DOI QR코드

DOI QR Code

구강자극요법이 미숙아의 경구수유 이행에 미치는 효과에 대한 체계적 문헌고찰과 메타분석

A Systematic Review and Meta-Analysis on the Effects of Oral Stimulation Interventions on the Transition from Tube to Oral Feeding in Premature Infants

  • Kim, Seung Nam (Department of Nursing, Korea University Anam Hospital) ;
  • Kim, Youn Ah (Department of Nursing, Korea University Anam Hospital) ;
  • Jeon, Mi Hye (Department of Nursing, Korea University Anam Hospital) ;
  • Kim, Da Seul (Department of Nursing, Korea University Anam Hospital) ;
  • Kim, Hyo In (Department of Nursing, Korea University Anam Hospital)
  • 투고 : 2017.05.30
  • 심사 : 2017.06.20
  • 발행 : 2017.08.31

초록

Purpose: The purpose of this study was to evaluate the effects of oral stimulation interventions on the transition from tube to oral feeding in preterm infants through systematic review. Methods: The randomized clinical trials published between 1980 and 2015 were searched using domestic and international databases, and five randomized studies were selected for this study. The quality of study was assessed by assessment tool from the SIGN and meta-analysis was performed using the Cochrane Review Manager software Version 5.3 (RevMan). Results: Oral stimulation intervention in preterm infants decreased the transition time from tube to oral feeding (Post Menstrual Age, Day of life). Especially, a significant medium effect size was found in the number of days needed on the transition (ES=-4.95, p=.02). The oral stimulation intervention also had a significant large effect on the length of stay at hospital (ES=-8.33, p<.001). Conclusion: Based on the findings, oral stimulation interventions could be useful to facilitate the transition from tube to oral feeding in preterm infants in terms of reducing the length of stay at hospital and the number of days needed on transition.

키워드

참고문헌

  1. Kim H, Bang KS. Effects of an oral stimulation program on the transition from tube to bottle feeding in premature infants. Journal of Korean of Fundamentals of Nursing. 2011;18(2): 160-167. http://www.dbpia.co.kr/Article/NODE01709404
  2. Bingham PM. Deprivation and dysphagia in prematrue infants. Journal of Child Neurology. 2009;24(6):743-749. http://dx.doi.org/10.1177/0883073808329530
  3. Bu'Lock F, Woolridge MW, Baum JD. Development of co-ordination of sucking, swallowing and breathing: Ultrasound study of term and preterm infants. Developmental Medicine and Child Neurology. 1990;32:669-678. http://dx.doi.org/10.1111/j.1469-8749.1990.tb08427.x
  4. Dodrill P, McMahon S, Donovan T, Cleoghorn, G. Current management of transitional feeding issues in preterm neonates born in Queensland, Australia. Early Human Development. 2008;84:637-643. https://doi.org/10.1016/j.earlhumdev.2008.04.004
  5. Gaebler CP, Hanzlik JR. The effects of a prefeeding stimulation program on preterm infants. The American Journal of Occupational Therapy. 1996;50(13):184-192. http://dx.doi.org/10.5014/ajot.50.3.184
  6. Fucile S, Gisel E, Lau C. Oral stimulation accelerates the transition from tube to oral feeding in preterm infants. The Journal of Pediatrics. 2002;141(2):230-236. https://doi.org/10.1067/mpd.2002.125731
  7. Fucile S, Gisel EG, Lau C. Effects of an oral stimulation program on sucking skill maturation of preterm infants. Developmental Medicine and Child Neurology. 2005;47(13):158-162. https://doi.org/10.1017/S0012162205000290
  8. Boiron M, Da Nobrega L, Roux S, Henrot A, Saliba E. Effects of oral stimulation and oral support on non-nutritive sucking and feeding performance in preterm infants. Developmental Medicine and Child Neurology, 2007;49(6):439-444. http://dx.doi.org/10.1111/j.1469-8749.2007.00439.x
  9. Einarsson-Backes LM, Deitz J, Price R, Glass R, Hays R. The effect of oral support on sucking efficiency in preterm infants. The American Journal of Occupational Therapy. 1993;48(6): 490-498. http://dx.doi.org/10.5014/ajot.48.6.490
  10. Choi HW, Park HW, Kim HY, Lim G, Koo SE, Lee BS, et al. Feeding desaturation and effects of orocutaneous stimulation in extremely low birth weight infants. Journal of the Korean Society of Neonatology. 2010;17:193-200. https://doi.org/10.5385/jksn.2010.17.2.193
  11. Arvedson J, Clark H, Lazarus C, Schooling T, Frymark T. Evidence-based systematic review: Effects of oral motor interventions on feeding and swallowing in preterm infants. American Journal of Speech-Language Pathology. 2010;19(4): 321-340. http://dx.doi.org/10.1044/1058-0360(2010/09-0067)
  12. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions version 5.1.0 [Internet]. The Cochrane Collaboration; 2011[cited 2011 March 30]. Available from: http://handbook-5-1.cochrane.org/
  13. National Evidence-based Healthcare Collaboration Agency. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. 1st ed. Seoul: NECA; 2011. p. 159-171, p. 220-224.
  14. Zhang Y, Lyu T, Hu X, Shi P, Cao Y, Latour JM. Effect of nonnutritive sucking and oral stimulation on feeding performance in preterm infants: a randomized controlled trial. Pediatric Critical Care Medicine. 2014;15(7):608-614. http//dx.doi.org/10.1097/PCC.0000000000000182
  15. Younesian S, Yadegari F, Soleimani F. Impact of oral sensory motor stimulation on feeding performance, length of hospital stay, and weight gain of preterm infants in NICU. Iranian Red Crescent Medical Journal. 2015;17(7):e13515.
  16. Lessen BS. Effect of the premature infant oral motor intervention on feeding progression and length of stay in preterm infants. Advances in Neonatal Care. 2011;11(2):129-139. http://dx.doi.org/10.1097/ANC.0b013e3182115a2a
  17. Rocha AD, Moreira ME, Pimenta HP, Ramos JR, Lucena SL. A randomized study of the efficacy of sensory-motor-oral stimulation and non-nutritive sucking in very low birth weight infant. Early Human Development. 2007;83(6):385-388. https://doi.org/10.1016/j.earlhumdev.2006.08.003
  18. Hwang SD. Meta-analysis. 2nd ed. Seoul: Hakjisa; 2015. p. 120-121.

피인용 문헌

  1. Effects of Oral Stimulation Intervention in Newborn Babies with Cri du Chat Syndrome: Single-Subject Research Design vol.2018, pp.1557-0703, 2018, https://doi.org/10.1155/2018/6573508