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題名：親餵與瓶餵對早產兒生理指標的影響--以南部某醫學中心為例
書刊名：榮總護理
作者：林久惠／張文娟
作者(外文)：Lin, Chiu-hui／Chang, Wen-chuan
出版日期：2016
卷期：33:1
頁次：頁67-76
主題關鍵詞：早產兒；親餵；瓶餵；生理指標；Premature infant；Direct breast feeding；Bottle feeding；Physiological parameter
原始連結：連回原系統網址new window
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本研究目的在比較早產兒不同哺餵方式（親餵、瓶餵）對生理指標（心跳、呼吸、血氧）的影響。研究樣本為南部某醫學中心，妊娠週數小於37週、收案時矯正週數34週以上、無重大先天缺陷疾病、經母親同意並填妥同意書後收案之早產兒，共31位。採類實驗法的重複測量設計，每對母嬰觀察時段選擇在同一天12n-5pm未進行任何醫療措施的時段，依據評價設計介入餵食，每次觀察一對母嬰。前15位個案先親餵下一餐再瓶餵，後16位個案先瓶餵下一餐再親餵。觀察員依紀錄表記錄早產兒在親餵及瓶餵餵奶前、餵奶開始、餵奶中、餵奶後立即、餵奶後30分鐘、60分鐘的生理監測器所監測得到的12組數據。研究者將記錄值以描述性分析及重複測量之混合模式進行分析。結果發現，心跳指標：親餵與瓶餵在餵奶任何時間點均無顯著差異。呼吸指標：親餵較瓶餵在餵奶中穩定。血氧指標：親餵較瓶餵在餵奶開始、餵奶中穩定。故本研究建議早產兒母親如有哺餵母奶意願以親餵為宜。
This study investigated the effects of different feeding methods (direct breast feeding and bottle feeding) on physiological parameters (heart rate, respiration rate, and blood oxygen saturation) among premature infants for a future references for feeding premature infants. Case data were collected from a medical center in Southern Taiwan. All 31 recruited premature infants fulfi lled the following criteria: (1) gestational age ＜ 37 weeks, (2) corrected age when case was included ＞ 34 weeks, (3) no major congenital defects at birth, and (4) written consent provided by infant mother. Experimental data were collected through repeated observations and tests conducted for all cases on the same day from 12 p.m. to 5 p.m., with no other medical intervention being performed. Each case was observed and evaluated individually. The infants in 15 cases were breast fed and then bottle fed, whereas the infants in the remaining 16 cases were bottle fed and then breast fed. All physiological parameter changes were measured and recorded at the following stages for both feedings: before feeding, during feeding after 15 min, immediately after feeding, 30 min after feeding, and 60 min after feeding. No signifi cant difference was observed in infant heart rates; these rates were stable throughout the entire feeding process from before feeding until 60 min after feeding. Compared with bottle feeding, the respiration rate was more stable at the beginning of and 15 min after direct breast feeding, whereas the blood oxygen saturation was more stable only 15 min after direct breast feeding. In conclusion, breast feeding is recommended for the mothers of premature infants.
期刊論文
1.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
2.Nyqvist, K. H.(2008)。Early attainment of breastfeeding competence in very preterm infants。Acta Paediatrica，97(6)，776-781。  new window
3.尹玓、陳瑛瑛、張秉宜、董曉萍、華一嗚、廖珍娟(20080800)。不同姿勢擺位對早產兒生理指標之影響。新臺北護理期刊，10(2)，37-47。  延伸查詢new window
4.McGrath, J. M.、Braescu, A. V.(2004)。State of the science: Feeding readiness in the preterm infant。Journal of Perinatal and Neonatal Nursing，18(4)，353-368。  new window
5.Pickier, R. H.、Reyna, B. A.(2004)。Effects of non-nutritive sucking on nutritive sucking, breathing, and behavior during bottle feedings of preterm infants。Advances in Neonatal Care，4(4)，226-234。  new window
6.Thoyre, S. M.、Carlson, J.(2003)。Occurrence of oxygen desaturation events during preterm infant bottle feeding near discharge。Early Human Development，72(1)，25-36。  new window
7.王淯汶、張瑩如(20090900)。早產兒血氧飽和濃度降低之概念分析。長庚護理，20(3)=67，327-333。new window  延伸查詢new window
8.林室均、林貞秀、張嘉雯、陳曉旻、陳祉伶、黃美智(2013)。比較早產兒親餵及瓶餵之暗示行為。護理雜誌，60(6)，27-34。new window  延伸查詢new window
9.袁朝蓉、華一鳴、李慈音(20090800)。從氧化壓力重新思考早產兒氧氣的使用。護理雜誌，56(4)，77-82。new window  延伸查詢new window
10.黃希文、陳佩姍、鄭素芳、王儷穎(2008)。早產兒餵食困難評估與介入。物理治療，33(3)，188-196。  延伸查詢new window
11.張雅雯、張瑩如(20080600)。早產兒口腔餵食與心肺功能調節之關係。護理雜誌，55(3)，5-10。new window  延伸查詢new window
12.張瑩如(2007)。加護病房噪音環境及其對早產兒生理及行為影響之評估。早產兒會訊，62，16-21。  延伸查詢new window
13.American Academy of Pediatrics Committee on Fetus and Newborn(2008)。Hospital discharge of the high-risk neonate。Pediatrics，122(5)，1119-1126。  new window
14.Antelmi, L.、De Paula, R. S.、Shinzato, A. R.、Peres, C. A.、Mansur, A. J.、Grupi, C. J.(2004)。Influence of age,gender, body mass index, and functional capacity on heart rate variability in a cohort of subjects without heart disease。American Journal of Cardiology，93(3)，381-385。  new window
15.Brown, L.(2007)。Heart rate variability in premature infants during feeding。Biological Research for Nursing，8(4)，283-293。  new window
16.Browne, J. V.、Ross, E. S.(2011)。Eating as aneurodevelopmental process for high-risk newborns。Clinics in Perinatology，38(4)，731-743。  new window
17.Chang, Y. U.、Iin, C. P.、Lin, C. H.(2007)。Effects of single-hole and cross-cut nipple units on feeding efficiency and physiological parameters in premature infants。The Journal of Nursing Research，15(3)，215-222。  new window
18.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
19.黃雅淑、蔡文暉、施陳美津(20051000)。Factors Associated with Bottle Feeding Performance of Preterm Infants: A Literature Review。職能治療學會雜誌，23，13-25。  延伸查詢new window
20.Hegney, D.、Fallon, T.、O'Brien, M. L.(2008)。Against all odds: A retrospective case-controlled study of women who extraordinary breastfeeding problems。Journal of Clinical Nursing，17(9)，1182-1192。  new window
21.Laptook, A. R.、Salhab, W.、Allen, J.、Saha, S.、Walsh, M.(2006)。Pulse oximetry in very low birth weight infants: Can oxygen saturation be maintained in the desired range?。Journal of Perinatology，26，337-341。  new window
22.McColm, J. R.、Geisen, P.、Hartnett, M. E.(2004)。VEGF isoforms and their expression after a single episode of hypoxia or repeated fluctuations between hyperoxia and hypoxia: Relevance to clinical ROP。Molecular Vision，10，512-520。  new window
23.McCain, G. C.、Del Moral, T.、Duncan, R. C.、Fontaine, J. L.、Pino, L. D.(2012)。Transition from gavage to nipple feeding for preterm infants with bronchopulmonary dysplasia。Nursing Research，61(6)，380-387。  new window
24.McCormick, F. M.、Tosh, K.、McGuire, W.(2010)。Ad libitum or demand/semi-demand feeding versus scheduled interval feeding for preterm infants。Cochrane Database System Reviews，2。  new window
25.Poore, M.、Zimmerman, E.、Barlow, S. M.、Wnng, J.、Gu, F.(2008)。Patterned orocutaneous therapy improves sucking and oral feedings in preterm infants。Acta Poediatrica，97，920-927。  new window
26.Suiter, D. M.、Ruark-McMurtrey, J. L.(2007)。Oxygen saturation and heart rate during feeding in breast-fed infants at 1 week and 2 months of age。Archives of physical Medicine and Rehabilitation，88(12)，1681-1685。  new window
27.Vice, F. L.、Gewolb, I. H.(2008)。Respiratory pattern and strategies during feeding in preterm infants。Developmental Medicine & Child Neurology，50(6)，467-472。  new window
28.彭君怡、林麗鳳(20110600)。早產兒口腔餵食介入措施之實證照護指引。長庚護理，22(2)=74，175-183。new window  延伸查詢new window
學位論文
1.高惠美(2007)。比較使用圓形及十字孔奶嘴於慢性肺疾病早產兒之餵食成效、口腔動作協調性及生理之影響(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(2011)。小兒物理治療學。台北市：禾楓書局。  延伸查詢new window
 
 
 
 
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