母乳口腔护理对早产儿生长发育、喂养结局及家长满意度的影响

Effects of Breast Milk Oral Care on Growth and Development, Feeding Outcome and Parental Satisfaction of Preterm Infants

目的:探讨母乳口腔护理对早产儿生长发育、喂养结局及家长满意度的影响。方法:选取2020年6-12月收治的90例早产儿作为研究对象,随机分为对照组和研究组,各45例。对照组实施生理盐水口腔护理,研究组实施母乳口腔护理。对比两组早产儿的生长发育、喂养结局及家长满意度情况。结果:研究组吸吮力建立时间(7.90±0.76)d、开始喂奶时间(15.69±1.58)d、达到全肠内喂养时间(14.65±1.56)d、住院时间(15.12±1.05)d,均优于对照组的(12.81±1.62)、(19.98±1.46)、(17.72±1.31)、(21.16±2.36)d,差异均有统计学意义(P<0.05)。研究组出院时身长(46.53±4.31)cm、头围(34.02±3.18)cm,体重(2.32±0.51)kg,均优于对照组的(42.65±4.52)cm、(29.86±2.83)cm、(2.06±0.42)kg,差异均有统计学意义(P<0.05)。研究组口腔清洁度评分(4.49±0.21)分,对照组口腔清洁度评分(3.80±0.16)分,研究组口腔清洁度评分明显优于对照组,差异有统计学意义(t=22.357,P=0.000)。研究组家长满意度为95.56%,明显优于对照组的79.66%,差异有统计学意义(P<0.05)。结论:对早产儿实施母乳口腔护理,可以有效缩短由经口喂养阶段到全口喂养阶段的过渡时间和住院时间,改善喂养结局,促进早产儿的生长发育,保证早产儿的口腔清洁,提升家长满意度。

Objective:To explore the effect of breast milk oral care on growth,feeding outcome and parental satisfaction in preterm infants.Method:A total of 90 preterm infants admitted from June to December 2020 were selected as the study subjects and randomly divided into control group and study group,with 45 cases each.The control group performed saline oral care,and the study group performed breast milk oral care.The growth and development,feeding outcome and parental satisfaction of the two premature groups were compared.Result:The study group’s sucking force establishment time was (7.90±0.76) d,the start feeding time was (15.69±1.58) d,to reach the whole intestinal feeding time was (14.65±1.56) d,hospital stay was (15.12±1.05) d,which were better than (12.81±1.62) d,(19.98±1.46) d,(17.72±1.31) d and (21.16±2.36) d of the control group,the differences were statistically significant (P<0.05).The study group had body length of (46.53±4.31) cm,head circumference of (34.02±3.18) cm and body weight of (2.32±0.51) kg,which were better than (42.65±4.52) cm,(29.86±2.83) cm,(2.06±0.42) kg of the control group,the differences were statistically significant (P<0.05).The oral cleanliness score of the study group was (4.49±0.21) points and that of the control group was (3.80±0.16) points,the oral cleanliness score of the study group was significantly better than that of the control group,the difference was statistically significant (t=22.357,P=0.000).The satisfaction of parents in the study group was 95.56%,which was significantly better than 79.66% in the control group,the difference was statistically significant (P<0.05).Conclusion:Breast milk oral care of preterm infants can effectively shorten the transition time from oral feeding stage to full oral feeding stage and hospital stay,improve feeding outcome and promote growth and development of premature infants,ensure the oral cleanliness of premature infants and improve parental satisfaction.