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

Comparison of Physiological Parameters of Premature Infants After Different Feeding Methods Are Used: A Single Medical-Center Study

林久惠(Chiu-Hui Lin) ； 張文娟(Wen-Chuan Chang)

《榮總護理》 33卷1期 (2016/03) Pp. 67-76

https://doi.org/10.6142/VGHN.33.1.67

摘要

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。

關鍵字

早產兒 ； 親餵 ； 瓶餵 ； 生理指標

並列摘要

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.

並列關鍵字

premature infant ； direct breast feeding ； bottle feeding ； physiological parameter

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