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題名：早產兒餵食前吸吮安撫奶嘴對行為狀態及餵食影響之探討
書刊名：護理研究
作者：游明理／陳月枝
作者(外文)：Yu, Ming-li／Chen, Yueh-chin
出版日期：1999
卷期：7:5
頁次：頁468-478
主題關鍵詞：早產兒；安撫奶嘴；行為狀態；餵食；Premature infants；Nonnutritive sucking；Behavioral states；Feeding
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　　　　　主要是探討早產兒餵食前吸吮安撫奶嘴對行為狀態及餵食的影響。 本研究的措施 是在餵食前予以吸吮安撫奶嘴三分鐘或五分鐘。研究方法是採自我交叉研究設計；每個個案 都隨機接受二個措施（三分鐘、五分鐘），並在措施前收集基準資料。研究的測量是在措施 前後三十秒予以測試行為狀態，並觀察餵食表現（前五分鐘吸奶量、一餐吸奶量、一餐吸奶 時間及一餐吸奶速率）。本研究共收集了 11 位合乎研究條件的早產兒。本研究結果顯示： (1) 餵食前吸吮安撫奶嘴確實會改變行為狀態增加安靜警覺狀態，減少淺睡狀態、昏昏欲睡 狀態、活動警覺狀態以及哭等狀態。(2) 餵食前吸吮安撫奶嘴的行為狀態，處於安靜警覺狀 態的平均餵奶速率，明顯地快於其他狀態的平均餵奶速率。(3) 早產兒在餵食前吸吮安撫奶 嘴其後的餵食表現明顯優於未吸吮安撫奶嘴之後的餵食。(4) 吸吮三分鐘及五分鐘安撫奶嘴 ，對調整行為狀態及促進餵食表現的效果是相同的。餵食前吸吮安撫奶嘴是簡單、便宜、容 易可以執行的措施，可以達到調整行為狀態、促進餵食的效果。
　　　　　The purpose of this research was to examine the effect of nonnutritive sucking (NNS) on behavioral state and feeding in premature infants before feeding. The premature infants were provided NNS for 3 miuntes or 5 minutes before bottle feeding. The premature infant was studied under crossover and the self-comparison design. Eleven premature infants were randomly administred 3 minutes NNS and 5 minutes NNS, and the control condition. Behavioral state was measured for 30 seconds before and after NNS. The rate of feeding which was the quiet awake state was fastest than the other state before feeding with NNS. Premature infants provided NNS before feeding have been shown to spend more time in quiet awake state and less time in active sleep, drowsiness, active awake and crying states. NNS also has been shown to promote feeding performance. Three minutes NNS and five minutes NNS showed the same effect on behavioral states and feeding.
期刊論文
1.Als, H.、Brazelton, T. B.(1981)。A New Model of Assessing the Behavioral Organization in Preterm and Fullterm Infants: Two Case Studies。American Academy of Child Psychiatry，20(2)，239-263。  new window
2.Beck, S. L.(1989)。The crossover design in clinical nursing research。Nursing Research，38(5)，291-293。  new window
3.Davis, D. H.、Thoman, E. B.(1987)。Behavioral states of premature infants: Implications for neural and behavioral development。Developmental Psychobiology，20(1)，25-38。  new window
4.Burroughs, A. K.、Asonye, U. O.、Anderson-Shanklin, G. C.、Vidyasagar, D.(1978)。The effect of nonnutritive sucking on transcutaneous oxygen tension in noncrying, preterm neonates。Research in Nursing and Health，1(2)，69-75。  new window
5.Brown, B. W.(1980)。The crossover experiment for clinical trials。Biometrics，36(1)，69-79。  new window
6.Bembaum, T. C.、Bernbaum, J. C.、Pereira, G. R.、Watkins J. B.、Peckham, G. J.(1983)。Nonnutritive sucking during gavage feeding enhances growth and maturation in premature infants。Pediatrics，71(1)，41-45。  new window
7.Hills, M.、Armitage, P.(1979)。The two period crossover clinical trial。British Journal of Clinical Pharmacology，8(1)，7-20。  new window
8.Grizzle, J. E.(1965)。The two-period change-over design and its use in clinical trials。Biometrics，21(4)，467-480。  new window
9.Gill, N. E.、Behnke, M.、Conlon, M.、McNeely, J. B.、Anderson, J. C.(1988)。Effects of nonnutritive sucking on behavioral state in preterm infants before feeding。Nursing Research，37(6)，347-350。  new window
10.Field, T.、Goldson, E.(1984)。Pacifying effects of nonnutritive sucking on term and preterm neonates during heelstick procedures。Pediatrics，74(6)，1012-1015。  new window
11.Field, T.、Ignatoff, E.、Stringer, S.、Brennan, J.、Greenberg, R.、Widmayer, S.、Anderson, G. C.(1982)。Nonnutritive sucking during tube feedings。Pediatrics，70(3)，381-384。  new window
12.Kessen, W.、Leutyzendokrff, A. M.、Stoutsenberger, K.(1967)。Age, food deprivation, nonnutritive sucking and movement in the human newborn。Journal of Comparative and Physiological Psychology，63(1)，82-86。  new window
13.Kessen, W.、Leutyzendokrff, A. M.(1963)。The effects of nonnutritive sucking on movement in the human newborn。Journal of Comparative and Physiological Psychology，56(1)，69-72。  new window
14.Marchini, G.、Lagercrantz, H.、Feuerberg, Y.、Winberg, J.、Uvnäs-Moberg, K.(1987)。The effect of non-nutritive sucking on plasma insulin, gastrin, and somatostatin levels in infants。Acta Pediatric Scand，76(4)，573-578。  new window
15.McCain, G. C.(1992)。Faciliating inactive awake states in preterm infants: A study of three interventions。Nursing Research，41(3)，157-160。  new window
16.Wolff, P. H.(1962)。The serial organization of sucking in the young infant。Pediatrics，42，943-956。  new window
17.Woodson, R.、Drinkwin, J.、Hamilton, C.(1985)。Effects of nonnutritive sucking on state and activity: Term-preterm comparisons。Infant Behavior and Development，8(3)，435-441。  new window
18.McCain, G. C.(1995)。Promotion of preterm infant nipple feeding with nonnutritive sucking。Journal of Pediatric Nursing，10(1)，3-8。  new window
19.Measel, C. P.、Anderson, G. C.(1979)。Nonnutritive sucking during tube feedings: Effect on clinical course in preterm infants。Journal of Obstetric, Gynecologic, and Neonatal Nursing，8(5)，265-272。  new window
20.Pickier, R. H.、Higgins, K. E.、Crummette, B. D.(1993)。The effect of nonnutritive sucking on bottle-feeding stress in preterm infants。Journal of Obstetric, Gynecologic, and Neonatal Nursing，22(3)，230-234。  new window
21.Wallenstein, S.、Fisher, A. C.(1977)。The analysis of two-period repeated measurements crossover design with applications to clinical trials。Biometrics，33，261-269。  new window
會議論文
1.Anderson, G. C.、Grant, A. R.、Vidyasagar, D.(1981)。Self-regulatory nonnutritive sucking: Effects on arousal and feeding in restless newborn infants。The Society for Research in Child Development, Biennial Conference。Boston。  new window
圖書
1.Barnard, K.(1990)。Keys to caregiving。Washington：NCAST Publication。  new window
2.Brazelton, T. B.(1973)。Neonatal behavioral assessment scale。Philadelphia：J. B. Lippincott。  new window
圖書論文
1.Anderson, G. C.、Behnke, M.、Gill, N. E.、Conlon, M.、Measel, C. P.、McDonie, T. E.(1990)。Self-regulatory gavage to bottle feeding for preterm infants: Effect on behavioral state, energy expenditure, and weight gain。Key aspects of recovery: improving nutrition, rest, and mobility。New York：Springer。  new window
2.Kron, R. E.、Ipson, J.、Godard, K. E.(1973)。Consistent individual differences in the nutritive sucking behavior of the human newborn。The competent infant。New York：Basic Book。  new window
3.Prechtl, H. F. R.(1968)。Polygraphic studies of the full-term Newborn: I. Technical aspects and qualities analysis。Clinics in developmental medicine。New York：James H. Heineman。  new window
 
 
 
 
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