨早产儿口腔运动干预（PIOMI）和安抚奶嘴干预对早产儿向全口喂养过渡的影响。方法：这是一项随机对照试验，于2021年1月至2023年4月在土耳其eski ehir的新生儿重症监护室进行。研究对象包括妊娠29至34周出生的早产儿。采用分层随机法将婴儿分为两组。研究共纳入39名婴儿，每组13名婴儿（PIOMI、安抚奶嘴和对照组）。使用“早产儿人口统计信息表”、“喂养监测表”和“早期喂养技能评估工具（EFS）”收集数据。统计分析采用配对样本t检验、方差分析、Wilcoxon、Kruskal-Wallis H和Pearson-χ2检验方法。结果研究发现，与对照组相比，接受PIOMI和安抚奶嘴干预的婴儿停留时间更短，过渡到全口喂养，并且在第一分钟内消耗的饲料量更高（p < 0.05）。PIOMI组婴儿比安抚奶嘴组平均早3天开始全口喂养，早4天出院（p > 0.05）。我们确定PIOMI组婴儿的efs总量明显高于对照组婴儿。结论应将PIOMI干预和安抚奶嘴干预纳入新生儿重症监护室护理，以提高早产儿的口腔喂养技能，缩短其出院时间。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.