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題名:比較早產兒親餵與瓶餵之暗示行為
書刊名:護理雜誌
作者:林室均林貞秀張嘉雯陳筱旻陳祉伶黃美智
作者(外文):Lin, Shih-chunLin, Chen-hsiuZhang, Jia-wenChen, Siao-minChen, Chih-lingHuang, Mei-chih
出版日期:2013
卷期:60:6
頁次:頁27-34
主題關鍵詞:早產兒暗示行為餵食瓶餵親餵Preterm infantBehavioral cueFeedingBottle-feedingBreastfeeding
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:2
  • 點閱點閱:42
背景:早產兒發展性照護係藉由觀察暗示行為了解其生理壓カ或需求。過去研究發現瓶餵過程所產生之生理壓カ明顯高於親餵,但尚無研究探討是否亦會造成暗示行為的差異。目的:本研究旨在比較早產兒親餵與瓶餵所呈現之暗示行為型態和頻率之異同。方法:採用次級資料分析,以妊娠週數配對分別選取研究資料庫中去連結之親餵與瓶餵各7片哺餵影片,並依據「早產兒進食暗示譯碼系統(preterm feeding cues coding system, PFCCS )」包括「飢餓暗示」、「自我調節暗示」、「壓カ暗示」及「飽足暗示」四類共24項進食暗示行為,進行譯碼及比較分析。結果:㈠親餵組表現飢餓暗示頻率顯著高於瓶餵ip = .013);㈡瓶餵組表現壓カ暗示頻率顯著較親餵多ip=.041);㈢瓶餵及親餵各行為項目達顯著差異者有:「奶水流出」(瓶餵 > 親餵,p = .008)、「ロ鼻周園 顏色改變」(瓶餵 > 親餵,p = .024)及「手部姿勢」(親餵 > 瓶餵,p = .034)。結論/實務應用:親餵者出現較少的壓カ暗示,故建議提升母親與醫護人員觀察暗示行為之敏感度,鼓勵早產兒親餵。
Background: Developmental care has been broadly applied to identify the behavioral cues and care needs of preterm infants. Past studies indicate a significantly higher level of physical distress in bottle-fed preterm infants than in preterm infants who are breastfed. However, no evidence has yet been reported that supports the influence of feeding methods on behavioral cues. Purpose: This study compares differences in the type and frequency of behavioral cues between breast- and bottle-fed preterm infants. Methods: A comparison study design and secondary data analysis method were used to assess data from two previous research projects. Infant feeding behavioral cues were observed and compared between two groups: 7 preterm infants who were breastfed and 7 preterm infants who were bottle-fed. After cases were matched by infant gestational age, behavioral responses were coded according to the preterm feeding cues coding system (PFCCS) from 7 paired maternal-infant feeding videos that featured preterm infants of 25 to 32 weeks gestational age at birth. Results: The PFCCS classifies 24 feeding behavioral cues into hunger cues, self-regulatory cues, stress cues, and satiety cues. Infants in the breastfeeding group had a higher hunger cue frequency than their bottle-fed peers (p = .013), while bottle-fed infants had a higher stress cue frequency than their breastfed peers (p = .041). Other significant differences in behavioral cues between the two feeding methods included “fluid spillage” (bottle- > breast-, p = .008), “central cyanosis (bottle- >breast-, p = .024) and “hand pushing” (breast- >bottle-, p = .034). Conclusions / Implications for Practice: Preterm infants in this study who breastfed showed significantly fewer stress cues than those who bottle fed. These findings support the importance of enhancing care provider sensitivity with regard to behavioral-cue observation. Findings further support breastfeeding rather than bottle-feeding for preterm infants.
期刊論文
1.林貞秀、張瑩如、林佳霓、黃美智(20120600)。發展性照護於早產兒餵食之應用。護理雜誌,59(3),107-112。new window  延伸查詢new window
2.Als, H.(1982)。Toward a synactive theory of development: Promise for the assessment and support of the infant individuality。Infant Mental Health Journal,3(4),229-243。  new window
3.Bauer, M. A、Prade, L. S.、Keske-Soares, M、Haëffner, L. S.B、Weinmann, A. R. M.(2008)。The oral motor capacity and feeding performance of preterm newborns at the time of transition to oral feeding。Brazilian Journal of Medical and Biological Research,41(10),904-907。  new window
4.Chen, C. H.、Wang, T. M.、Chang, H.、MChi, C. S.(2000)。The effect of breast- and bottle-feeding on oxygen saturation and body temperature in preterm infants。Journal of Human Lactation,16(1),21-27。  new window
5.da Costa, S. P.、van der Schans, C. P.、Zweens, M. J.、Boelema, S. R.、van der Meij, E.、Boerman, M. A.、Bos, A. F.(2010)。The development of sucking patterns in preterm, small-for-gestational age infants。The Journal of Pediatrics,157(4),603-609。  new window
6.de Vries, J.I.P.、Visser, G. H. A、Prechtl, H. F. R.(1982)。The emergence of fetal behavior。I. Qualitative aspects. Early Human Development,7(4),301-322。  new window
7.Luchinger, A. B.、Hadders-Algra, M.、van Kan, C. M.、de Vries, J. I. P.(2008)。Fetal onset of general movements。Pediatric Research,63(2),191-195。  new window
8.Nyqvist, K. H.(2008)。Early attainment of breastfeeding competence in very preterm infants。Acta Paediatrica,97(6),776-781。  new window
9.Puckett, B.、Grover, V. K.、Holt, T.、Sankaran, K(2008)。feeding for preterm infants: A prospective trial.。American Journal of Perinatology,25(10),623-628。  new window
10.Vice, F. L.、Gewolb, I. H.(2008)。Respiratory patterns and strategies during feeding in preterm infants。Developmental Medicine & Child Neurology,50(6),467-472。  new window
11.Simpson, C.、Schanler, R. J.、Lau, C.(2002)。Early introduction of oral feeding in preterm infants。Pediatrics,110(3),517-522。  new window
12.Gewolb, I. H.、Vice, F. L.(2006)。Maturational Changes in the Rhythms, Patterning, and Coordination of Respiration and Swallow during Feeding in Preterm and Term Infants。Developmental Medicine & Child Neurology,48(7),589-594。  new window
13.Mizuno, K.、Ueda, A.(2003)。The Maturation and Coordination of Sucking, Swallowing, and Respiration in Preterm Infants。The Journal of Pediatrics,142(1),36-40。  new window
研究報告
1.黃美智、張瑩如、黃雅淑(2006)。餵食互動方案對早產兒母親餵食行為之成效 (計畫編號:NSC95-2314-B006-066-M)。台北市:行政院國家科學委員會。  延伸查詢new window
2.黃美智、張瑩如、黃雅淑(2010)。餵食互動方案應用於早產兒母親哺餵母乳之探討 (計畫編號:NSC97-2314-B006-058-MY)。台北市:行政院國家科學委員會。  延伸查詢new window
學位論文
1.林貞秀(2005)。餵食互動方案對早產兒母親餵食行為之影響(碩士論文)。國立成功大學。  延伸查詢new window
圖書
1.廖華芳、王儷穎、劉文瑜、陳麗秋、黃靄雯(201109)。小兒物理治療學。台北市:禾楓書局。  延伸查詢new window
2.Suen, H. K.、Ary, D(1989)。Analyzing quantitative behavioral observation data。Hillsdale, NJ:Lawrence Erlbaum Associates。  new window
 
 
 
 
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