A comparison of objective and subjective measurements of non-nutritive sucking in preterm infants

IF 0.2 Q4 PEDIATRICS
L. K. Wahyuni, I. Mangunatmadja, Risma K Kaban, E. Z. Rachmawati, M. Harini, Budiati Laksmitasari, Agatha Geraldyne, Inez Ayuwibowo Sangwidjojo, Dini Prima Utami, Victor Prasetyo Poernomo, Adrian Prasetya Sudjono
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引用次数: 1

Abstract

Background Of preterm infants born before 32 weeks of gestation, 40-70% have atypical and immature feeding skills, which could delay initiation of oral feeding. A formal objective measurement of non-nutritive sucking may increase the accuracy of determining the right time to initiate oral feeding, however, most hospital perinatology care units do not own a suction pressure measurement device to objectively measure non-nutritive sucking parameters. Objective To compare objective and subjective non-nutritive sucking (NNS) based on sucking pressure, number of suctions per burst, and time between bursts. Methods One hundred twenty preterm infants born at 28-34 weeks’ gestation were evaluated for objective and subjective NNS. Data were collected from August to November 2021 at five hospitals in Jakarta. Objective NNS was measured by a suction pressure measurement device, while subjective NNS was clinically examined. Number of suctions per burst, sucking pressure, and time between bursts were analysed by Spearman’s correlation test. Results A positive and significant correlation between objective and subjective NNS was found in all parameters (P<0.001). The highest correlation was found in time between bursts (r=0.74; P<0.001), followed by number of suctions per burst (r=0.60; P<0.001), and sucking pressure (r=0.58; P<0.001). Conclusion The correlation between objective and subjective NNS examination was moderate in preterm infants. Therefore, an objective NNS measurement is still required for optimizing the examination.
早产儿非营养性吸吮客观与主观测量的比较
背景:在妊娠32周前出生的早产儿中,40-70%的人有不典型和不成熟的喂养技巧,这可能会延迟口服喂养的开始。正式的非营养性吸吮客观测量可以提高确定开始口服喂养的正确时间的准确性,然而,大多数医院围产儿护理单位没有吸压测量装置来客观测量非营养性吸吮参数。目的比较客观非营养性吸吮(NNS)与主观非营养性吸吮(NNS)在吸吮压力、单次吸吮次数及间隔时间上的差异。方法对120例妊娠28 ~ 34周的早产儿进行客观和主观神经网络评分。数据于2021年8月至11月在雅加达的五家医院收集。目的采用吸力压力测量仪测量NNS,临床观察主观NNS。采用Spearman相关检验分析每次爆发的吸吮次数、吸吮压力和爆发间隔时间。结果客观神经网络与主观神经网络在各指标间均呈正相关(P<0.001)。爆发之间的时间相关性最高(r=0.74;P<0.001),其次是每次爆发吸痰次数(r=0.60;P<0.001),吸吮压力(r=0.58;P < 0.001)。结论早产儿客观神经系统检查与主观神经系统检查相关性中等。因此,仍然需要客观的神经网络测量来优化检测。
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来源期刊
CiteScore
0.40
自引率
0.00%
发文量
58
审稿时长
24 weeks
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