Neonatal Therapy Interventions Supporting Oral Feeding Skills in Preterm Infants: A Systematic Review.

IF 1.7 4区 医学 Q2 PEDIATRICS
Kaela Vetter, Christian Fernandes, Tiana T Nguyen
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引用次数: 0

Abstract

Aim: To synthesize the existing literature on neonatal therapy interventions and evaluate their impact on oral feeding outcomes among preterm infants in the neonatal intensive care unit.

Methods: A systematic literature search was conducted in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, and Physiotherapy Evidence Database (PEDro) databases for studies published from 2014 to 2023. Included studies were clinical trials evaluating neonatal therapy interventions delivered by neonatal therapists or caregivers trained by therapists, focusing on oral feeding outcomes for infants born at <37 week gestation. Primary outcomes were time to full oral feeding (FOF) and feeding quality. Secondary outcomes were weight gain and length of stay (LOS). Risk of bias was assessed using the Cochrane Risk of Bias 2 tool.

Results: Fourteen studies were included, identifying three categories of neonatal therapy interventions: oral motor stimulation, swallowing exercises, and sensory-based interventions. Most interventions began between 27 and 33 week postmenstrual age. Interventions generally resulted in improved oral feeding outcomes, notably faster achievement of FOF and improved feeding quality. Results for LOS and weight gain varied. Multidomain interventions demonstrated superior outcomes compared to single-domain approaches.

Conclusion: Neonatal therapy interventions can start early and improve oral feeding outcomes in preterm infants, particularly when using multi-domain approaches.

支持早产儿口腔喂养技能的新生儿治疗干预:一项系统综述。
目的:综合现有新生儿治疗干预的文献,评价其对新生儿重症监护室早产儿口服喂养结局的影响。方法:系统检索PubMed、护理及相关健康文献累积索引(CINAHL)、Web of Science和物理治疗证据数据库(PEDro)中2014 - 2023年发表的研究。纳入的研究是评估新生儿治疗干预措施的临床试验,由新生儿治疗师或由治疗师培训的护理人员提供,重点关注在以下地方出生的婴儿的口服喂养结果。结果:纳入14项研究,确定了三种新生儿治疗干预措施:口腔运动刺激,吞咽练习和基于感觉的干预措施。大多数干预开始于月经后27 - 33周。干预措施通常会改善口服喂养结果,特别是更快地实现FOF和改善喂养质量。LOS和体重增加的结果各不相同。与单一领域方法相比,多领域干预显示出更好的结果。结论:新生儿治疗干预可以早期开始并改善早产儿的口服喂养结果,特别是当使用多领域方法时。
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来源期刊
CiteScore
3.70
自引率
4.80%
发文量
42
审稿时长
>12 weeks
期刊介绍: 5 issues per year Abstracted and/or indexed in: AMED; British Library Inside; Child Development Abstracts; CINAHL; Contents Pages in Education; EBSCO; Education Research Abstracts (ERA); Education Resources Information Center (ERIC); EMCARE; Excerpta Medica/EMBASE; Family and Society Studies Worldwide; Family Index Database; Google Scholar; HaPI Database; HINARI; Index Copernicus; Intute; JournalSeek; MANTIS; MEDLINE; NewJour; OCLC; OTDBASE; OT SEARCH; Otseeker; PEDro; ProQuest; PsycINFO; PSYCLINE; PubsHub; PubMed; REHABDATA; SCOPUS; SIRC; Social Work Abstracts; Speical Educational Needs Abstracts; SwetsWise; Zetoc (British Library); Science Citation Index Expanded (also known as SciSearch®); Journal Citation Reports/Science Edition; Social Sciences Citation Index®; Journal Citation Reports/ Social Sciences Edition; Current Contents®/Social and Behavioral Sciences; Current Contents®/Clinical Medicine
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